• Journal of Chest Surgery
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• v.20 no.4
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• pp.683-687
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• 1987

Bleeding from bone marrow after sternotomy for open cardiac surgery can be sometimes difficult to control and even lead to reoperation for hemostasis. A clinical comparative study was carried out to demonstrate the hemostatic effect of fibrin glue [Beriplast] for sternal marrow bleeding after sternotomy for open heart surgery. Postoperative blood loss was measured in two patient groups, group A included 19 patients operated upon from June to October 1987 and the fibrin glue was applied to the sternal marrow together with collagen fleece and group B consisted of 22 patients from January to May 1987 and only collagen fleece was applied without fibrin glue. There was no difference between two groups in age and sex distributions, coagulation state, method of extracorporeal circulation and operative management. The blood loss one hour after operation was 2.04 ml/hr/kg in group A and 3.55 ml/hr/kg in group B [P<0.001]. The most significant difference was observed during the first 4 hours after surgery with 1.34 ml/hr/kg versus 2.05 ml/hr/kg. over the following 20 hours the amount of drainage from the chest tubes was identical in both groups. Fibrin glue reduces blood loss after open heart surgery by local hemostasis at sternum. Our study has shown that local application of fibrin glue to sternal marrow is an effective method of controlling the sternal bleedings. No side effect or complication of fibrin glue was noted.

• International journal of advanced smart convergence
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• v.13 no.1
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• pp.185-193
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• 2024

This study aimed to investigate the immediate physiological responses, including heart rate, blood pressure, and rate pressure product (RPP), following squat exercises performed at three water depths (ground, knee depth, waist depth) and two speed conditions (60bpm speed, Max speed). The participants consisted of 10 men in their 20s with over 6 months of resistance exercise experience. For the 60bpm speed squats, participants performed 30 repetitions in 1 minute at a rate of 2 seconds per repetition, while for Max speed squats, they performed at Max speed without a set limit on the number of repetitions for 1 minute. All experiments were conducted with a random assignment. The study results showed that immediately after the aquatic squat exercise, the average heart rate, blood pressure, and cardiac load were higher in the order of knee depth, ground level, and waist depth at both 60bpm speed and Max Speed. At 60bpm speed, the heart rate was higher in the order of ground level, knee depth, and waist depth. Overall, exercise in an aquatic environment was considered to impose relatively lower physical burden compared to land-based exercise. Therefore, it is suggested that depending on individual fitness levels and exercise goals, appropriately combining aquatic exercise, which imposes lower immediate physiological burden, and land-based exercise may lead to safer and more effective exercise methods.

• Journal of Korean Neurosurgical Society
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• v.47 no.5
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• pp.385-388
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• 2010

Intracranial granulocytic sarcomas are rare tumors, which are composed of immature granulocytic cells. Although it has been well known that these tumors are associated with acute myeloblastic leukemia (AML), they have been almost always related to bone marrow relapse. However, isolated recurrence of granulocytic sarcoma following complete remission from prior AML is extremely rare, especially in the central nervous system. A 44-year-old male presented with isolated recurrence of granulocytic sarcoma mimicking a falx meningioma two years after complete remission by allogenic peripheral blood stem cell transfusion (PBSCT) in the acute myelomonoblastic leukemia (FAB, M4). Because of depressed mental state and mass effect, total surgical resection was performed. Pathological findings were compatible with the granulocytic sarcoma. There was no evidence of leukemic relapse in the peripheral blood. We suggest that this phenomenon can be explained by the hypothesis that a certain barrier effect such as blood brain barrier might lead to the proliferation of intracranial leukemic cells which metastasized before PBSCT.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.19 no.4
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• pp.276-280
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• 2016

Dieulafoy lesions, vascular anomalies typically found along the gastrointestinal tract, have been viewed as rare and obscure causes of sudden intestinal bleeding, especially in pediatric patients. Since their discovery in the late 19th century, the reported incidence has increased. This is due to an increased awareness of, and knowledge about, their presentation and to advanced endoscopic diagnosis and therapy. Our patient was a three-year-old male, without a complex medical history. He presented to the emergency department with acute hematemesis with blood clots and acute anemia requiring blood transfusion. Endoscopy revealed four isolated Dieulafoy lesions along the lesser curvature of the stomach, which were treated with an epinephrine injection. The Dieulafoy lesion, although thought to be rare, should be considered when investigating an acute gastrointestinal bleed. These lesions have been successfully treated endoscopically. Appropriate anticipation and preparation for diagnosis and therapy can lead to optimal outcomes for the pediatric patient.

• Environmental Analysis Health and Toxicology
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• v.19 no.4
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• pp.327-334
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• 2004

도심지역의 중금속 배출원은 매우 다양하며, 배출 중금속은 물질별 노출 수준, 노출기간에 따라 건강유해영향을 일으킬 수 있다. 따라서 직업적 노출이 없는 도심 지역의 일반인의 혈중 중금속의 모니터링은 독성학적 측면에서 중요하다. 본 연구는 서울 도심지역의 직업적 노출이 없는 성인 남녀 144명(20∼75세)을 대상으로 중금속(납, 크롬, 니켈, 카드뮴)의 혈액 내 축적된 정도를 평가하였다. 채취한 혈액의 분석은 GF-AAS를 사용하였다. 물질별 혈중 중금속 농도는 납 63.2 $\mu\textrm{g}$/L, 크롬 0.12 $\mu\textrm{g}$/L, 니켈 $\mu\textrm{g}$/L, 카드뮴 1.43 $\mu\textrm{g}$/L로 각각 조사되었다.

• Journal of Medicine and Life Science
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• v.16 no.3
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• pp.55-59
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• 2019

Cerebral vessels are functionally and structurally specialized to provide adequate blood flow to brain which shows high metabolic rates. Cerebral hemorrhage or ischemic infarction due to cerebrovascular injury or occlusion can cause the immediate brain damage, and if not treated rapidly, can lead to serious or permanent brain damages, and sometimes life-threatening. Unlike these popular cerebrovascular diseases, there are diseases caused by genetic problems. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is one of them. CADASIL does not show the high incidence, but it is considered to be significantly affected by regional obstructiveness such as islands and therefore, to be an important genetic disease in Jeju. This paper aims to summarize the possibility of animal model research that can provide preclinical data for CADASIL disease research and to evaluate its applicability in future research plans.

• The Korean Journal of Physiology
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• v.1 no.2
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• pp.181-184
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• 1967

Hypothalamus is one of the most important center regulating voluntary and involuntary function of the body. We studied on the blood glucose and eosinophilic responses induced by electrical hypothalamic stimulation using stereotaxic apparatus. Blood glucose was measured according to Somogyi Nelson method and circulating eosinophil was counted with Hinkleman Stain. For the histological confirmation of electrode placement frozen sections were cut along electrode tract and stained with Hematoxylin-Eosin. The results obtained were as follows: 1. Anterior hypothalamic stimulation mostly leads to hypoglycemia but in some cases lead to hyperglycemia. 2. Hypothalamic stimulation leads to eosinopenia in majority cases. 3. There is no relationship between eosinopenia and hyperglycemia. 4. It appears that sympathetic and pararympathetic areas are not separate part but it coincides each other.

• 대한예방의학회:학술대회논문집
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• 1999.10a
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• pp.189-190
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• 1999

• Toxicological Research
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• v.25 no.4
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• pp.175-180
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• 2009

Lead (Pb) is a ubiquitously occurring environmental heavy metal which is widely used in industry and human life. Possibly due to a global industrial expansion, recent studies have revealed the prevalent human exposure to Pb and increased risk of Pb toxicity. Once ingested by human, 95% of absorbed Pb is accumulated into erythrocytes and erythrocytes are known to be a prime target for Pb toxicity. Most of the studies were however, focused on $Pb^{2+}$ whereas the effects of $Pb^{4+}$, another major form of Pb on erythrocytes are poorly understood yet. In this study, we investigated and compared the effects of $Pb^{4+}$, $Pb^{2+}$ and other heavy metals on procoagulant activation of erythrocytes, an important factor for the participation of erythrocytes in thrombotic events in an effort to address the cardiovascular toxicity of $Pb^{4+}$. Freshly isolated erythrocytes from human were incubated with $Pb^{4+}$, $Pb^{2+}$, $Cd^{2+}$ and $Ag^+$ and the exposure of phosphatidylserine (PS), key marker for procoagulant activation was measured using flow cytometry. As a result, while $Cd^{2+}$ and $Ag^+$ did not affect PS exposure, $Pb^{4+}$ and $Pb^{2+}$ induced significantly PS exposure in a dose-dependent manner. Of a particular note, $Pb^{4+}$ induced PS exposure with a similar potency with $Pb^{2+}$. PS bearing microvesicle (MV), another important contributor to procoagulant activation was also generated by $Pb^{4+}$. These PS exposure and MV generation by $Pb^{4+}$ were well in line with the shape change of erythrocyte from normal discocytes to MV shedding echinocytes following $Pb^{4+}$ treatment. Meanwhile, nonspecific hemolysis was not observed suggesting the specificity of $Pb^{4+}$-induced PS exposure and MV generation. These results indicated that $Pb^{4+}$ could induce procoagulant activation of erythrocytes through PS exposure and MV generation, suggesting that $Pb^{4+}$ exposure might ultimately lead to increased thrombotic events.

• Journal of The Korean Society of Clinical Toxicology
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• v.11 no.2
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• pp.89-95
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• 2013

Purpose: Glyphosate is widely used and its toxic exposures are not rare. Occasionally, glyphosate intoxication can lead to death. The aim of this study is to analyze clinical findings and fatality in glyphosate intoxication. Methods: Clinical data on acute glyphosate intoxication were prospectively collected at 28 hospitals nationwide between August 2005 and July 2006. The patients' clinical symptoms and characteristics of fatalities were investigated and statistical analysis was performed. Results: Among 105 patients who were finally included, gastrointestinal symptoms(59%) were the most common. A significant difference in the amount ingested was observed between patients with higher systolic blood pressure and those with systolic blood pressure less than or equal to 80 mmHg (p<0.001). The more the patients ingested, the more aggravated their mental status became (p=0.004). Seven patients(6.7%) died, and all of them had ingested greater than or equal to 200 ml. Patients who died had ingested greater amounts than the survivors (p<0.001), and their mental status was worse (p<0.001), and systolic blood pressure was lower (p<0.001). According to the result of logistic regression analysis, relative risk was 24.1-fold higher in the 'poor' mental status group compared with 'good'. Conclusion: Patients who ingested large amounts of glyphosate showed poor mental status and lower blood pressure. Statistical difference in amount ingested, mental status, and systolic blood pressure was observed between survivors and patients who died. Ingested amounts and mental status were the most important factor of the prognosis of glyphosate intoxication.