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Overview of the Interaction between Warfarin and Korean Herbal Medicine (와파린과 상호작용하는 한약재에 대한 고찰)

  • Lee, In;Park, Sang-Moo;Park, Seung-Chan;Kim, Do-Hyung;Cho, Min-Kyoung;Han, Chang-Woo;Kwon, Jeong-Nam;Hong, Jin-Woo
    • The Journal of Internal Korean Medicine
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    • v.33 no.2
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    • pp.160-171
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    • 2012
  • Background and Objective : Warfarin is the standard anticoagulation treatment for atrial fibrillation, venous thromboembolism (VTE), and mechanical heart valves. Close monitoring of the International Normalized Ratio (INR) is required due to the drug's very narrow therapeutic window. Many factors can affect INR levels. Drug and food interactions are frequently cited as causes of adverse events with warfarin. We discussed interactions between herbs and warfarin studied in this research. Methods : In this review, PubMed was used to search medical journals. Keywords "warfarin AND interaction" were applied. Results : 55 articles were included. The possibility of correlation between warfarin and single herbal medicines such as Salviae Miltiorrhizae Radix, Angelicae Gigantis Radix, Ginseng Radix Alba, Lycii Fructus, Ginkgo Folium, Menthae Herba, Trigonellae semen was suggested. Furthermore, some herbal compounds interacting with warfarin were reported. The conclusion of studies reporting the effect of herbal medicine on warfarin were controversial due to small size or quality of research. Conculsions : We suggest that we should prescribe therapeutic herbal medicines to patients using warfarin more carefully and do INR follow-up regularly.

Exogenous Estrogen Toxicity in a Dog (개의 외인성 에스트로겐 중독 증례)

  • Han Jae-Ik;Kim Tae-Hun;Lee Sook-Jin;Kang Ji-Hoon;Cho Sang-Hee;Chang Dong-Woo;Yang Mhan-Pyo;Na Ki-Jeong
    • Journal of Veterinary Clinics
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    • v.23 no.2
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    • pp.197-201
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    • 2006
  • A 2-year-old female mongrel dog was referred to the Veterinary Medical Center of Chungbuk National University due to anorexia, depression and weight loss after the administration of exogenous estrogen for contraception in the local hospital. Although the dog was medicated with antibiotics and fluid for two weeks in the local hospital, there was a deterioration in the patient's general condition. Therefore the dog was referred to our Veterinary Medical Center. Hematological and biochemical analysis showed non-regenerative anemia, thrombocytopenia, severely immature leukocytosis, hyperbilirubinemia, hyperglycemia and elevated serum alkaline phosphatase, gamma-glutamyltransferase, and lactate dehydrogenase. Abdominal ultrasonography showed double line of gallbladder and irregular hypertrophic wall of uterus. On the basis of these examination's results and history taking, final diagnosis was exogenous estrogen-induced myelotoxicosis with cholecystitis and endometritis. The symptomatic therapy for estrogen toxicosis was performed for 26 days after the final diagnosis. However, the symptom had no response to therapy except endometritis and anemia. On day 135 after administration of estrogen, platelet and neutrophil count were normalized, but monocytic leukocytosis was occurred.

Analysis of First Flush of Recreation Park and Removal Rate According to Rainfall-Runoff Storage Depth (위락시설지역의 초기세척현상과 초기 강우-유출고 저류에 따른 저감효율 분석)

  • Jung, Jae-Woon;Park, Ha-Na;Choi, Dong-Ho;Baek, Sang-Soo;Yoon, Kwang-Sik;Baek, Won-Jin;Beam, Jin-A;Lim, Byung-Jin
    • Journal of Korean Society on Water Environment
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    • v.29 no.5
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    • pp.648-655
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    • 2013
  • Nonpoint source pollution characteristics of recreation park was investigated. Runoff ratio of recreation park ranged 23-57%, which was lower than other urban area since impervious area was less than 37%. The average BOD, COD, TOC, SS, T-N, T-P, were 14.09, 32.86, 12.19, 121.51, 7.78 and 0.72 mg/L, respectively. First flush of recreation park was analyzed by normalized cumulative load - volume curve and mass first flush ratio(MFFn), MFF10 for BOD, COD, SS, T-P, T-N, TOC were 2.90, 1.59, 2.15, 2.74, 2.60, and 1.59, respectively. Observed data showed that 62% of pollutant could be removed by storaging 5 mm rainfall-runoff and even 3 mm depth could store up to 50% of pollutant in runoff.

Protective effect of silymarin in streptozotocin-induced diabetic dyslipidaemia in rats

  • Sharma, Manju;Pillai, K.K.;Anwer, Tarique;Najmi, Abul Kalam;Haque, Syed Ehtaishamul;Sultana, Yasmin
    • Advances in Traditional Medicine
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    • v.10 no.3
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    • pp.165-172
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    • 2010
  • The present study investigated the effect of silymarin, a flavonoid, on streptozotocin (STZ) - induced diabetic dyslipidaemia in rats. Experimental diabetes was induced by a single intraperitoneal injection of STZ (60 mg/kg). Silymarin (25 mg/kg and 50 mg/kg) was orally administered to diabetic rats for a period of 15 days. Blood glucose levels, serum lipid profile and liver glycogen levels were estimated following the established procedures. Biochemical observations were supplemented with histological examination of liver sections. Oral administration of silymarin to diabetic rats significantly (P < 0.001) decreased the blood glucose levels ($259.99{\pm}23.64$ vs. $99.90{\pm}2.62$ [25 mg] & $89.17{\pm}3.32$ [50 mg]). The most interesting finding was the significant (p < 0.001) increase in HDL-cholesterol levels ($26.99{\pm}0.61$ vs. $40.55{\pm}0.52$ [25 mg] & $41.12{\pm}0.37$ [50 mg]) whereas, there was a significant decrease in serum total cholesterol (TCh), triglycerides (TG), low density lipoprotein (LDL) and very low density lipoprotein (VLDL) cholesterol levels observed in silymarin treated diabetic rats. STZ treatment caused significant degeneration of liver parenchyma, which was normalized to near normal morphology by administration of silymarin. The findings indicate that silymarin effectively improved the overall lipid profile and restored the glycogen stores in the liver of STZ-induced diabetic rats, in a dose dependent manner. The results indicate existence of abnormalities in lipid metabolism in STZ-induced diabetic rats and suggest a protective effect of silymarin in this animal model.

Primary Endobronchial Actinomycosis (원발성 기관지 방선균증)

  • Han, Yun-Chang;Kim, Dong-Kyu;Mo, Eun-Kyung;Kim, Dong-Whan;Park, Myung-Jae;Lee, Myung-Goo;Hyun, In-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.3
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    • pp.467-471
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    • 1996
  • We report a case of a 20-year-old woman who presented with fever, dry cough and pulmonary consolidation at the left upper lobe on chest radiograph. Fiberoptic bronchoscopy revealed obstruction of the left upper lobar bronchus with exophytic mass and multiple nodular protruding lesions at the left main bronchus. Endobronchial actinomycosis was confirmed by demonstration of sulfur granule through the bronchoscopic biopsy of nodular lesion. Intravenous administration of penicillin G followed by oral tetracycline therapy for 5 months resulted in complete recovery of symptoms which had been present for 3 months prior to therapy. Infiltrative consolidation on the chest X-ray disappeared and all the lesions shown by bronchoscopy were nearly normalized after 6 months only to remain small nodular remnants at the left main bronchus. Endobronchial actinomycosis should be included in the differential diagnosis of endobronchial mass.

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Piezoelectric Energy Harvesting Characteristics of Trapezoidal PZT/Ag Laminate Cantilever Generator (사다리꼴 PZT/Ag Laminate 외팔보 발전기의 압전 에너지 하베스팅 특성)

  • Na, Yong-Hyeon;Lee, Min-Seon;Yun, Ji-Sun;Hong, Youn-Woo;Paik, Jong-Hoo;Cho, Jeong-Ho;Lee, Jung Woo;Jeong, Young-Hun
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.31 no.7
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    • pp.462-468
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    • 2018
  • The piezoelectric energy harvesting characteristics of a trapezoidal cantilever generator with lead zirconate titanate (PZT) laminate were investigated with various Ag inner electrodes. The piezoelectric mode of operation was a transverse mode by using a planar electrode pattern. The piezoelectric cantilever generator was fabricated using trapezoidal cofired-PZT/Ag laminates by five specimens of 2, 3, 4, 7, and 13 layers of Ag. As the number of Ag electrodes increased, impedance and output voltage at resonant frequency significantly decreased, and capacitance and output current showed an increasing tendency. A maximum output power density of $7.60mW/cm^3$ was realized for the specimen with seven Ag layers in the optimal condition of acceleration (1.2 g) and resistive load ($600{\Omega}$), which corresponds to a normalized power factor of $5.28mW/g^2{\cdot}cm^3$.

Characteristics of Soil Moisture Distributions at the Spatio-Temporal Scales Based on the Land Surface Features Using MODIS Images (MODIS 이미지를 이용한 지표특성에 따른 토양수분의 시·공간적 분포 특성)

  • Kim, Sangwoo;Shin, Yongchul;Lee, Taehwa;Lee, Sang-Ho;Choi, Kyung-Sook;Park, Younshik;Lim, Kyoungjae;Kim, Jonggun
    • Journal of The Korean Society of Agricultural Engineers
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    • v.59 no.6
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    • pp.29-37
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    • 2017
  • In this study, we analyzed the impacts of land surface characteristics on spatially and temporally distributed soil moisture values at the Yongdam and Soyang-river dam watersheds in 2014 and 2015. The soil moisture, NDVI (Normalized Difference Vegetation Index) and temperature values at the spatio-temporal scales were estimated using satellite-based MODIS (MODerate Resolution Imaging Spectroradiometer) products. Then the Pearson correlations between soil moisture and land surface characteristics (NDVI, temperature and DEM-digital elevation model) were estimated and analyzed, respectively. Overall, the monthly soil moisture values at the time step were highly influenced by the precipitation amounts. Also, the results showed that the soil moisture has the strong correlation with DEM while the temperature was inversely correlated with the soil moisture. However the monthly correlations between NDVI and soil moisture were highly varied along the time step. These findings indicated that water loss near the land surface are highly occurred by soil and plant activities as evapotranspiration and infiltration during the no/less precipitation period. But the high precipitation amounts reduce the impacts of land surface characteristics because of saturated condition of land surface. Thus these results demonstrated that soil moisture values are highly correlated with land surface characteristics. Our findings can be useful for water resources/environmental management, agricultural drought, etc.

Applicability of unmanned aerial vehicle for chlorophyll-a map in river (하천녹조지도 작성을 위한 무인항공기 활용 가능성에 관한 연구)

  • Kim, Eunju;Nam, Sookhyun;Koo, Jae-Wuk;Lee, Saromi;Ahn, Changhyuk;Park, Jerhoh;Park, Jungil;Hwang, Tae-Mun
    • Journal of Korean Society of Water and Wastewater
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    • v.31 no.3
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    • pp.197-204
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    • 2017
  • This study was carried out to apply the UAV(Unmanned Aerial Vehicle) coupled with Multispectral sensor for the algae bloom monitoring in river. The study acquired remote sensing data using UAV on the midstream area of Gum River, one of four major rivers in South Korea. Normalized difference vegetation index (NDVI) is used for monitoring algae change. This study conducted water sampling and analysis in the field for correlating with NDVI values. Among the samples analyzed, the chlorophyll concentration exhibited strong and significant linear relationships with NDVI, and thus NDVI was chosen for algae bloom index to identify emergence aspect of phytoplankton in river. Aerial remote sensing technology can provide more accurate, flexible, cheaper, and faster monitoring methods of detecting and predicting eutrophication and therefore cyanobacteria bloom in water reservoirs compared to currently used technology. As a result, there was high level of correlation in chlorophyll-a and NDVI. It is expected that when this remote water quality and pollution monitoring technology is applied in the field, it would be able to improve capabilities to deal with the river water quality and pollution at the early stage.

Performance Analysis of IEEE 802.15.4e Time Slotted Channel Hopping for Low-Rate Wireless Networks

  • Chen, Shuguang;Sun, Tingting;Yuan, Jingjing;Geng, Xiaoyan;Li, Changle;Ullah, Sana;Alnuem, Mohammed Abdullah
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.7 no.1
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    • pp.1-21
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    • 2013
  • The release of IEEE 802.15.4e specification significantly develops IEEE 802.15.4. The most inspiring improvement is the enhancement for medium access control (MAC) sublayer. To study the performance of IEEE 802.15.4e MAC, in this paper we first present an overview of IEEE 802.15.4e and introduce three MAC mechanisms in IEEE 802.15.4e. And the major concern here is the Time Slotted Channel Hopping (TSCH) mode that provides deterministic access and increases network capacity. Then a detailed analytical Markov chain model for TSCH carrier sense multiple access with collision avoidance (CSMA-CA) is presented. Expressions which cover most of the crucial issues in performance analysis such as the packet loss rate, energy consumption, normalized throughput, and average access delay are presented. Finally the performance evaluation for the TSCH mode is given and we make a comprehensive comparison with unslotted CSMA-CA in non-beacon enabled mode of IEEE 802.15.4. It can validate IEEE 802.15.4e network can provide low energy consumption, deterministic access and increase network capacity.

A Case Study of Metastatic Cholangiocarcinoma with Sepsis who Showed Symptomatic Improvement after Treated with Handayeolso-tang, Fel Tauri, and Antibiotics (전이된 담도암 환자의 패혈증을 한다열소탕 및 우담과 항생제를 병행하여 치료한 환자 1례)

  • Lee, Soo-Min;Choi, Seong-Heon;Song, An-Na;Lee, Ji-Young;Chae, Jin;Jung, Eu-Hong;Lee, Soo-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.4
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    • pp.432-441
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    • 2013
  • Objectives Despite the treatment with antibiotics, patients with sepsis has a high mortality (80%) in the underlying disease group. The aim of this study was to report the improvement of septic condition of the cholangiocarcinoma patient after the treatment with Handayeolso-tang, Fel Tauri, and antibiotics. Methods We retrospectively reviewed the medical records. The patient's subjective symptoms such as chilling and abdominal pain were evaluated by NRS and the performance status was evaluated by ECOG. This case was literally compared with relevant published studies on prognosis of sepsis. Results Despite poor prognostic factor(MEDS score 18), the patient's symptoms such as fever, chilling, abdominal pain, and diarrhea and ECOG(Eastern Cooperative Oncology Group) improved. The patient was hemodynamically stabilized on 3rd day from the treatment, and her laboratory test results were normalized on 7th day. Conclusions A female patient of metastatic cholangiocarcinoma came to the hospital for cholangitis, later causing septic shock. Both her symptoms and laboratory tests showed significant improvement after the treatment of antibiotics, Handayeolso-tang and Fel Tauri. To our knowledge, this is the first case reporting the synergistic combination of Korean oriental medicine and Western medicine approaching to sepsis.