• Journal of Chest Surgery
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• 제50권6호
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• pp.436-442
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• 2017

Background: Dissection flaps in acute type A aortic dissection typically extend into the root, most frequently into the non-coronary sinus (NCS). The weakened root can be susceptible not only to surgical trauma, but also to future dilatation because of its thinner layers. Herein, we describe a new technique that we named the "neo-adventitia" technique to strengthen the weakened aortic root. Methods: From 2012 to 2016, 27 patients with acute type A aortic dissection underwent supracommissural graft replacement using our neo-adventitia technique. After we applied biologic glue between the dissected layers, we wrapped the entire NCS and the partial left and right coronary sinuses on the outside using a rectangular Dacron tube graft that served as neo-adventitia to reinforce the dissected weakened wall. Then, fixation with subannular stitches stabilized the annulus of the NCS. Results: There were 4 cases of operative mortality, but all survivors were discharged with aortic regurgitation (AR) classified as mild or less. Follow-up echocardiograms were performed in 10 patients. Of these, 9 showed mild or less AR, and 1 had moderate AR without root dilatation. There were no significant differences in the size of the aortic annulus (p=0.57) or root (p=0.10) between before discharge and the last follow-up echocardiograms, and no reoperations on the aortic roots were required during the follow-up period. Conclusion: This technique is easy and efficient for reinforcing and stabilizing weakened roots. Furthermore, this technique may be an alternative for restoring and maintaining the geometry of the aortic root. An externally reinforced NCS could be expected to resist future dilatation.

• 한국식품과학회지
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• 제47권6호
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• pp.725-732
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• 2015

본 연구는 상압과 가압방식으로 제조한 소뼈 용출액의 이화학 및 관능 특성을 고찰하기 위하여 일반성분, 콜라겐 유래 단백질, 콘드로이틴 황산, 유리 아미노산, 무기질 함량 및 색도를 비교하였다. 가공방식에 따른 소뼈 용출액의 고형분, 조단백, 조회분은 가열시간이 증가할수록 그 함량이 높았고, 동일 시간 동안 가열하였을 때 상압방식 용출액보다 가압방식 용출액에 더 많이 함유되어 있었다. 콜라겐 유래 단백질은 상압방식 용출액보다 가압방식 용출액에 더 많이 함유되어 있었다. 상압방식 용출액의 경우 콜라겐 유래 단백질 함량은 4시간 이상 가열할 때 증가하여 12시간 가열할 때 가장 높았고, 가압방식 용출액의 경우는 가열시간이 증가할수록 콜라겐 유래 단백질 함량이 증가하여 6시간이상 가열했을 때는 유의적 차이가 없었다(p>0.05). 콘드로이틴 황산은 동일 시간을 가열하였을 때 상압방식 용출액보다 가압방식 용출액에 유의적으로 더 많이 함유되어 있었다(p<0.05). 동일 시간 동안 가열하였을 때 칼슘과 마그네슘은 상압방식 용출액에 유의적으로 더 많이 함유되어 있었고, 인, 소듐, 포타슘은 가압방식 용출액에서 더 많았다(p<0.05). 상압방식 용출액이 가압방식 용출액보다 $L^*$ 값이 유의적으로 높았고(p<0.05), $a^*$ 값과 $b^*$ 값은 전반적으로 가압방식 용출액이 높았다. 상압방식 용출액은 가열시간이 증가할수록 탁도가 높았지만, 가압방식 용출액은 가열시간에 따른 유의적인 차이를 보이지 않았으며(p>0.05), 전반적으로 상압방식 용출액이 가압방식 용출액보다 탁도가 높았다. 관능적으로는 가압방식 용출액이 상압방식 용출액보다 갈색도, 투명도, 소 비린내, 소 비린 맛, 유황 냄새가 강하였는데, 이러한 특성은 가열시간이 증가할수록 더 강했다. 따라서 본 연구를 통하여 영양학적인 측면에서는 가압방식으로 제조한 소뼈 용출액이 우수하였지만, 관능적 측면에서는 전통적인 상압방식으로 제조하는 방법이 좋았다고 판단한다.

• 콘크리트학회논문집
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• 제27권4호
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• pp.451-458
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• 2015

비내진 상세를 갖는 노후된 철근콘크리트 골조의 내진보강을 위해 철근콘크리트 끼움벽 공법이 많이 사용되고 있다. 기존 콘크리트 골조에 끼움벽을 이용하여 보강하는 방법은 지진과 같은 횡력에 대하여 높은 강도를 확보할 수 있는 방법이다. 그러나, 기존의 끼움벽공법은 공사기간동안 이용자의 사용이 제한될 수 밖에 없으며, 접합부의 시공이 어렵고, 접합부의 합성성능을 확보하기 어려운 측면이 있다. 이 연구에서는 기존 끼움벽 공법의 단점을 개선하기 위하여 공장제작된 프리캐스트 콘크리트 벽체를 건물의 외부에서 압착하여 보강하는 방법을 제안하였다. 제안된 공법을 검증하기 위하여 반복하중을 받는 총 4개의 1/3축소 실험체들을 제작하여 실험을 수행하였으며, 제안된 공법이 적용된 철근콘크리트 골조의 강도, 강성, 에너지 소산 능력이 크게 향상되는 것을 실험적으로 확인하였다.

• 한국식품과학회지
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• 제37권3호
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• pp.508-512
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• 2005

고려인삼의 수출확대를 위해서 백삼 및 태극삼의 사포닌(saponin) 함량에 대한 중국 고려인삼 수입의약품 둥록기준 설정의 기초 자료를 얻고자 조사하였다. 백삼 50구의 크기에 따른 초특대편, 특대편, 대편, 중편 및 소편의 ginsenoside-Rg1, -Re 및 -Rb1의 평균 함량은 각각 664.7, 796.9, 674.7, 839.0 및 646.6 mg%이었으며, Rg1/Re의 비율은 각각 1.0, 1.2, 0.8, 1.0 및 1.0의 분포였다. 태극삼 13구의 ginsenoside-Rg1, -Re및 -Rb1의 평균 함량은 755.1 mg%, Rg1/Re의 비율은 1.28이었다. 그리고 백삼 50구의 Rg1 평균값은 $232.7{\pm}110.2 mg%$, Re평균값은 $235.3{\pm}101.5 mg%$, Rb1 평균값은 $280.1{\pm}121.3 mg%$으로 이들의 합은 $748.2{\pm}299.4 mg%$이었으며, Rg1/Re의 비율은 1.02이었다. 또한 태극삼 13구의 사포닌 성분의 분석결과, Rg1 평균값은 $262.1{\pm}127.2 mg%$, Re 평균값은 $213.1{\pm}55.7 mg%$, Rb1 평균값은 $279.9{\pm}92.1 mg%$으로 이들의 합은 $755.1{\pm}233.6 mg%$이었다. 백삼과 태극삼의 사포닌 조성 및 함량은 중국수입의약품 등록기준인 ginsenoside-Rg1, -Re 및 -Rb1 값의 합이 0.4% 이상이라는 기준규격에 적합하였고, HPLC-ELSD로 분석시 인삼의 분석방법별 기준인 ginsenoside -Rg1과 -Re의 함량비($Rg1/Re{\Leq}3.87$)에 부합되었다.

• 대한한방내과학회지
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• 제27권1호
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• pp.288-293
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• 2006

Background : Monoplegia is the paralysis of a limb. It is commonly caused by an injury to the cerebral cortex, and rarely caused by injury to the internal capsule, brain stem, or spinal cord. Most problems with cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus. Objectives : This study is to see if there is a significance in thermal differences of acupoints in diagnosis and treatment of monoplegia on an upper extremity to test the validity of acupuncture and herbal treatment for it. Methods : By using Digital Infrared Thermographic Imaging(DITI), thermal differences$({\Delta}T)$ of acupoints on the upper extremity in a patient with monoplegia on the right upper extremity were measured after an attack of the disease. By giving Mangeum-tang(萬金湯) and treating the patient with acupuncture. the temperature changes of the upper extremity were examined through DITI and improvement was observed. Results : Compared with the left arm which suffered no such injury, the right recovered about 80% of sensation, and the grade of monoplegia improved from Grade O to Grade V. Also, the temperatures of right palmar-dorsal hand and the region of Weiguan(外關, Waiguan, TE5) were $1^{\circ}C$ and $1.45^{\circ}C$ higher than the same left region on admission day, but the thermal differences$({\Delta}T)$ narrowed to $0.5^{\circ}C$ by the last day. Conclusions : Results suggest that DITI screening is a reliable method of prognosis and that the time required for treatment can be estimated through this method in cases of monoplegia to an upper extremity. Also, progress in treatment is reflected in thermal differences of acupoints of the monoplegic upper extremity in accordance with the theory of meridian. This supports a role for acupuncture and herbal treatment for monoplegia.

• 대한한방내과학회지
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• 제41권4호
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• pp.553-562
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• 2020

Objective: To investigate the vasodilatory effect of Sipjeondaebo-tang by inhibiting RhoA activity in vascular cells during cold exposure. Methods: Human vascular endothelial cells and pericytes were pretreated with Sipjeondaebo-tang for 30 min, followed by incubation at 37 ℃ (control) or 25 ℃ (cold exposure) for 30 min. Activation of endothelin-1-mediated RhoA in pericytes was assessed by pretreating the cells with Sipjeondaebo-tang for 30 min, followed by incubation with endothelin-1 at 37 ℃ for 30 min. Western blotting was performed to measure the expression of active RhoA. Endothelin-1 and nitric oxide release from endothelial cells was examined with enzyme-linked immunosorbent assay kits. The formation of stress fibers and focal adhesion complexes was analyzed by immunocytochemistry. Results: Cold treatment activated RhoA in both pericytes and vascular endothelial cells, whereas Sipjeondaebo-tang treatment inhibited this activation. Sipjeondaebo-tang treatment also reversed the cold-mediated production of endothelin-1 and nitric oxide. Cold exposure promoted the formation of stress fibers and focal adhesion complexes by increasing the expression of phospho-focal adhesion complex kinase, whereas Sipjeondaebo-tang treatment suppressed this response. Conclusions: These findings suggested that Sipjeondaebo-tang inhibits cold-induced RhoA activation and its related pathway components, including endothelin-1 and nitric oxide, in vascular cells. Therefore, Sipjeondaebo-tang could be beneficial for the treatment of Raynaud's phenomenon.

• 동의생리병리학회지
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• 제27권5호
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• pp.650-659
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• 2013

To investigate the effects of facial blood flow rates(FBFR) and facial skin temperature(FST) generated by Gagam-Jawoonaek(GJ) application(appl.) after Miso Facial Rejuvenation Acupuncture(MFRA). Ten people in their twenties to fifties with no skin diseases were recruited. We randomly divided subjects two groups(A, B) and set the GJ appl. site(group A - right side, group B - left side). MFRA was performed on both sides of their face. Immediately after acupuncture treatment(AT treat.), GJ was applied only half of the face. We measured their FBFR using Laser Doppler Perfusion Imaging(LDPI) and FST using Digital Infrared Thermal Imaging(DITI) at pre-AT treat., immediately after AT treat., twenty and sixty minutes after GJ appl.. We analyzed data using Mann-Whitney test and Wilcoxon test(p < 0.05). After MFRA treat., FBFR on both sides increased. Twenty minutes after JW appl., the changes of FBFR on GJ appl. side($122.9{\pm}43.1PU$) were bigger than GJ non-appl. side($80.9{\pm}38.4PU$), a statistically significant decrease. Sixty minutes after application, FBFR on both sides were recovered almost at the same level as that of pre-AT treat. After MFRA treat., FST on both sides increased. Twenty minutes after GJ appl., the changes of FST on GJ appl. side($1.1{\pm}0.6^{\circ}C$) were comparable to that of GJ non-appl. side($1.2{\pm}0.5^{\circ}C$). Sixty minutes after application, FST on both sides were recovered almost at the same level as that of pre-AT treat.. Gagam-Jawoonaek could decrease facial blood flow rates.

• Archives of Plastic Surgery
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• 제37권5호
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• pp.555-560
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• 2010

Purpose: Facial allotransplantation (FA) could provide an excellent alternative to current treatments for facial disfigurement. However, despite being technically feasible, there continues to be various ethical and psychosocial issues associated with the risks and benefits of performing FA. The purpose of this study is to investigate risk acceptance and expectations in FA. Methods: In a quantitative assessment of risk versus benefit with respect to FA, from 2004 to 2008, Barker et al. developed and published a questionnaire-based instrument (Louisville Instrument for Transplantation [LIFT]), which contained 237 standardized questions. In the current study, the authors assessed risk versus benefits and expectations of FA using a Korean version of the LIFT. Respondents in three study groups (lay public, n=140; medical students, n=120; doctors, n=34) were questioned about risk acceptance as related to immunosuppression and tissue rejection, and expectations as related to quality of life improvement, and functional and aesthetic outcomes. A summary of the data has been provided and statistical analyses were performed. Results: Among the three study groups, results indicated that doctors accept the least amount of risk for a facial allotransplant, followed by medical students, and finally lay public. There was a significant statistical difference in three of the four questions regarding risk acceptance between the groups (p < 0.05). In general, lay public exhibited higher expectations for facial allotransplantation than the other groups. Additionally, there was a significant statistical difference in the importance of aesthetic outcome between the groups (p < 0.05). Conclusion: The authors' data indicate the three populations have vastly different levels of risk acceptance and expectations with regard to FA. Therefore, it is very important that surgeons establish clear, open, and thorough communication with patients in their consultations regarding FA. This is particularly important with respect to whether or not a patient's level of risk acceptance and expectations are progmatic.

• 한국의학물리학회지:의학물리
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• 제21권1호
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• pp.93-98
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• 2010

본 연구에서는 I-125 (35 keV) 와 Tc-99m (140 keV)에 대해 고해상도를 지닌 SPECT 영상을 동일한 검출기로 획득하는 방법을 제시하였고, 이를 몬테칼로 시뮬레이션 코드인 DETECT2000과 GATE를 이용하여 검증하였다. 제안된 검출기는 두께 3.0 mm의 CsI (Tl) 블록형 섬광체와 하마마츠사의 H8500C PSPMT로 이루어져 있다. 35 keV 감마선을 방출하는 I-125 핵종을 영상화할 때는 두꺼운 섬광체를 사용 할 경우, 일반적인 앵거방법으로는 빛 퍼짐이 많아지기 때문에 내인성 공간분해능이 저하되지만, 최대우도 함수와 색인테이블을 사용하여 감마선 반응 위치를 추적하면 내인성 공간분해능을 향상시킬 수 있다. DETECT2000 시뮬레이션 결과 1.0 mm 이내의 내인성 공간분해능을 획득하였다. 140 keV를 방출하는 Tc-99m를 영상화할 경우에는 I-125 전용인 1.0 mm 두께의 섬광체를 사용하였을 경우보다 3.0 mm 두께의 섬광체를 사용하였을 때 2.3배 이상 향상된 민감도를 보였다. 본 연구에서 제안한 검출기의 장점은 저에너지의 I-125 선원에 대해 상대적으로 두꺼운 섬광체를 사용하더라도 최대우도함수를 사용하기 때문에 분해능의 감소가 없다는 점과 Tc-99m 선원에 대해 민감도의 저하가 적다는 점이다. 본 연구에서 제안한 검출기를 사용하면 고에너지와 저에너지를 가진 핵종을 모두 영상화할 수 있다.

• 동의생리병리학회지
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• 제27권6호
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• pp.782-788
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• 2013

Chrysanthemum zawadskii Herbich var. latilobum Kitamura (Compositae), colloquially known "Gujulcho" in Korea, has been used in traditional medicine for the treatment of various diseases, including cough, common cold, bladder-related disorders, gastroenteric disorders, hypertension, and inflammatory diseases, such as pneumonia, bronchitis, pharyngitis, and rheumatoid arthritis (RA) However, the effect of Chrysanthemum zawadskii var. latilobum on breast cancer invasion is unknown. In this study, we investigated the inhibitory effect of Chrysanthemum zawadskii var. latilobum extract (CZE) on 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced matrix metalloproteinase-9 (MMP-9) expression and cell invasion, as well as the molecular mechanisms involved in MCF-7 cells. CZE were not cytotoxic up to 100 ${\mu}g/ml$ concentration in the MCF-7 cell line. CZE decreased MMP-9 expression. TPA substantially increased NF-${\kappa}B$ DNA binding activity. Pre-treatment with CZE inhibited TPA-stimulated NF-${\kappa}B$ binding activity and NF-${\kappa}B$ related protein expression. To identify invasion ability of MCF-7 cells decreased by CZE, we used martrigel invasion assay. As a result, it is significantly decreased cell invasion. These results indicate that CZE-mediated inhibition of TPA-induced MMP-9 expression and cell invasion involves the suppression of the NF-${\kappa}B$ pathway in MCF-7 cells. Chrysanthemum zawadskii var. latilobum may have potential value in restricting breast cancer metastasis.