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Experimental Study on Distally Based Free Flap Using Retrograde Arterial Flow (역행성 동맥 혈류를 이용한 원위 유리피판술의 실험적 연구)

  • Lee, Min-Goo;Minn, Kyung-Won
    • Archives of Reconstructive Microsurgery
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    • v.7 no.1
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    • pp.15-19
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    • 1998
  • Microsurgical free-tissue transfer has allowed surgeons to salvage injured limbs but choosing appropriate healthy recipient vessels has proved to be a difficult problem. Retrograde flow flaps are established in island flaps. Retrograde flow anastomosis could prevent the possible kinking and twisting of the arterial anastomosis. By not interrupting the proximal blood flow to the fracture or soft tissue defect site, the compromise of fracture or wound healing might be prevented. We wished to estabilish an animal model in rat for a retrograde arterial flow based free flap. Nembutal-anesthetized male rats; weighing 250 to 300 gm, were used. The femoral artery and common carotid artery were exposed and divided. The systemic and retrograde arterial pressure were quantified by utilizing a parallel tubing system connected with peripheral arterial line. In this study, the retrograde flow was not pulsatile and the retrograde arterial pressure was 64-65mmHg, with a mean arterial pressure of 106-109mmHg. An epigastiic skin flap, measuring $3{\times}3cm$, was raised with its vascular pedicle. The epigastric free flap was transfered in the same rat from femoral vessels to carotid vessels in end to end fashion. We anastomosed the donor arteries to the distal parts of the divided recipient arteries and the donor veins to the proximal parts of the recipient veins. Twelve experiments were performed and the transplantations succeeded in 75 percent of them. In the remaining 25 percent, the experiments failed due to thrombosis at the site of anastpmosis, or other causes. This animal model represents an excellent example of retrograde arterial flow free flap transfer that is reliable.

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Stewartia pseudocamellia and Torilis japonica Extracts Inhibit RANKL-induced Osteoclastogenesis in RAW 264.7 Cells

  • Anh-Thu Nguyen;Chun Soo Na;Ki-Young Kim
    • Journal of the Korean Chemical Society
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    • v.67 no.2
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    • pp.120-128
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    • 2023
  • Osteoporosis is a disease that causes the weakening of bone by increasing porosity, which often results in fractures. Osteoporosis treatment measures include the use of Bisphosphonates and estrogen. However, these treatments cannot be used in the long term as these treatments have adverse side effects. Therefore, there is a need to identify better and safer treatment options. For this, 63 plant extracts were screened and among them, six extracts showed high anti-osteoclastic activity with low cytotoxicity. Of these six extracts, three extracts, Cudrania tricuspidata (P371), Ulmus davidiana var. japonica (P401), and Torilis japonica (P411), showed more than 50 percent osteoclast inhibition. While the remaining, Stewartia pseudocamellia extracts I and II (P370, P397) and Cuscuta chinensis (P418), showed moderate or between 40-50 percent osteoclast inhibition. Among all the extracts, Torilis japonica (P411) showed the highest inhibitory action against osteoclast development. Torilis japonica (P411) primary components include Kaempferol, Quercetin, and Luteolin, all proven to inhibit osteoclastogenesis. Stewartia pseudocamellia extracts I and II (P370 and P397) showed moderate or 44% osteoclast inhibition. Stewartia pseudocamellia extract II (P397) enhanced the growth of RAW 264.7 cells by 19%. Torilis japonica (P411) and Stewartia pseudocamellia extract II (P397) suppressed the expression of osteoclast-specific genes in RANKL-induced osteoclastogenesis in RAW 246.7 cells. Torilis japonica (P411) extracts even increased osteoblast-specific RUNX2 gene expression. This results provide that six extracts could be used as a potential treatment option for osteoporosis disease with the extracts of Torilis japonica (P411) and Stewartia pseudocamellia (P397) as an ideal candidates. However, the combination of the extract with higher osteoclastic inhibition and less toxic effects with further analysis should be recommended.

Contamination of Chinese Cabbage with $^{85}Sr$, $^{103}Ru$ and $^{134}Cs$ Related to Time of Foliar Application ($^{85}Sr$, $^{103}Ru$, $^{134}Cs$의 엽면처리 시기에 따른 배추의 방사능 오염)

  • Choi, Yong-Ho;Lim, Kwang-Muk;Park, Hyo-Guk;Lee, Won-Yun;Lee, Chang-Woo
    • Journal of Radiation Protection and Research
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    • v.23 no.4
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    • pp.219-227
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    • 1998
  • A solution containing $^{85}Sr$, $^{103}Ru$ and $^{134}Cs$ was applied to Chinese cabbage in a greenhouse via foliar spraying at 5 different times during its growth. Interception of the applied activity by plant showed no difference among radionuclides and increased with decreasing time interval between application and harvest. The maximum interception factor observed was 0.87. Percentages of the intercepted activity remaining in the whole leaves at harvest varied $16{\sim}58%$ for $^{85}Sr$, $15{\sim}73%$ for $^{103}Ru$ and $33{\sim}64%$ for $^{134}Cs$, with application time and those for the inner leaves (without 6 outmost leaves) varied $2{\sim}35%$, $0.4{\sim}46%$ and $14{\sim}40%$, respectively. It was demonstrated that rain plays an important role in weathering loss of the activity. Tying the upper end of the plant prior to the last application lowered interception and remaining activity in the inner leaves by factors of $3{\sim}4$. Present results can be referred to in predicting the radionuclide concentration in Chinese cabbage and deciding counter-measures at the time of an accidental release from the nuclear installation.

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Decay Rate and Nutrient Dynamics during Litter Decomposition of Quercus acutissima in Gongju and Jinju (공주와 진주지역에서 상수리나무 낙엽의 분해율 및 분해과정에 따른 영양염류 함량 변화)

  • Won, Ho-Yeon;Oh, Kyung-Hwan;Mun, Hyeong-Tae
    • Journal of Wetlands Research
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    • v.14 no.4
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    • pp.537-545
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    • 2012
  • Decay rate and nutrient dynamics during leaf litter decomposition of deciduous Quercus acutissima were compared between Gongju and Jinju for 33 months from December 2008 through March 2011. Percent remaining weight of Q. acutissima leaf litter after 33 months elapsed in Gongju and in Jinju was $41.2{\pm}0.4%$ and $28.3{\pm}0.6%$, and decay constant (k) was 0.39 and 0.61, respectively. Decomposition in Jinju was significantly faster than that in Gongju. This seemed to be related to higher temperature and precipitation in Jinju than those in Gongju during the experimental period. Initial C/N and C/P ratio of Q. acutissima leaf litter was 46.8 and 270.9, respectively. After 33 months elapsed, C/N and C/P ratios in Gongju decreased to 22.0 and 106.8, and those in Jinju decreased to 19.2 and 170.2, respectively. Initial concentration of N, P, K, Ca and Mg in Q. acutissima leaf litter was 8.31, 0.44, 4.18, 9.38, 1.37 mg/g, respectively. After 33 month elapsed, remaining N, P, K, Ca and Mg were 91.0, 85.4, 30.2, 47.9, 11.7% in Gongju, and 67.0, 54.2, 19.9, 30.0, 40.8% in Jinju, respectively. Except for Mg, remaining nutrients of decomposing leaf litter in Jinju were lower than those in Gongju. In case of N and P, initial immobilization was observed, however, only mineralization was observed in K, Ca and Mg during the whole experimental period.

Emergency Reexploration for Bleeding after Open Heart Surgery wth Cardiopulmonary Bypass -A Report of 16 Cases- (개심술후 출혈로 인한 응급개흉술의 임상적 고찰)

  • 유재현
    • Journal of Chest Surgery
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    • v.24 no.11
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    • pp.1068-1073
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    • 1991
  • Bleeding after open heart surgery with cardiopulmonary bypass was a cause of concern. requiring reexploration of the chest in approximately 8 percent of patients who have had operations on the heart. From April., 1983 to October, 1991, 16 patients[2%] out of 777 patients who underwent open cardiac surgery had emergency reexploration with bleeding at the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. In 12 cases[75%], reexploration was performed for continuous bleeding and the reminder[4 cases] were performed for suspected tamponade & hypotension. There were 9 cases[56%] of congenital heart disease and 7 cases of acquired heart disease. The mean blood loss were 997$\pm$472ml /sq. M in total cases and 1442$\pm$ 647ml /sq. M in cases repair of cyanotic heart disease. The mean interval till reoperation was 16.6hr [1hr~72hr] and 41 hr[12~72hr] in tamponade cases and 8.4hr[1hr~24hr] in continuous bleeding cases. The bleeding sites were identified in 7 cases: aortotomy site in 2 cases, ventriculotomy site, SVC, thymus, pleura and sternum wiring site in each other case. But no specific sites was found in the remaining 9 cases. The 8 cases had complications but all except 1 cases with hypoxic brain damage were recovered without sequale. We conclude that emergency thoractomy after open heart surgery may be lifesaving and-/or diminishing complications with bleeding if performed promptly with excessive bleeding, tamponade and unexpected hypotension.

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The Effect of Modified Blalock-Taussig Shunt to Cyanotic Heart Disease (청색증 심장기형에 대한 Modified Blalock-Taussig shunt의 효과)

  • 김경렬
    • Journal of Chest Surgery
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    • v.28 no.8
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    • pp.754-758
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    • 1995
  • Between February 1987 and April 1994,30 modified Blalock- Taussing shunts[MBTS were carried out at the Department of Thoracic and Cardiovascular Surgery of the Keimyung University Dongsan Medical Center.The operation consists of interposing between the subclavian artery and the pulmonary artery a polytetrafluoroethylene graft.There were 19 boys and 11 girls.The average age at the time of shunt construction was 14 months [range 4 days to 5 years .Seventy-six percent [23/30 were less than 1 year of age.Cardiac defects treated with MBTS included tetralogy of Fallot[10 , pulmonary atresia with ventricular septal defect[8 , pulmonary atresia with intact ventricular septum[4 , uni-ventricular heart[3 , and other complex cardiac anomalies[5 .Prosthesis of 4mm were used in 13 cases, and 5mm in 17.Of the 30 operations, 21 were performed on the right side and 9 on the left side.The hemoglobin level decreased from 21.1 gm/dl preoperatively to 16.3 gm/dl postoperatively and systemic oxygen saturation level increased from 60.5 % preoperatively to 85.4 % postoperatively.In the 30 patients who recieved MBTS, there were one early [3% and three late deaths [10% .Seven patients have had an corrective operation and two patient required second palliative procedure.The remaining patients are awaiting further operation with ingestion of aspirin [5 mg/kg/day as an antiplatelet agent.These results indicate that the MBTS provide excellent palliation at a low operative mortality for most patients.

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Effect of Spacer Grids on CHF at PWR Operating Conditions

  • Ahn, Seung-Hoon;Jeun, Gyoo-Dong
    • Nuclear Engineering and Technology
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    • v.33 no.3
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    • pp.283-297
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    • 2001
  • The CHF in PWR rod bundles is usually predicted by the local flow correlation approach based on subchannel analysis while difficulty exists due to the existence of spacer grids especially with mixing vanes. In order to evaluate the effect of spacer grids on CHF, the experimental rod bundle data with various types of spacer grids were analyzed using the subchannel code, COBRA-IV-i. For the Plain grid data, a CHF correlation was described as a function of local flow conditions and heated length, and then the residuals of the CHF in mixing vaned grids predicted by the correlation were examined in various kinds of grids. In order to compensate for the residual, three parameters, distances between grids and from the last grids to the CHF site, and equivalent hydraulic diameter were introduced into a grid parameter function representing the remaining effect of spacer grids predicted most of the CHF data points in plaing grids within $\pm$20 percent error band. Good agreement with the CHF data was also shown when the grid parameter function for mixing vaned grids of a specific design was used to compensate for the residuals of the CHF data predicted by the correlation.

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Use of GIS to Develop a Multivariate Habitat Model for the Leopard Cat (Prionailurus bengalensis) in Mountainous Region of Korea

  • Rho, Paik-Ho
    • Journal of Ecology and Environment
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    • v.32 no.4
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    • pp.229-236
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    • 2009
  • A habitat model was developed to delineate potential habitat of the leopard cat (Prionailurus bengalensis) in a mountainous region of Kangwon Province, Korea. Between 1997 and 2005, 224 leopard cat presence sites were recorded in the province in the Nationwide Survey on Natural Environments. Fifty percent of the sites were used to develop a habitat model, and the remaining sites were used to test the model. Fourteen environmental variables related to topographic features, water resources, vegetation and human disturbance were quantified for 112 of the leopard cat presence sites and an equal number of randomly selected sites. Statistical analyses (e.g., t-tests, and Pearson correlation analysis) showed that elevation, ridges, plains, % water cover, distance to water source, vegetated area, deciduous forest, coniferous forest, and distance to paved road differed significantly (P < 0.01) between presence and random sites. Stepwise logistic regression was used to develop a habitat model. Landform type (e.g., ridges vs. plains) is the major topographic factor affecting leopard cat presence. The species also appears to prefer deciduous forests and areas far from paved roads. The habitat map derived from the model correctly classified 93.75% of data from an independent sample of leopard cat presence sites, and the map at a regional scale showed that the cat's habitats are highly fragmented. Protection and restoration of connectivity of critical habitats should be implemented to preserve the leopard cat in mountainous regions of Korea.

The Reduction of Question Items in Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) (단축형 사상체질 진단설문지(KS-15)의 문항 축소 연구)

  • Kim, Sang-Hyuk;Park, Ki-Hyun;Baek, Young-Hwa;Jang, Eun-Su;Lee, Siwoo
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.1
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    • pp.30-38
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    • 2020
  • Objectives The purpose of this study is to reduce the question items in Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) and to assess the validity. Methods The subjects of this study were 1,553 people who had information on body shape, personality, and symptoms among the data established at the Korean Medicine Data Center. Among them, 155 people were separated into a test group to assess the validity, and the remaining 1,398 were used as training groups for model development. The reduction question items were finally confirmed through discussion by two experts. The model development went through Multinomial Logistic Regression. Results & Conclusions The Percent Correctly Predicted (PCP) in the test group was 60.00% (58.49% in men and 60.78% in women). The PCP of each constitution was 72.6% in Taeeumin, 53.3% in Soeumin, and 50% in Soyangin. The accuracy rate of KS-10 seems to be reasonable considering the ease of use of reduced time required.

Improved Method for the Preparation of Crude Ginseng Saponin (인삼 조사포닌의 조제 방법 개선)

  • 김시관;곽이성
    • Journal of Ginseng Research
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    • v.22 no.3
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    • pp.155-160
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    • 1998
  • This stuffy was carried to establish a new efficient method for the preparation of edible crude ginseng saponin. The conventional butanol extraction and resin adsorption methods were compared for the contents of total crude ginseng saponin and major ginsenosides. Seventy- percent methanol extract was applied to Diaion HP-20 column and the resin was washed with Hn and eluted with absolute methanol. The methanol elute was dried in vivo and analyzed for its ginsenosides. Use of ethanol instead of methanol to make edible crude ginseng saponin gave a similar result. Butanol extraction was performed by the conventional method. The final aqueous layer from butanol extraction was passed through Diaion HP-20 column followed by elution with methanol and Diaion HP-20 passed fraction was extracted with butanol to recover remaining components, respectively, in order to determine saponin loss. TLC and HPLC qualitatively and quantitatively monitored Ginsenosides, respectively. Loss of ginsenosides was higher in butanol extraction method than in Diction HP-20 adsorption method. In addition, saponin fractions prepared by Diction HP-20 adsorption method showed higher content of each ginsenoside, showing 8.2% higher purity than that of butanol extracted fraction. From these results, we propose the resin adsorption method as a new efficient measure for the preparation of crude ginseng saponin, which is edible by using spirit instead of methanol.

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