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A Case of Canine Uterine Adenocarcinoma with Negative Estrogen and Progesterone Receptor Expression (개의 에스트로겐과 프로케스테론 수용체 발현이 되지 않은 자궁 선암종 증례)

  • Cho, Hyang-Mi;Kim, Hyun-Wook;Kim, Hye-Jin;Choi, Ji-Hye;Jang, Jae-Young;Choi, Ul-Soo
    • Journal of Veterinary Clinics
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    • v.28 no.3
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    • pp.303-306
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    • 2011
  • A 12-year-old female mixed breed dog receiving a progesterone drug was referred for evaluation of an abdominal mass. Abdominal radiography and ultrasonography revealed a swollen uterus and an associated mass. Serum chemistry revealed hyperglobulinemia consistent with acute inflammation based on the results of serum protein electrophoresis. Fine needle aspiration of the mass guided by ultrasonography was performed for cytological evaluation. The cytological impression was consistent with adenocarcinoma. Exploratory laparotomy identified a uterine body mass, which was surgically removed for histopathology. Histology of the mass identified a uterine adenocarcinoma. Immunochemistry using anti-estrogen and progesterone receptor antibodies was performed and neoplastic cells were negative to both antibodies while some normal elements were reactive to both of them. Computer tomography demonstrated evidence of metastatic disease in the lung one week after the surgery and the dog died about 40 days after surgery.

The Effect of YukMiGiHwangTang on Idiopathic Hypersomnia -1-Case Report- (육미지황탕(六味地黃湯)으로 호전시킨 원발성 과수면장애 환자 1례(例))

  • Kim, Min-Sang;Yu, Byeong-Chan;Kim, Jong-Kook;Shim, Jae-Chul;Kim, Jong-Won;Choi, Young;Kim, Yoon-Sik;Seol, In-Chan;Oh, Byung-Yul
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.383-390
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    • 2004
  • The most common causes of severe sleepiness beginning or progressively worsening in adults are SLEEP APNEA and RELATED BREATHING DISORDERS DURING SLEEP. Idiopathic hypersomnia is excessive sleeping without obvious cause. Idiopathic hypersomnia diagnosis can be explained as follows: One could be chronically sleepy due to either something wrong with sleep that makes it non-refreshing, or a problem with the brain mechanisms which normally should keep one alert whether caused by primary problems within the brain or its chemistry, or by other factors (such as sedating medications or thyroid problems). A 71-year-old male who had suffered from excessive sleeping was admitted to our department for oriental treatment on 7th of July, 2003. He was diagnosed as an idiopathic hypersomnia for excessive sleeping without obvious cause. Initial treatment modalities with administration of "SoonHwanGi1HoBang(循環器1號方)" were not effective. However, after administration of "YukMiGiHwangTang(六味地黃湯)" desirable effects were seen.

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Diagnostic Imaging of Renal Hemangiosarcoma in a Dog (개 신장 혈관육종의 진단 영상 1례)

  • Choi, Ji-Hye;Ban, Hyun-Jung;Jang, Jae-Young;Kim, Hyun-Wook;Kim, Hye-Jin;Kim, Hak-Sang;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.24 no.1
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    • pp.51-55
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    • 2007
  • A 13-year-old male Yorkshire terrier was Presented with Persistent weight loss anorexia and dark brown urine of 3-month duration. On physical examination, a firm oval mass was palpated at left renal region. In hematology and blood chemistry, neutrophilia, anemia, thrombocytopenia and elevation of ALKP were found. Abdominal radiography, ultrasonography and ultrasound-guided percutaneous pyelogram revealed masses originated from left kidney, mildly dilated renal Pelvis and intact ureter. Urinalysis showed hematuria and proteinuria. Because the state of dog became deteriorated during transfusion and the frail renal tumor was suspected to be the cause of inflammation and anemia, nephrectomy was performed. Renal masses, approximately $2{\times}3cm\;and\;5{\times}4cm$ respectively in size, was surrounded by swollen and congested mesentery and ascites. Metastatic lesion was not found in other organs. During recovery, the dog showed cardiopulmonary arrest and did not respond to critical care. Histologically the kidney was affected by necrotic and hemorrhagic change. This hemangiosarcoma most likely arose from the renal parenchyma resulting In diffuse lesions in the kidneys thought to be the cause of chronic anorexia and weight loss.

Clinical Evaluation of Fermented-C. Atrati Radix Cosmetic (Whitecrow) for Skin Whitening (백미발효 화장품(Whitecrow)의 임상적 미백효과 평가)

  • Son, Chang-gue;Jang, Eun-su;Lee, Sam-keun;Barng, Kee-jung
    • Journal of Fashion Business
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    • v.24 no.2
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    • pp.60-67
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    • 2020
  • This study evaluated the Skin Whitening effects of 'fermented-C.' for Atrium cosmetics using a single-arm clinical trial. Twenty female adults (mean age 42.1 ± 6.6 year) were enrolled, all participants used this cosmetic product on their face for 4 weeks. The change of brightness (L-value) was measured by spectrophotometer while subjective assessments were also obtained to find the participants opinions on whitening and their general satisfaction measured by a 5-point scale (5 for very satisfactory, 5 for satisfactory, 3 for moderate, 2 for unsatisfactory, 1 for very unsatisfactory). The participants were also questioned about any adverse effects by filling out a self-monitoring report. The average L-value increased from 62.55 ± 2.14 on day 0 to 63.22 ± 1.96 after 4 weeks corresponding to a 1.1% brightness improvement (p < 0.01). The average scores for subjective whitening and general satisfaction were better than moderate with scores of 3.6 ± 0.5 and 3.7 ± 0.7, respectively. No notable complaints were reported regarding any kind of adverse effects such as erythema, itching or burning. The clinical data collected in this study supports that fermented-C. from Atrium cosmetics has whitening potential in a safe Functional Cosmetics package.

Hypokalemia as a risk factor for prolonged QT interval and arrhythmia in inherited salt-losing tubulopathy

  • Seong Ryeong Kang;Yo Han Ahn;Hee Gyung Kang;Naye Choi
    • Childhood Kidney Diseases
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    • v.27 no.2
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    • pp.105-110
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    • 2023
  • Purpose: To analyze electrocardiograms (ECGs) of patients with a salt-losing tubulopathy (SLT) and to determine the frequency and risk factors for long QT and arrhythmia. Methods: A total of 203 patients aged <19 years with SLT, specifically Bartter syndrome and Gitelman syndrome, who had a 12-lead ECG were included in this retrospective study. We analyzed the presence of an arrhythmia or prolonged corrected QT (QTc) on ECGs obtained for these patients. Demographic and laboratory data were compared between patients with abnormal and normal ECG findings. Results: Out of the 203 SLT patients, 38 (18.7%) underwent electrocardiography and 10 (40.0%) of 25 patients with inherited SLT had abnormal ECG findings, including prolonged QTc and arrhythmias. The abnormal ECG group had significantly lower serum potassium levels than the normal group (median [interquartile range]: 2.50 mmol/L [2.20-2.83] vs. 2.90 mmol/L [2.70-3.30], P=0.036), whereas other serum chemistry values did not show significant differences. The cutoff level for a significant difference in QTc interval was serum potassium level <2.50 mmol/L. One cardiac event occurred in a 13-year-old boy, who developed paroxysmal supraventricular tachycardia and underwent cardiac ablation. No sudden cardiac deaths occurred in this cohort. Conclusions: The incidence of ECG abnormalities in patients with inherited SLT was 40.0%, whereas the ECG screening rate was relatively low (18.7%). Therefore, we recommend ECG screening in patients with inherited SLT, especially in those with serum potassium level <2.50 mmol/L.

Effect of Organic Material Treatments on Soil Aggregate Formation in Reclaimed Tidelands (유기물 처리가 간척지 토양의 입단형성에 끼치는 영향)

  • Son, Jae-Gwon;Cho, Jae-Young
    • Korean Journal of Soil Science and Fertilizer
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    • v.42 no.3
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    • pp.201-206
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    • 2009
  • It is generally accepted that organic materials are a significant factor on the soil aggregation formation but little information exists on how the formation and stabilization of aggregates in reclaimed tidelands. In this work, the effects of organic materials on the soil aggregate formation in reclaimed tidelands were determined. The soil was treated with 5 cm-size chopped fresh italian ryegrass residues (fresh organic material), commercial livestock compost with swine manure and sawdust (by product fertilizer), and fresh organic material + by product fertilizer (1 : 1 w/w) after ploughing at 20 cm soil depth. The three organic materials applied $2,000kg\;10a^{-1}$ every year. Water stable aggregate was estimated by wet-sieving method. Three years after the beginning of the experiment, water stable aggregate rate and MWD (mean weight diameter) were higher fresh organic material treatment than two other treatments. For improvement of physical property and structure of soil in reclaimed tidelands, fresh organic material treatment was more suitable than two other treatments.

A Case of Portosystemic Shunt in a Domestic Shorthair Cat (한국 집고양이의 문맥전신션트 한 증례)

  • Cho, Eunkwang;Jeong, Ye Chan;Choi, Ul Soo
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.316-318
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    • 2014
  • A 3-year-old castrated male domestic shorthair cat was presented with a chief complaint of sudden onset of intermittent seizures occurring five times a day. Physical examination revealed the copper colored iris and loss of menace response at both eyes. Abnormalities of blood works and serum chemistry revealed mild erythrocytosis, severe microcytosis, and threefold increase in ALT activity. Additional liver function tests results were increased bile acid and $NH_3$ concentration. Radiographic study revealed multifocal nodules of the liver and an extrahepatic shunt was noted by ultraonography, which was confirmed by computed tomography as multiple extrahepatic shunts. The cat was scheduled for surgery applying an ameloid ring to occlude the shunt gradually. Diazepam and lactulose were instituted to the patient. However, clinical signs worsened despite medical management with shortened interval of seizures and the patient died due to cardiac arrest.

Bradycardia after Dobutamine Administration in a Dog (Dobutamine 투여 후 발생한 개의 서맥 1례)

  • Jang, Min;Son, Won-Gyun;Hwang, Hyeshin;Jo, Sang-Min;Yi, Kang-Jae;Yoon, Junghee;Lee, Inhyung
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.350-353
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    • 2014
  • A 13-year-old, castrated male, Shih Tzu dog with a history of acute ataxia was referred to veterinary medical teaching hospital and anesthetized for diagnostic magnetic resonance imaging of cervical intervertebral disk disease. After preanesthetic evaluation including physical examination, blood chemistry, radiography and ultrasound, the patient was premedicated with intravenous butorphanol (0.2 mg/kg). Anesthesia was induced by intravenous propofol (6 mg/kg) and maintained with isoflurane at 1.2 minimal alveolar concentrations. Because the mean arterial pressure (MAP) decreased from 70 to 58 mmHg at 70 minutes after induction, dobutamine was administered by constant rate infusion ($5{\mu}g/kg/min$) to treat hypotension. However MAP did not increase, and heart rate rapidly decreased from 100 to 55 beats per minute (bpm). To treat bradycardia, intravenous glycopyrrolate ($5{\mu}g/kg$) was administered, and heart rate increased to 165 bpm. After extubation of endotracheal tube, the patient showed normal recovery without any problems related to cardiovascular system. Unexpected dobutamine-induced bradycardia was considered as Bezold-Jarisch reflex. It is recommended that clinicians know and prepare the possibility of bradycardia during dobutamine therapy under general anesthesia.

Fibrosarcoma in the Scapula of a Maltese Dog (말티즈 견의 견갑부에서 발생한 섬유육종)

  • Lee, Jae-Hoon;Chung, Dai-Jung;Kang, Eun-Hee;Chang, Hwa-Seok;Choi, Chi-Bong;Yu, Chi-Ho;Sur, Jung-Hyang;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.25 no.2
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    • pp.126-130
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    • 2008
  • A six year-old male Maltese dog was presented to the Konkuk University Veterinary Teaching Hospital (KUVTH) with mass in right scapula region. Physical examination, radiography, magnetic resonance imaging (MRI), complete blood count (CBC), serum biochemistry, cytological analysis of fine needle aspiration and histopathological examination were performed. There was no remarkable finding in CBC. Alkaline phosphatase (ALP) was found to be increased in serum chemistry profile. Osteolysis was seen on radiographs of the scapula. MRI revealed mixed signal intensity in scapula. Cytological examination of fine-needle aspirate (FNA) was suggestive of sarcoma. We confirmed that the neoplastic cells were fibrosarcoma by immunohistochemical and Masson's trichrome staining.

Oculocardiac Reflex Caused by Retrobulbar Block in a Dog with Scoliosis (척추측만증이 있는 개에서 안구후방마취 후 발생된 안구심장반사 1례)

  • Park, Young-Woo;Son, Won-Gyun;Kim, Se-Eun;Seo, Kang-Moon;Lee, In-Hyung
    • Journal of Veterinary Clinics
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    • v.26 no.5
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    • pp.476-479
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    • 2009
  • Enucleation of a 9-year-old, spayed female Pekingese's right eye was scheduled because of recurrent eyeball rupture caused by chronic corneal ulcer and descemetocele. Scoliosis of the thoracic vertebra was observed on thoracic radiography. Complete blood count, electrolytes, serum chemistry profiles were within normal ranges except of alkaline phosphatase, which was markedly improved, compared with that of five months ago. Severe respiratory sinus arrhythmia was observed before induction of anesthesia, it disappeared after induction. Retrobulbar block was performed with 0.5% bupivacaine, 2% lidocaine, 0.1% epinephrine combination (4 : 1 : 0.2 ratio of volume) before start of surgery. After retrobulbar block, heart rate decreased from 110 to 76 beats/min and sinus arrhythmia recurred. It was considered as oculocardiac reflex caused by increase of intraorbital pressure from retrobulbar block, atropine (0.025 mg/kg, IV) was administered and intermittent positive pressure ventilation was started. Three minutes after atropine administration, abnormal waveform of the electrocardiograph was appeared, it suspected as ventricular or supraventricular tachycardia, so lidocaine (2 mg/kg, IV) was administered. Then, heart rate was maintained around 130 beats/min, and the surgery was finished without the other problems. Although, retrobulbar block is performed to provide analgesia and to prevent oculocardiac reflex in ophthalmic surgery, occasionally it could induce oculocardiac reflex by infiltrated volume.