• Title/Summary/Keyword: platelets

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Alveolar rhabdomyosarcoma with massive disseminated intravascular coagulopathy treated with systemic chemotherapy

  • Yoon, Byung Gyu;Baek, Hee Jo;Oh, Burm Seok;Han, Dong Kyun;Choi, Yoo Duk;Kook, Hoon
    • Clinical and Experimental Pediatrics
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    • v.58 no.12
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    • pp.505-508
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    • 2015
  • It is uncommon for pediatric patients with rhabdomyosarcoma to present with clinical and/or laboratory features of disseminated intravascular coagulation (DIC). We report a case of metastatic alveolar rhabdomyosarcoma with severe bleeding because of DIC in a 13-year-old boy. He experienced persistent oozing at the site of a previous operation, gross hematuria, and massive epistaxis. Two weeks after initiating combination chemotherapy consisting of vincristine, doxorubicin, and cyclophosphamide, the patients' laboratory indications of DIC began to resolve. During this period, the patient received massive blood transfusion of a total of 311 units (26 units of red blood cells, 26 units of fresh frozen plasma, 74 units of platelet concentrates, 17 units of single donor platelets, and 168 units of cryoprecipitate), antithrombin-III and a synthetic protease inhibitor. Despite chemotherapy and radiation therapy, he died 1 year later because of disease progression. In children with metastatic rhabdomyosarcoma and massive DIC, prompt chemotherapy and aggressive supportive care is important to decrease malignancy-triggered procoagulant activities.

Elastic wave characteristics of graphene nanoplatelets reinforced composite nanoplates

  • Karami, Behrouz;Gheisari, Parastoo;Nazemosadat, Seyed Mohammad Reza;Akbari, Payam;Shahsavari, Davood;Naghizadeh, Matin
    • Structural Engineering and Mechanics
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    • v.74 no.6
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    • pp.809-819
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    • 2020
  • For the first time, the influence of in-plane magnetic field on wave propagation of Graphene Nano-Platelets (GNPs) polymer composite nanoplates is investigated here. The impact of three- parameter Kerr foundation is also considered. There are two different reinforcement distribution patterns (i.e. uniformly and non-uniformly) while the material properties of the nanoplate are estimated through the Halpin-Tsai model and a rule of mixture. To consider the size-dependent behavior of the structure, Eringen Nonlocal Differential Model (ENDM) is utilized. The equations of wave motion derived based on a higher-order shear deformation refined theory through Hamilton's principle and an analytical technique depending on Taylor series utilized to find the wave frequency as well as phase velocity of the GNPs reinforced nanoplates. A parametric investigation is performed to determine the influence of essential phenomena, such as the nonlocality, GNPs conditions, Kerr foundation parameters, and wave number on the both longitudinal and flexural wave characteristics of GNPs reinforced nanoplates.

Tuberculosis-associated hemophagocytic lymphohistiocytosis in adolescent diagnosed by polymerase chain reaction

  • Seo, Ju-Hee;Lee, Jun Ah;Kim, Dong Ho;Cho, Joongbum;Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • v.59 no.1
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    • pp.43-46
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    • 2016
  • We present a case of tuberculosis-associated hemophagocytic lymphohistiocytosis in a 14-year-old girl. The patient presented with weight loss, malaise, fatigue, prolonged fever, and generalized lymphadenopathy. Laboratory investigation revealed pancytopenia (white blood cells, $2,020cells/{\mu}L$; hemoglobin, 10.2 g/dL; platelets, $52,000cells/{\mu}L$), hypertriglyceridemia (229 mg/dL), and hyperferritinemia (1,420 ng/mL). Bone marrow biopsy showed a hypocellular bone marrow with a large numbers of histiocytes and marked hemophagocytosis; based on these findings, she was diagnosed with hemophagocytic lymphohistiocytosis. Polymerase chain reaction (PCR) with both the bone marrow aspiration and sputum samples revealed the presence of Mycobacterium tuberculosis. Antitubercular therapy with immune modulation therapy including dexamethasone and intravenous immunoglobulin was initiated. The results of all laboratory tests including bone marrow biopsy and PCR with both the bone marrow aspiration and sputum samples were normalized after treatment. Thus, early bone marrow biopsy and the use of techniques such as PCR can avoid delays in diagnosis and improve the survival rates of patients with tuberculosis-associated hemophagocytic lymphohistiocytosis.

Properties of ba-ferrite Particles Synthesized by Molten Salt Method (용융염법으로 합성한 Ba-ferrite 입자의 특성)

  • 오영우
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.13 no.6
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    • pp.545-550
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    • 2000
  • In order to synthesize Ba-ferrite particles by molten salt method KCl and NaCl were added to basic composition to 50% by weight. X was varied from 0.0 to 1.0 to control the magnetic properties in $BaFe_{12-2x}$/ $Co_{x}$ / $Ti_{x}$ / $O_{19}$ and 1 mol% of $SiO_2$was added to control the aspect ratio of hexagonal platelets. And the effects of reaction temperatures were examined by varying the temperature from 85$0^{\circ}C$ to 120$0^{\circ}C$ with 5$0^{\circ}C$ intervals. Eutectic composition of NaCl and KCl lowered the crystallizing temperature of Ba-ferrite in molten salts than using KCl and NaCl separatly. The morphology of resulting Ba-ferrite particles was clearly hexagonal-shaped plates. $H_{c}$ and $M_{r}$ were decreased when F $e^{3+}$ was substitued with $Co^{2+}$ and $Ti^{4+}$ from x=0 to x=1.0 in $BaFe_{12-2x}$/ $Co_{x}$ / $Ti_{x}$ / $O_{19}$ . Adding 1mol% $SiO_2$in molten salt method increased the size but shortened c-axis of the hexagonal ferrites and this result is an opposite phenomenon compared with the result in solid-statge reaction.n.ion.n.

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Panaxadiol from Panax ginseng C.A. Meyer Inhibits Synthesis of Thromboxane $A_2$ in Platelet Aggregation Induced by Thrombin (고려인삼의 파낙사다이올은 트롬빈 유인 혈소판응집반응에서 트롬복산 A2의 생성을 저해한다)

  • Park, Hwa-Jin;Rhee, Man-Hee;Park, Kyeong-Mee;Nam, Ki-Yeul;Park, Ki-Hyun
    • Journal of Ginseng Research
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    • v.17 no.2
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    • pp.131-134
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    • 1993
  • Panaxadiol (PD) from Korean red ginseng C.A. Meyer did not control the concentration of cytosolic free $Ca^{2+}$ influxes by thrombin (5 $\mu$/ml). However, PD strongly inhibited the synthesis of thromboxane. $A_2$ (TX$A_2$) in the aggregation of human platelets induced by thrombin (5 $\mu$/ml). These rexults suggest that PD blocks the any Pathway transforming to TX$A_2$ from arachidonic acid (AA) which release out of plasma membrane phospholipids by $Ca^{2+}$-dependent phospholipase C or phospholipase $A_2$. It may be also concluded that PD has the antiplatelet function by inhibiting the synthesis of TX$A_2$, which known to be the potent stimulator of the aggregation of human platelet.

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Hematologic and Coagulation Changes in Hypothermic Dogs (신체냉각이 혈액세포성분 및 응혈기전에 미치는 영향에 관한 실험적 연구)

  • 최대영
    • Journal of Chest Surgery
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    • v.2 no.1
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    • pp.105-114
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    • 1969
  • This experiment was carried out to study the responses of cellular component of blood and bone marrow to cold and also the changes of coagulation during cooling. Forty-two mongrel dogs were subjected to hypothermia by ice-water surface cooling technique. Lowest body temperature ranged from 21-23 degree. Dogs were divided into 3 groups,Group I, 12 dogs: pentothal anesthesia for 3 hours, Group II, 20 dogs;hypothermic group and Group III,10 dogs;postsplenectomy hypothermic group. Results were summarized as follows: 1. Hemoglobin, hematocrit and red blood cell count significantly increased when animals were cooled, and increase was noted in similar magnitude among the animals of Group I. 2. White blood cell count extremely decreased after cooling and effect of splenectomy on white blood cell count was not apparent. No significant changes were seen among Group I. 3. Differential count of white blood cell when cooled showed relative increase of polymorphonuclear neutrophil and decrease of lymphocyte. 4. There was marked decrease of platelets when body temperature reached to 21-23degree and essentially. no changes was noted in Group I. 5. Clotting time, bleeding time, plasma prothrombin time, recalcification time, and fibrinolysis showed no significant changes when dogs were cooled. Clot retration and prothrombin consumption during hypothermia appeared to be poor. In Group II, bleeding time decreased after splenctomy and when body temperature was lowered, plasma prothrombin time, clot retraction, and prothrombin consumption decreased. Decreased bleeding time and poor clot retraction were noted in Group I. 6. It was found that megacaryocyte count decreased even though platelet count of peripheral blood markedly diminsished when animals were cooled. There was some tendency of erythroid hyperplasia noted during hypothermia.

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FHIT Gene Expression in Acute Lymphoblastic Leukemia and its Clinical Significance

  • Malak, Camelia A Abdel;Elghanam, Doaa M;Elbossaty, Walaa Fikry
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8197-8201
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    • 2016
  • Background: To investigate the expression of the fragile histidine triad (FHIT) gene in acute lymphoblastic leukemia and its clinical significance. Materials and Methods: The level of expressed FHIT mRNA in peripheral blood from 50 patients with acute lymphoblastic leukemia (ALL) and in 50 peripheral blood samples from healthy volunteers was measured via RT-PCR. Correlation analyses between FHIT gene expression and clinical characteristics (gender, age, white blood count, immunophenotype of acute lymphoblastic leukemia and percentage of blast cells) of the patients were performed. Results: The FHIT gene was expressed at $2.49{\pm}7.37$ of ALL patients against $14.4{\pm}17.9$ in the healthy volunteers. The difference in the expression levels between ALL patients and healthy volunteers was statistically significant. The rate of gene expression did not significantly vary with immunophenotype subtypes. Gene expression was also found to be correlated with increase of total leukocyte and decrease in platelets, but not with age, gender, immunophenotyping or percentage of blast cells. Conclusions: FHIT gene expression is low in acute lymphoblastic leukemia and could be a useful marker to monitor minimal residual disease. This gene is also a candidate target for the immunotherapy of acute lymphoblastic leukemia.

Effect of Initial Microstructure, Cold Rolling and Temperature on the Spheroidization Rate of Cementite in High Carbon Steel (고탄소강의 구상화속도에 미치는 초기 미세조직, 냉간압연 및 온도의 영향)

  • Kim, J.H.;Ha, T.K.
    • Transactions of Materials Processing
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    • v.22 no.3
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    • pp.158-164
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    • 2013
  • The spheroidization behavior of cementite in a SK85 high carbon steel was investigated in this study. Fine and coarse pearlite microstructures were obtained by appropriate heat treatments according to the TTT diagram of SK85 high carbon steel. Hot rolled plates of SK85 steel were austenitized at $800^{\circ}C$ for 2 hrs and then put directly into a salt bath at either $570^{\circ}C$ or $670^{\circ}C$ to obtain a fine pearlite (FP) structure and a coarse pearlite (CP) structure, respectively. Cold rolling was subsequently conducted on those specimens with reduction ratios from 0.2 to 0.4. Spheroidization heat treatments were conducted at the subcritical temperatures of 600 and $720^{\circ}C$ for 1 to 32 hrs to elucidate the effect of initial microstructures, heat treatment temperature, and cold reduction ratios on the cementite spheroidization rate. Spheroidization proceeded with fragmentation of cementite plates, spheroidization of the cementite platelets, and coarsening consecutively. Mechanical fragmentation of cementite by cold rolling expedited the rate of spheroidization. The spheroidization rate of FP was much more rapid than that of CP and the spheriodization rate increased with increases in the cold reduction ratio.

Bio-Inspired Synthesis of a Silicate/PMMA Composite

  • Nam, Kyung Mok;Lee, Yoon Joo;Kwon, Woo Teck;Kim, Soo Ryong;Shin, Dong-Geun;Lim, Hyung Mi;Kim, Hyungsun;Kim, Younghee
    • Journal of the Korean Ceramic Society
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    • v.51 no.1
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    • pp.7-10
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    • 2014
  • Abalone shell is composed of 95 wt% $CaCO_3$ platelets and 5 wt% of a protein-rich organic matrix which acts as an adhesive layer, connecting aragonite tablets, thus maintaining the structural integrity of the composite. By mimicking abalone shell, we prepared a silicate plate/polymer nanocomposite by infiltrating PMMA between silicate layers and warm-pressing them at $200^{\circ}C$ for 1 h under 15 tons to make organic-inorganic composite materials. To examine the organic-inorganic composite materials after the warm-pressing procedure, the composite sample was analyzed with FE-SEM and TG. The bending strengths and densities of the composites prepared by a silicate plate and PMMA after the warm-pressing process were ~140 MPa and 1.5, respectively.

Anti-rheumatoidal Effect of Sulfuretin Isolated from the Heartwood of Rhus veniciflua in Rats and Mice

  • Choi, Jong-Won;Yoon, Byung-Jae;Keun-Huh;Park, Kun-Young;Lee, Kyung-Tae;Park, Hee-Juhn
    • Preventive Nutrition and Food Science
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    • v.7 no.4
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    • pp.347-352
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    • 2002
  • The present study was undertaken to evaluate the anti-rheumatoidal arthritis effect of the R. verniciflua heartwood extract, its EtOAc fraction, and its primary flavonoids, sulfuretin and fustin. All test samples showed variably significant inhibitory effects on hind paw edema and trypsin inhibitor activity induced by Freund's complete adjuvant reagent (FCA reagent), and on vascular permeability caused by acetic acid. Treatment with 10 mg/kg (i.p.) sulfuretin for seven days inhibited edema formation by 54.2$\pm$3.0%. Test samples, especially sulfuretin, shifted the values of biochemical parameters such as serum-cholesterol, serum-triglyceride and serum-total protein toward the normal and restored the numbers of leucocytes and platelets. These results suggest that the heartwood of R. verniciflua reduces immunological injuries caused by FCA reagent provides evidence that suluretin is an active anti-rheumatoid arthritis agent.