• Title/Summary/Keyword: h\acute{e}\

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Result of Surgical Treatment for Infective Endocarditis (심내막염의 수술적 치료 성적에 관한 보고)

  • Kim, S.H.;Ahn, H.;Kim, C.W.
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.370-376
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    • 1990
  • From April, 1981, through March, 1989, 30 patients had received valve replacements and 1 patient had received foreign body removal for infective endocarditis at Seoul National University Hospital. There were 22 male and 9 female patients, ranged in age from 22 to 59 [mean 34.9] years. Twenty-three had native valve endocarditis, 7 had prosthetic valve endocarditis and 1 had infected transvenous permanent pacemaker electrode in right heart. Twenty-four required operation during active phase of disease and 7 during inactive phase. The infecting organism was Streptococcus in 10 patients, Staphylococcus in 5 patients, both Staphylococcus and Streptococcus in 1 patient, E. coli in 2 patients, and Candida in 1 patient. Indications for Surgery were congestive heart failure in 20, systemic emboli in 5, combination of both in 3, congestive heart failure with uncontrolled sepsis in 2, and complete heart block in 1 patient. Hospital mortality was 9.7% [3/31], and all were the patients who received emergency operation. There were 2 late mortality [7.7 %] due to acute myocardial infarction and recurrent endocarditis. This report suggests that the surgical treatment can be achieved with acceptable low mortality and morbidity in medically intractable congestive heart failure, emboli and sepsis.

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ANALYSIS OF THE UPPER BOUND ON THE COMPLEXITY OF LLL ALGORITHM

  • PARK, YUNJU;PARK, JAEHYUN
    • Journal of the Korean Society for Industrial and Applied Mathematics
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    • v.20 no.2
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    • pp.107-121
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    • 2016
  • We analyze the complexity of the LLL algorithm, invented by Lenstra, Lenstra, and $Lov{\acute{a}}sz$ as a a well-known lattice reduction (LR) algorithm which is previously known as having the complexity of $O(N^4{\log}B)$ multiplications (or, $O(N^5({\log}B)^2)$ bit operations) for a lattice basis matrix $H({\in}{\mathbb{R}}^{M{\times}N})$ where B is the maximum value among the squared norm of columns of H. This implies that the complexity of the lattice reduction algorithm depends only on the matrix size and the lattice basis norm. However, the matrix structures (i.e., the correlation among the columns) of a given lattice matrix, which is usually measured by its condition number or determinant, can affect the computational complexity of the LR algorithm. In this paper, to see how the matrix structures can affect the LLL algorithm's complexity, we derive a more tight upper bound on the complexity of LLL algorithm in terms of the condition number and determinant of a given lattice matrix. We also analyze the complexities of the LLL updating/downdating schemes using the proposed upper bound.

Biomarkers and Associated Immune Mechanisms for Early Detection and Therapeutic Management of Sepsis

  • Alissa Trzeciak;Anthony P. Pietropaoli;Minsoo Kim
    • IMMUNE NETWORK
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    • v.20 no.3
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    • pp.23.1-23.20
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    • 2020
  • Sepsis is conceptually defined as life-threatening organ dysfunction that is caused by a dysregulated host response to infection. Although there has been significant advancement in recent decades in defining and understanding sepsis pathology, clinical management of sepsis is challenging due to difficulties in diagnosis, a lack of reliable prognostic biomarkers, and treatment options that are largely limited to antibiotic therapy and fundamental supportive measures. The lack of reliable diagnostic and prognostic tests makes it difficult to triage patients who are in need of more urgent care. Furthermore, while the acute inpatient treatment of sepsis warrants ongoing attention and investigation, efforts must also be directed toward longer term survival and outcomes. Sepsis survivors experience incomplete recovery, with long-term health impairments that may require both cognitive and physical treatment and rehabilitation. This review summarizes recent advances in sepsis prognosis research and discusses progress made in elucidating the underlying causes of prolonged health deficits experienced by patients surviving the early phases of sepsis.

Effect of Perillae Folium Extract on Regulation of Type 1 Allergic Response in RBL-2H3 Cells (자소엽(紫蘇葉) 에탄올 추출물이 RBL-2H3 비만세포에서 제 1형 알레르기 반응 조절에 미치는 효과)

  • Gok, Su-Yeong;Yu, Sun-Ae;Lee, Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.26 no.1
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    • pp.36-45
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    • 2012
  • Objectives Perillae Folium (PF) has been widely used in Korean herbal medicines used for treatment of acute and chronic inflammatory diseases, such as rhinitis, asthma, and enteritis. In this study, to investigate the protective effect of PF on type 1 allergic response, we determined whether PF inhibits early or late allergic responses. Methods The effect of PF was analyzed by ELISA,. RT-PCR and Western blot in RBL-2H3 cells. Levels of ${\beta}$-hexosaminidase, interleukin (IL)-4 and TNF-${\alpha}$ were measured using enzyme-linked immunosorbent assays (ELISAs). mRNA levels of cytokines and enzymes were analyzed with RT-PCR. Signal transduction was analyzed with Western blot. Results We found that PF suppressed ${\beta}$-hexosaminidase release in RBL-2H3 by the IgE-DNP-HSA stimulation. PF also significantly inhibited enzymes level, such as COX-1, COX-2, iNOS, and HDC2, along with reduced cytokine levels, such as IL-2, IL-3, IL-4, IL-6, IL-13, and TNF-${\alpha}$ in RBL-2H3. In addition, PF suppressed the phospholyation of ERK1/2, JNK1/2, and $I{\kappa}B{\alpha}$. Conclusions Our results indicate that PF protects against type 1 allergic response and exert an anti-inflammatory effect through the inhibition of degranulation and expression of cytokines and enzymes via the suppression of signal transduction.

Inhibitory effect of Ulmus davidiana on ${\beta}$-hexosaminidase release and cytokine production in RBL-2H3 cells (유근피 추출물이 RBL-2H3 비만세포에서 ${\beta}$-hexosaminidase 및 cytokine 분비에 미치는 효과)

  • Park, Se-Bong;Kang, Kyung-Hwa;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.1
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    • pp.86-95
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    • 2011
  • Objectives : Ulmus davidiana (UD) has been widely used in Korean herbal medicines used for treatment of acute and chronic inflammatory diseases, such as rhinitis, asthma, and abscess. In this study, To investigated the protective effect of UD on type 1 allergic response, we determined whether UD inhibits early and late allergic response. Methods : The effect of UD was analyzed by ELISA and RT-PCR in RBL-2H3 cells. Levels of ${\beta}$ -hexosaminidase, interleukin (IL)-4 and TNF-${\alpha}$ were measured using enzyme-linked immunosorbent assays (ELISAs). mRNA levels of COX-2 and T-helper type 2(Th2) cytokines were analyzed with RT-PCR. Results : We found that UD suppressed ${\beta}$-hexosaminidase release in RBL-2H3 not only by the PMA plus A23187 stimulation, but also by the IgE-DNP-HSA stimulation at the antigen-antibody binding stage and antibody-receptor binding stage. UD also significantly inhibited COX2 level, along with reduced Th2 cytokine levels, such as IL-3, IL-4, IL-5, IL-13, GM-CSF, and TNF-${\alpha}$ in RBL-2H3. Conclusions : Our results indicate that UD protects against type 1 allergic response and exerts an anti-inflammatory effect through the inhibition of degranulation and expression of COX2 and Th2 cytokines.

Effects of acute heat stress on salivary metabolites in growing pigs: an analysis using nuclear magnetic resonance-based metabolomics profiling

  • Kim, Byeonghyeon;Kim, Hye Ran;Kim, Ki Hyun;Ji, Sang Yun;Kim, Minji;Lee, Yookyung;Lee, Sung Dae;Jeong, Jin Young
    • Journal of Animal Science and Technology
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    • v.63 no.2
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    • pp.319-331
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    • 2021
  • Heat stress (HS) causes adverse impacts on pig production and health. A potential biomarker of HS is required to predict its occurrence and thereby better manage pigs under HS. Information about the saliva metabolome in heat-stressed pigs is limited. Therefore, this study was aimed to investigate the effects of acute HS on the saliva metabolome and identify metabolites that could be used as potential biomarkers. Growing pigs (n = 6, 3 boars, and 3 gilts) were raised in a thermal neutral (TN; 25℃) environment for a 5-d adaptation period (CON). After adaptation, the pigs were first exposed to HS (30℃; HS30) and then exposed to higher HS (33℃; HS33) for 24 h. Saliva was collected after adaptation, first HS, and second HS, respectively, for metabolomic analysis using 1H-nuclear magnetic resonance spectroscopy. Four metabolites had significantly variable importance in the projection (VIP > 1; p < 0.05) different levels in TN compared to HS groups from all genders (boars and gilts). However, sex-specific characteristics affected metabolites (glutamate and leucine) by showing the opposite results, indicating that HS was less severe in females than in males. A decrease in creatine levels in males and an increase in creatine phosphate levels in females would have contributed to a protective effect from protein degradation by muscle damage. The results showed that HS led to an alteration in metabolites related to energy and protein. Protection from muscle damage may be attributed to the alteration in protein-related metabolites. However, energy-related metabolites showed opposing results according to sex-specific characteristics, such as sex hormone levels and subcutaneous fat layer. This study had shown that saliva samples could be used as a noninvasive method to evaluate heat-stressed pigs. And the results in this study could be contributed to the development of a diagnostic tool as a noninvasive biomarker for managing heat-stressed pigs.

Helicobacter pylori Infection and Gastroduodenal Pathology in Children with Upper Gastrointestinal Symptoms (상부 위장관 증세가 있는 소아의 위십이지장병변 및 Helicobacter pylori 감염)

  • Yoon, Young-Ran;Kim, Mi-Ryeung;Lim, Jae-Young;Choi, Myoung-Bum;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang;Ko, Gyung-Hyuck;Kang, Hyung-Lyun;Baik, Seung-Chul;Lee, Woo-Kon;Cho, Myung-Je;Rhee, Kwang-Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.6 no.2
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    • pp.103-111
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    • 2003
  • Purpose: This study was undertaken to evaluate the gastroduodenal pathology and Helicobacter pylori infection in children with upper gastrointestinal symptoms. Methods: One hundred and seven pediatric patients with upper gastrointestinal symptoms were undergone endoscopy at the Gyeongsang National University Hospital from June 1990 to April 1991. Histopathologic examination was done by H & E staining of gastric antral biopsy specimen and gastritis was defined according to the Sydney System. Tissue H. pylori status was evaluated with the urease test using Christensen's urea broth and H & E or Warthin-Starry silver staining of gastric antral biopsy specimen. IgG Immunoblotting were also performed to detect specific anti-H. pylori antibody in these patients. Results: The reasons for endoscopy were recurrent abdominal pain, acute abdominal pain, sallow face, hunger pain, and frequent nausea. Variable degrees of gastric mucosal hyperemia were found in most of the patients. Gastric hemorrhagic spots, gastric ulcer, duodenal ulcer, duodenal erosion, and hemorrhagic duodenitis were rare endoscopic findings. Histologic chronic gastritis was found in 88% of 107 patients. Histologic chronic duodenitis was observed in all 99 patients whose tissue were available. Gastric tissue H. pylori was positive in 57% of 107 patients by one of the ureasetest, H & E staining and Warthin-Starry silver staining. However, gastric tissue H. pylori detection rate was lower in the younger age groups. Anti-H. pylori IgG antibodies were detectable in 96% of 107 patients. Conclusion: Chronic gastroduodenitis and anti-H. pylori IgG antibody were ubiquitous in children with upper gastrointestinal symptoms.

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The Phonetic Realization of intermediate phrase in French Intonation (프랑스어 억양구조에서 중간구의 음성적 실현 양상)

  • Yuh, Hea-Oak;Lee, Eun-Yung
    • Speech Sciences
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    • v.9 no.3
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    • pp.185-200
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    • 2002
  • The current study confirmed the existence of an ip prosodic level in French intonation structure, as previously proposed by Sun-Ah Jun & $C\acute{e}cile$cile Fougeron (2000). However, in contrast to the previous suggestion of the plateau realized in an ip in several syntactic structures, the current study supposed that the plateau doesn't come from the different type of syntactic structures but arise from the unspecified syllables without any PA in an ip. Because if we limited ip phrasal tone to the syntactic structure, it would be difficult to find the more general reasons of ip level. Besides /Hi/ and /$H^*$/ we also used /$Hi^*$/ for the focused syllable in the current study. In emphasized sentences, in general, /$Hi^*$/ appeared in the first or second syllable of a leftward AP in an ip and /$H^*$/ in the final syllable of a rightmost AP of an ip, In contrast to these PAs, /$Hi^*$/ might appear in any syllable in an ip, but not to far from /$H^*$/ because the duration time and length t of plateau realized between /$Hi^*$/ and /$H^*$/ or /Hi/ and /$H^*$/ would make an essential harmonious rhythmic unit, Therefore, the current study determined the duration time and the number of syllables realized in each plateau in an ip level composed of more than one AP. As a phrase constituent structure, there is a practical need for intermediate prosodic units to allow for generalization over the many possible combinations of prosodic patterns that can occur. Further evidence is still needed to analyze and relate the different pitch ranges of the plateau of an ip according to the syntactic structure, to identify the considerable character in the French prosodic hierarchy.

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Two Newly Naturalized Species in Korea: Lolium rigidum Gaudin (Poaceae) and Oenothera rosea L'Hér. ex Aiton (Onagraceae) (한반도 미기록 귀화식물: 댕돌보리와 애기분홍낮달맞이꽃)

  • Kim, Jung-Hyun;Kim, Jin-Seok;Nam, Gi-Heum;Yoon, Chang-Young;Kim, Sun-Yu
    • Korean Journal of Plant Resources
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    • v.27 no.4
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    • pp.326-332
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    • 2014
  • Two unrecorded naturalized species, Lolium rigidum Gaudin (Poaceae) and Oenothera rosea L'H$\acute{e}$r. ex Aiton (Onagraceae) were newly reported in Korea. L. rigidum, 'Daeng-Dol-Bo-Ri', was found at roadside of Yesong beach, Yesong-ri, Bogil-myeon, and roadside of Myeongsasimni beach, Sin-ri, Sinji-myeon, in Wando-gun, Jeollanam-do. It was distinguished from L. mutiflorum Lam by spikelet 10-20 mm long, florets 2-10(-13), and obtuse lemma, awn absent or up to 3-8(-10) mm. O. rosea, 'Ae-Ki-Bun-Hong-Nat-Dal-Mat-I-Kkot', was found in side of Wondong wetland, Yongdang-ri, Wondong-myeon, Yangsan-si, Gyeongsangnam-do. This taxon was distinguishable from other Oenothera in Korea by following combination of characters, stem erect to ascending, petal 5-12 mm long, pink to bright purple. Descriptions and illustrations of the two taxa and their photographs in the habitat are provided along with a key to the species of Lolium and Oenothera from Korea.

Study on the Re-corrosion Characteristics of Corrosion Products by Weeping of Iron Artifacts (철제유물 Weeping에 따른 부식화합물의 재부식 특성 연구)

  • Park, Hyung-Ho;Lee, Hye-Youn;Lee, Jae-Sung;Yu, Jae-Eun
    • Journal of Conservation Science
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    • v.29 no.3
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    • pp.287-296
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    • 2013
  • Excavated iron objects are preserved in stable condition through processes of conservation treatment because they are found in the form of various corrosion products. However, the conservation treatment leads to re-corrosion over time and accordingly, iron objects can be severely damaged, and therefore fundamental measures need to be prepared to control it. In this study, the types and characteristics of corrosion products were scientifically analyzed according to the re-corrosion of iron artifacts. In addition, the stability of the corrosion products was evaluated by exposing the standard samples under the re-corrosion environment. Re-corrosion proceeded with weeping in reddish brown on the cracks of iron artifacts. Weeping was detected akagan$\acute{e}$ite had a low hydrogen ion concentration and high chloride ion. The selection of standard sample goethite, lepidocrocite, hematite, and magnetite, were evaluated corrosive by weeping. After the samples were immersed in HCl(pH 1), $H_2SO_4$(pH 1), $H_2O$(pH 6) solution, they had been maintained for 180 days in relative humidity of 20%, 50%, 80% to investiage the changes of chemical components. As a result of analysis, the changes of chemical components were not showed in goethite, lepidocrocite, and hematite. But magnetite was changed to lepidocrocite in solution including chloride ion($Cl^-$) and to goethite and lepidocrocite solution including sulfuric acid($SO{_4}^{2-}$). Results of the study, in the case of magnetite known as s stable corrosion compound, it was identified the corrosion of magnetite occurs by corrosive ions, which means weeping generated in the iron artifacts can corrode magnetite as well as base metal.