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Clinical Evaluation of Traumatic Diaphragmatic Injuries (Reports of 40 Cases) (외상성 횡경막 손상에 대한 임상적 고찰 -40례 보고-)

  • 정황규
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.471-478
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    • 1988
  • We evaluated forty cases of traumatic diaphragmatic injuries that we have experienced from Jan. 1972 to Dec. 1987. 28 patients were male and 12 were female[M:F=2.3:1]. The age distribution was ranged from 4 to 71 years with mean age of 26. The diaphragmatic injuries were due to blunt trauma in 27 cases[traffic accident 22, fall down 3, others 2] and penetrating trauma in 13 cases[stab wound 11, gun shot 1, other 1]. In the blunt injury,14 cases of 17 were diagnosed and treated within 24 hours in the left diaphragmatic injury but only 3 cases of 7 cases in the right diaphragmatic injury were diagnosed and treated within 24 hours. All cases except one in penetrating injury were diagnosed and treated within 12 hours. In the blunt injury, the rupture site was located in the left in \ulcorner7 cases and in the right in 7 cases. In the penetrating injury, the rupture site was located in the left in 11 cases and in the right in 2 cases. The repair of 37 cases were performed with thoracic approach in 20 cases, thoracoabdominal approach in 12 cases and abdominal approach in 5 cases. Over all mortality was 17.5%[7/40] and postoperative mortality was 11%[4/37]. The causes of death were hypovolemic shock[3], combined head injury[2], acute renal failure[1] and septic shock with ARDS[1].

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Surgical Closure of Patent Ductus Arteriosus in Premature Infant -A report of two cases - (미숙아에서 동맥관 개존증 수술 2례)

  • 김삼현;서필원
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.777-779
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    • 1996
  • Recently we operated on two cases of PDA in premature infant. In both cases, indomethacin therapy had failed to close the PDA. The extremely small baby(body weight 540gm) died 28hrs postoperatively by unexpe ted intrathoracic bleeding probably due to coagulopathy related to septic condition and thrombocytopenia. The clinical course of the second case(body weight 1395gm) was complicated by ileal perforation sec- ondary to necrotizing enterocolitis. The baby underwent segmental resection of ileum with ileostomy on the 8th hospital day. On the 34th hospital day surgical closure of the PDA was done and the ile'ostomy was repaired simultaneously. Ventilator weaning was possible on the postoperative 6th day. The baby discharged on the postoperative 33th day with the body weight of 2050gm.

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Reuse of Treated Sewage Water from Absorbent Biofilter System as Agricultural Water Resources (농업수자원으로서의 흡수성 Biofilter 처리수 재이용)

  • 권순국;김현욱;권용웅;조영현;박상원;임경래
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.45 no.5
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    • pp.151-159
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    • 2003
  • Absorbent Biofilter Systems (ABS), composed of an anaerobic septic tank, a pump chamber and an absorbent biofilter tank, have been found to economically provide rural on-site wastewater treatment. This study was conducted to assess the potential of ABS effluent as an alternative water resource for agricultural and environmental use, with respect to the removal of pathogenic microorganism and their fertilization effect. A pilot scale ABS was used to compare its removal efficiency of pathogens from effluent water. Overall, more than 95 percent of Salmonella and E. coli were removed. This result demonstrates that a significant reduction in the pathogenic microorganism of effluents can occur in ABS, which implies the feasibility for the use of ABS effluent in agriculture and environment, with the provision of a further simple disinfection step, in order to satisfy the WHO guidelines for the microbiological quality in agriculture. In addition, because of the abundant nutritional content of ABS effluent, the substitution effect of fertilizer (N, P and K) in paddy irrigation, i.e. 2/3 for nitrogen, l/3 for phosphorus and 1/5 for potassium would be expected. Based on the experimental data, the ABS effluent could be used as a new alternative water resource for paddy irrigation, as well as for environmental purposes, such as supplying water to ecological parks in rural villages.

Inhibitory Effect of Lactobacillus plantarum Extracts on HT-29 Colon Cancer Cell Apoptosis Induced by Staphylococcus aureus and Its Alpha-Toxin

  • Kim, Hangeun;Kim, Hye Sun;Park, Woo Jung;Chung, Dae Kyun
    • Journal of Microbiology and Biotechnology
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    • v.25 no.11
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    • pp.1849-1855
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    • 2015
  • Staphylococcus aureus plays an important role in sepsis, septic shock, pneumonia, and wound infections. Here, we demonstrate that Lactobacillus plantarum extracts inhibited S. aureus-induced cell death of a human epithelial cell line, HT-29. In particular, we have shown that S. aureus-induced cell death was abolished by neutralization of α-toxin, indicating that α-toxin is the major mediator of S. aureus-induced cell death. DNA fragmentation experiment and caspase assay revealed that the S. aureus-induced cell death was apoptosis. L. plantarum extracts inhibited the generation of effector caspase-3 and the initiator caspase-9 in S. aureus- or α-toxin-induced cell death. Moreover, expression of Bcl-2, an anti-apoptotic protein, was activated in L. plantarum extract-treated cells as compared with the S. aureus- or α-toxin-treated only cells. Furthermore, S. aureus-induced apoptosis was efficiently inhibited by lipoteichoic acid and peptidoglycan of L. plantarum. Together, our results suggest that L. plantarum extracts can inhibit the S. aureus-mediated apoptosis, which is associated with S. aureus spreading, in intestinal epithelial cells, and may provide a new therapeutic reagent to treat bacterial infections.

Enhancement of Sewage Treatment Efficiencies by Recirculation in Absorbent Biofilter System (재순환에 의한 흡수성 바이오필터 시스템의 오수처리효율 향상)

  • Kwun, Soon-Kuk;Cheon, Gi-Seol;Kim, Song-Bae
    • Journal of The Korean Society of Agricultural Engineers
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    • v.47 no.3
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    • pp.69-76
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    • 2005
  • An Absorbent Biofilter System (ABS) combined with the recirculation process was investigated for the feasible application in additional removing of organics (BOD, SS) as well as nutrients (TN, TP) from small Community wastewater in Korea. Polyurethane biofilter media with high porosity and large surface area were /used for the aerobic system. A part of treated wastewater was recirculated into the anoxic septic tank to promote removal of nutrients. The concentrations of BOD and SS of treated wastewater satisfied the regulations for small on-site wastewater treatment facility (10 mg/L) during the overall experimental period. The effluent concentrations of BOD and SS were decreased with enhancement of removal efficiencies of 95.7 and $96.7\%$. The nitrogen and phosphorus removal efficiencies by the recirculation increased to $52.9\%\;and\;43.2\%$ in average during the overall experimental period, respectively. With the improvement, these values were increased as much as additional 42 and $18\%$ compared with those of non-recirculation. The rates of nitrification and denitrification were enhanced showing $65\~77\%\;and\;42\~92\%$, respectively. The described process modification is a low cost and effective method of enhancing nitrogen and phosphorus removal, especially on existing systems without changing major design components of a treatment facility.

Effects of Seman Armenicae and Radix Trichosanthis on the iNOS expression and superoxide formation in the RAW264.7 cells (행인 과루인 추출물이 마우스 대식세포주인 RAW264.7 세포주의 iNOS 발현 및 Superoxide 형성에 미치는 영향)

  • Park, Joug-Un;Moon, Seok-Jae;Moon, Goo;Won, Jin-Hee
    • THE JOURNAL OF KOREAN ORIENTAL ONCOLOGY
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    • v.5 no.1
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    • pp.137-150
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    • 1999
  • Macrophage play a major role in host defence against infection and tumor development and this activity is regulated through the production of several mediators. In particular, the production of NO by macrophages mediates killing or growth inhibition of tumor cells, bacteria, fungi and parasites. However, over-expression of iNOS by various stimuli, resulting in over-production of NO, contributes to the pathogenesis of septic shock and some inflammator and auto-immune disease. Therefore, it would be valuable to develop potent and selective inhibitors of for potential therapeutic use. Thus the agent that supprees the expression of iNOS mRNA or enzyme protein will be usefull for the prevention of various diseases. We are intersted in identifying selective inhibitiors of iNOS which might be useful intreating inflammatory human diseases. In summary, we have demenstrated that scopoletin, isolated from Seman Armenicae and Radix Trichosanthis the production of NO induced by $IFN-\gammer$ plus LPS in RAW 264.7 macrophages, The mechanism for the inhibition of NO production was due to suppression of the expression of iNOS mRNA or enzyme protein.

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Idiopathic severe hypermagnesemia in an extremely low birth weight infant on the first day of life

  • Hyun, Hye-Sun;Choi, Hyun-Sin;Kim, Jin-Kyu;Ahn, So-Yoon;Yoo, Hey-Soo;Kim, Eun-Sun;Chang, Yun-Sil;Park, Won-Soon
    • Clinical and Experimental Pediatrics
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    • v.54 no.7
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    • pp.310-312
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    • 2011
  • A preterm female infant born at 27 weeks of gestation with a birth weight of 990 g developed acute hypotonia, apnea, hypotension and bradycardia mimicking septic shock syndrome at 14h after birth. Laboratory tests indicated a severe hypermagnesemia of 45 mg/dL. The renal function, complete blood count and maternal blood concentrations of magnesium were normal, and the blood cultures were negative. The patient recovered with treatment including exchange transfusion. However, the etiology of the severe hypermagnesemia remains unknown.

Characteristics of Municipal Sewage Sludge Affecting the Biodegradation of a Plastic Material Under Aerobic Condition (호기적 조건에서 플라스틱 생분해에 영향을 미치는 도시 하수 오니의 성질)

  • Seo, In-Sun;Lee, Myung-Cheon;Kim, Byung-Hong;Shin, Pyong-Kyun
    • Microbiology and Biotechnology Letters
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    • v.22 no.4
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    • pp.436-442
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    • 1994
  • The characteristics of activated sludge affecting the biodegradation of plastic materials under aerobic condition were studied using cellophane film as a model system. The activated sludges of site 3, which treat a mixture of domestic sewage and supernatant of septic tank, obtained from December 1993 to April 1994 showed similar biodegradation activities. Biodegradations for 28 days reached around 80%. Viable cell number of inoculums maintained at a level of 10$^{6}$~10$^{7}$ /ml. In this range, viable cell number showed no relationship with biodegradation activities. The activa- ted sludges of site 2, which treat a mixture of domestic sewage and anaerobic digest of nightsoil, obtained four times from April 1993 to April 1994 showed very different biodegradation activities ranged from 20% to 80% for 28 days. Inoculum size affects biodegradation significantly. One percent inoculum showed the best biodegradation among the inoculum sizes of 0.1, 1.0 and 10%. Ten percent inoculum revealed inhibitory effects on the biodegradation activity which can be greatly reduced by centrifugation and filtration. Filtration was better than centrifugation in reducing inhibitory effects.

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Pectoral Advancement Flap for the Treatment of Sternoclavicular Joint Infection (대흉근판 전이술을 이용한 흉쇄골 관절염의 치료)

  • Bae, Chi-Hoon;Park, Ki-Sung
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.799-802
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    • 2008
  • Infection occurs very rarely in the sternoclavicular joint compared to other joints in the body. It occurs mainly in IV drug abusers, diabetics, chronic renal failure patients, septic patients and those with central vein catheters. In the early phase, it can be treated simply by antibiotics or incision, and drainage. However, when proper treatment is not begun. early, bone destruction can occur, and only en-bloc resection of the involved bone can cure it. To reduce the risk of recurrence, we advanced a pectoralis major flap into the resected area based on the feeding artery. We report a case of a patient with sternoclavicular osteomyelitis who was successfully treated using en-bloc resection and a pectoral advancement flap.

Higenamine Reduced Mortalities in the Mouse Models of Thrombosis and Endotoxic Shock (마우스의 혈전증 및 내독소 쇼크 모델에 있어서 Higenamine에 의한 사망률 저하효과)

  • YunChoi, Hye-Sook;Kim, Moon-Hee
    • YAKHAK HOEJI
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    • v.38 no.2
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    • pp.191-196
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    • 1994
  • Higenamine is a tetrahydroisoquinoline alkaloid which was isolated as a cardiotonic principle from Aconiti tuber. 1.v. injection of higenamine was reported to increase the cardiac output and heart rate and to decrease the blood pressure and the systemic vascular resistance presumably by stimulating the adrenergic ${\beta}-receptors$. The anti-platelet and anti-thrombotic effects of higenamine were investigated in this paper. Higenamine(0.5 mg/ml) showed mild inhibitory effect against collagen induced platelet aggregation in vitro and the inhibito교 effect was increased with the pre-incubation$(5{\sim}30\;min)$ of platelet rich plasma(PRP) with higenamine. With the 30 min incubation, the platelet aggregation was almost completely inhibited. And the oral administration of higenamine$(50{\sim}200\;mg/kg)$ enhanced the survival in the mouse model of thrombosis and that of endotoxic shock. The anti-thrombotic and anti-septic effects of higenamine thus appear to be due to the ${\beta}-agonistic$ and the anti-platelet effects of this compound.

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