• Journal of Korean Neurosurgical Society
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• 제29권5호
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• pp.664-667
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• 2000

Objective : Excessive bleeding from the exposed cancellous bone surface may cause serious problem such as hematoma formation, infection, transfusion reaction during operation and postoperative period. There are several kinds of bleeding control agent on the cancellous bone surface including bone wax, gelatin sponge ($Gelfoam^{(R)}$), oxidized cellulose($Oxycel^{(R)}$, $Surgicel^{(R)}$), thrombin, microfibrillar collagen($Avitene^{(R)}$) etc. In the past, bone wax was used to control bone bleeding but it is associated with increased infection rate and fusion failure. Recently, gelfoam paste has been used to control cancellous bone bleeding. We controlled the cancellous bone bleeding with the mixture of gelfoam powder and thrombin powder. Material and Methods : Seventeen patients of posterior fusion on the 4 motion segments of thoracolumbar spine were selected to compare the result of bone bleeding control. In the test group of 9 patients, the cancellous bone bleeding was controlled with the mixture of Gelfoam and thrombin powder during operation. In the control group of 8 cases, no chemical hemostatic agent was used to manage the bone bleeding during operation. We calculated the total amount of bleeding from cancellous bone surface during and after operation in the two groups and compared their statistic significance of the result which was judged by student t-test. Results : The average amount of intraoperative bleeding was 1825ml in control group, 811ml in test group(p<0.01). The amount of postoperative bleeding was 943ml in control group and 812ml in test group, there were no significant difference in the amount of bleeding during postoperative period between two groups(p>0.5). Total amount of blood was decreased in as much as 1150ml in test group(p<0.01). Conclusion : We concluded that the application of the mixture of thrombin and gelfoam powder on the cancellous bone surface is the effective control method of cancellous bone bleeding for multilevel posterior spinal fusion.

• Archives of Reconstructive Microsurgery
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• 제23권1호
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• pp.1-7
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• 2014

Purpose: Recent studies have reported on application of fibrin glue composed of fibrinogen and thrombin to nerve anastomosis, which can be another candidate for vessel anastomosis. However, no research regarding the risk and effectiveness of thrombin in microvascular free tissue transfer has been reported. Therefore, the aim of study is to determine the risk and effectiveness of thrombin on microvascular free tissue transfer through clinical cases. Materials and Methods: Twenty-five patients underwent free flap reconstruction for soft tissue defect or bone exposure in our institute from March 2011 to February 2014. In the group using thrombin, dissolved powder thrombin (5,000 IU/amp) was mixed with 10 mL normal saline. Saline mixed with thrombin was applied on the flap, recipient, and around vessel anastomosis. In the control group, free flap was performed using the same method, except using thrombin. We analyzed the results between the two groups. Results: All flaps survived. The group using thrombin included 14 patients and the control group included 11 patients. Hematoma was found in two cases, respectively, in each group. The group using thrombin showed lower incidence of hematoma than the control group. No difference in survival rate of the flap was observed between the thrombin group and the control group. Conclusion: Results of this study showed that use of saline mixed with thrombin in free tissue transfer may be safe and effective for prevention of hematoma formation in the recipient site.

• 한국식품영양과학회지
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• 제35권2호
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• pp.199-204
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• 2006

본 연구에서는 NF 막 분리에 의하여 제조된 농축 분말을 사용하여 국수를 제조하고 특성을 살펴봄으로써 새로운 기능성 식품소재로의 활용가능성을 검토하였다. NF 분말의 첨가량에 따른 밀가루 혼합분의 점도 변화는 NF분말 첨가량이 증가함에 따라 최고점도(peak), 최저점도(trough), 최종점도(final viscosity)가 감소하는 경 향을 보였다. 국수의 조리 후 무게 및 부피증가율은 NF분말 첨가량이 증가할수록 높았고 국물의 탁도 역시 NF분말 첨가 국수가 대조군보다 높아 고형분의 손실이 큰 것으로 나타났다. 색도 측정결과 생국수와 조리 국수의 L값은 시험군 간에 큰 차이가 없었고 a값은 (-)값으로 녹색을 나타냈고 b값은 (+)값으로 황색을 나타냈으며 NF분말 첨가량이 증가할수록 모두 증가하였다. 생국수의 경도는 NF 분말 첨가량 증가에 따라 감소하였고 응집성, 탄성, 껌성, 깨짐성은 시료간에 뚜렷한 경향을 보이지 않았다. 조리 후에는 응집성을 제외한 경도, 탄성, 껌성, 깨짐성 등의 조직감 특성에서 NF분말 첨가량이 증가 할수록 대조군에 비해 크게 낮아지는 경향을 나타내었다. 관능검사결과 색과 냄새는 NF 분말 첨가군이 대조군보다 높은 점수로 평가되었고 부드러운 정도는 NF 분말 첨가군과 대조군 간에 유의적인 차이가 없었다. Stickiness는 NF 분말 첨가군이 대조군보다 강한 것으로 평가되었고 전체적인 바람직성은 대조군과 NF분말 $3\%$ 첨가까지 모두 차이가 없는 것으로 평가되었고 $5\%$ 첨가군만이 유의적으로 낮은 점수를 받았다. 이상의 결과로 볼 때 NF분말을 이용하여 첨가수준을 적절히 조절하고 제조방법을 다양화한다면 기능성이 강화된 국수로서 그 이용가치가 있을 것으로 기대된다. 제품에서는 표시기준에 의거 표시된 소르빈산 $0.02\%$보다 15배$(0.30\%)$ 높은 검출결과가 나왔다. 결론적으로 경인지역 초등학교주변에서 판매되고 있는 식품은 식품의 제조단계에서부터 유통, 판매에 이르기까지 안전을 위한 관리방안이 조속히 수립되어야 한다.hrombin 부하 후 증강되지는 않았다. $Ins(1,4,5)P_3$ 증가에 이어서, $[Ca^{2+}]_i$은 thrombin 부하 후 20초에 최고점에 이르며, 이러한$[Ca^{2+}]_i$, 증가는 세 약물에 의하여 현저하게 억제되었다. 혈소판 단백인산화에 대해서, thrombin은 $41{\sim}43\;kDa$ 및 20kDa 단백인산화를 현저하게 증가시켰으며, 이는 AMT, SRT 및 CPZ에 의하여 억제되었다. CPZ, AMT 및 SRT 등의 세 약물은 유의한 항응집효과와 thromboxane생성억제 효과를 나타냈으며, 이들 약물에 의한 protein kinase C 활성억제 및 $Ins(1,4,5)P_3$의 함량증가는 각각 이들약물의 항응집효과 및 항우울성 작용기전과 연관될 수 있음을 시사한다.in banding pattern을 분석한 결과 C. militaris, C. roseostromata, C. kyushuensis는 근연종으로 clustering 되었으며 C. scarabaeicola, Phytocordyceps ninchukiospora는 비교적 유연관계가 먼 것으로 나타났다. 경우 $logk=11.1140-4.1226{\times}10^3(1/T)$, waxy corn starch의 경우 $logk=10.

• Journal of Ginseng Research
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• 제34권4호
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• pp.355-362
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• 2010

In this study, the anticoagulant compounds in Korean red ginseng (KRG) were investigated. KRG powder was extracted using hot methanol, and the methanol extract was fractionated into n-hexane, ethylacetate, n-butanol, and aqueous fractions by solvent partitioning. The remains from the methanol extraction were further extracted with water and then dialyzed to obtain low and high molecular weight fractions. The anticoagulant activities of the seven fractions were evaluated in terms of thrombin time, prothrombin time, and activated partial thromboplastin time. Among these fractions, the ethylacetate fraction showed the most potent anticoagulant activity. The active components in the ethylacetate fraction were identified as the phenolic compounds vanillic, caffeic, ferulic, and p-coumaric acid via TLC and HPLC. These findings suggest that the anticoagulant activities of phenolic compounds contribute to the cardiovascular effects of KRG.

• Journal of Chest Surgery
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• 제24권6호
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• pp.570-578
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• 1991

The spontaneous pneumothorax is the sudden collapse of the lung usually by air leakage from the ruptured sub-pleural bleb and has high recurrence rate. For prevention against recurrence, many drugs such as tetracycline, talcum powder, quinacrine, etc. have been used but the effects are not satisfactory. We reduced the recurrence rate successfully by the fibrin glue instillation through the chest tube. From the January 1989 to September 1990, we have managed 65 patients of spontaneous pneumothorax with closed thoracostomy and fibrin glue[fibrinogen 1gm/50ml with approtinin 3, 000kIU /ml, thrombin 5, 000IU /ml in 3% each 10ml] instillation through the chest tube. And we compared the results with those of 106 patients of spontaneous pneumothorax who were managed only by the closed thoracostomy from January 1985 to December 1988. Only the patients who visited our hospital with recurrence were considered as the recurred cases but the others were considered as not recurred. And the removal of chest tubes usually done 3 days after cessation of air leakage or 2 days after fibrin glue instillation Statistical analysis was done by X2-test. The results were as followings: 1. The recurrence rate of fibrin glue instillation group was lower than that of non-instillation group[1st attack: 15.1% versus 27.6% p<0, 05, the 2nd attack: 33.3% versus 73.7% p<0.01, the total 18.5% versus 35.8% p<0.01]. 2. The mean duration of chest tube drainage in the fibrin glue instillation group was shorter than non-instillation group[4.24$\pm$1.36 days versus 4.48$\pm$1.73 days p<0.05]. 3. The mean duration of hospitalization was shorter in the instillation group [8.12$\pm$3.5 days versus 10.8$\pm$3.8 days p<0.05] The complications were transient mild fever, chest pain, pleural effusion in 46 cases of 65 patients, but those didn`t make any problem. We concluded that the fibrin glue is effective in the reduction of recurrence rate, obliteration of air leakage and duration of hospitalization.