Effectiveness of High-Volume Therapeutic Plasma Exchange for Acute and Acute-on-Chronic Liver Failure in Korean Pediatric Patients

Hyeji Lim,Yunkoo Kang,Sowon Park,Hong Koh 대한소아소화기영양학회 2022 Pediatric gastroenterology, hepatology & nutrition Vol.25 No.6

Purpose: Liver transplantation (LT) is the only curative treatment for acute liver failure (ALF) and acute-on-chronic liver failure (ACLF). In high-volume therapeutic plasma exchange (HV-TPE), extracorporeal liver support filters accumulate toxins and improve the coagulation factor by replacing them. In this study, we aimed to evaluate the effectiveness of HV-TPE in pediatric patients with ALF and ACLF. Methods: We reviewed the records of children waiting for LT at Severance Hospital who underwent HV-TPE between 2017 and 2021. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), total and direct bilirubin (TB and DB), gamma-glutamyl transferase (GGT), ammonia, and coagulation parameter-international normalized ratio (INR) were all measured before and after HV-TPE to analyze the liver function. The statistical analysis was performed using IBM SPSS Statistics for Windows, version 26.0 (IBM Co., Armonk, NY, USA). Results: Nine patients underwent HV-TPE with standard medical therapy while waiting for LT. One had neonatal hemochromatosis, four had biliary atresia, and the other four had ALF of unknown etiology. Significant decreases in AST, ALT, TB, DB, GGT, and INR were noted after performing HV-TPE (930.38–331.75 IU/L, 282.62–63.00 IU/L, 11.75–5.59 mg/dL, 8.10– 3.66 mg/dL, 205.62–51.75 IU/L, and 3.57–1.50, respectively, p<0.05). All patients underwent LT, and two expired due to acute complications. Conclusion: HV-TPE could remove accumulated toxins and improve coagulation. Therefore, we conclude that HV-TPE can be regarded as a representative bridging therapy before LT.

An autopsy case of cerebral arterial thrombosis after vaccination with ChAdOx1 nCOV-19

Hyeji Yang,Jaeyoon Ha,Hyun Wook Kang 제주대학교 의과학연구소 2022 The Journal of Medicine and Life Science Vol.19 No.2

We present a fatal case of cerebral arterial thrombosis after corona virus disease 19 (COVID-19) vaccination with ChAdOx1 nCOV-19. The deceased was a 63-year-old woman with no relevant medical history. She presented symptoms of nausea, fatigue, and headache immediately after vaccination. Ten days after vaccination, she suddenly started vomiting and developed high blood pressure. The patient eventually died 23 days after vaccination. Autopsy findings showed that the cerebral arteries and internal carotid arteries were fully enlarged and were compacted with thrombi. The brain stem showed ischemic necrosis, and extravasation from this necrotic lesion led to focal subarachnoid hemorrhage around the brain stem where large blood clots still remained. No aneurysms or atherosclerotic changes were found in these arteries. We note the following three facts. Firstly, all symptoms occurred immediately after vaccination; secondly, the main cause of death was consistent with known side effects of the vaccine; and lastly, the mechanism of thrombus formation in this case goes beyond the general category of thrombogenesis known so far. While the authors know that this case does not fall into known categories of vaccine side effects, we presenting this case to demonstrate that a comprehensive review of various possibilities related to vaccine side effects is needed to establish a COVID-19 defense system.

The effect of probiotics supplementation in postoperative cancer patients: a prospective pilot study

Hyeji Kwon,Song Hwa Chae,Hyo Jin Jung,Hyeon Min Shin,O-Hyun Ban,Jungwoo Yang,Jung Ha Kim,Ji Eun Jeong,Hae Myung Jeon,Yong Won Kang,Chan Kum Park,Daeyoun David Won,Jong Kyun Lee 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.101 No.5

Purpose: Microbiota manipulation through selected probiotics may be a promising tool to prevent cancer development as well as onset, to improve clinical efficacy for cancer treatments. The purpose of this study was to evaluate change in microbiota composition after-probiotics supplementation and assessed the efficacy of probiotics in improving quality of life (QOL) in postoperative cancer patients. Methods: Stool samples were collected from 30 cancer patients from February to October 2020 before (group I) and after (group II) 8 weeks of probiotics supplementation. We performed 16S ribosomal RNA gene sequencing to evaluate differences in gut microbiota between groups by comparing gut microbiota diversity, overall composition, and taxonomic signature abundance. The health-related QOL was evaluated through the EORTC Quality of life Questionnaire Core 30 questionnaire. Results: Statistically significant differences were noted in group II; increase of Shannon and Simpson index (P = 0.004 and P = 0.001), decrease of Bacteroidetes and Fusobacteria at the phylum level (P = 0.032 and P = 0.014, retrospectively), increased of beneficial bacteria such as Weissella (0.096% vs. 0.361%, P < 0.004), Lactococcus (0.023% vs. 0.16%, P < 0.001), and Catenibacterium (0.0% vs. 0.005%, P < 0.042) at the genus level. There was a significant improvement in sleep disturbance (P = 0.039) in group II. Conclusion: Gut microbiota in cancer patients can be manipulated by specific probiotic strains, result in an altered microbiota. Microbiota modulation by probiotics can be considered as part of a supplement that helps to increase gut microbiota diversity and improve QOL in cancer patients after surgery.

하수슬러지 열처리 잔류물을 이용한 제올라이트 합성 연구

김혜지 ( Hyeji Kim ),강보성 ( Bosung Kang ),권기운 ( Kiwoon Kwon ),차진선 ( Jin Sun Cha ) 한국폐기물자원순환학회 2023 한국폐기물자원순환학회 추계학술발표논문집 Vol.2023 No.0

어성초 메탄올 추출물로부터 항산화 효능을 가진 활성물질의 확인

김혜지(Hyeji Kim),황희성(Heesung Hwang),박수민(Sumin Park),강성욱(Sungwook Kang),김혜정(Hyejeong Kim),홍수경(Sugyeong Hong),김문무(Moon-Moo Kim),오영희(Yunghee Oh) 한국생명과학회 2017 생명과학회지 Vol.27 No.7

본 연구는 어성초의 메탄올 추출물을 이용하여 항산화 효능이 가장 좋은 fraction을 찾고, 항산화 효능을 나타내는 성분을 분석하였다. 메탄올 추출에 의한 유기 용매 별 분획에서 항산화 효과가 가장 좋은 ethyl acetate 분획물을 칼럼 크로마토그래피하여 12가지의 fraction 중 가장 높은 항산화 효과를 보인 Fr. 10을 이용하여 DPPH 라디칼의 소거활성, 환원력, 지질과산화, 세포독성, DNA 산화 및 DCFH-DA를 이용한 세포내 과산화수소 제거효과를 조사하였다. DPPH radical scavenging activity, reducing power, TBARS, cell viability, DNA oxidation and DCF fluorescence 12가지의 fraction들 중 항산화 효능이 가장 좋은 Fr. 10의 DPPH radical 소거 활성 결과로 64 μg/ml 농도에서 양성대조군에 근접하는 60%의 억제능을 보였다. Reducing power 결과로 32 μg/ml의 농도에서 140%로 양성대조군과 비슷한 결과 값을 보였다. TBARS 결과로 2 μg/ml에서 양성대조군과 같은 값의 활성산소 억제능이 나타난다. 또한 cell viability 결과로 32 μg/ml 이상의 농도에서 세포 독성에 의해 생존율이 감소하였고, DCF fluorescence 결과로 농도의존적으로 H2O2에 의한 산화적 손상을 억제하는 것으로 나타났다. DNA oxidation 실험결과 1 μg/ml 이상의 농도에서 DNA의 손상을 감소시킴을 확인할 수 있었다. IR 및 LC-MS를 이용하여 Fr. 10의 유효성분을 조사한 결과 rutin (분자량, 610)으로 확인 되었다. 결론적으로 어성초의 메탄올 추출물로부터 분리한 Fr. 10은 농도 의존적으로 항산화 효능이 우수하게 나타났고, 어성초는 화장품 및 기능성 식품의 소재로 활용될 수 있음을 시사한다. This study was carried out to evaluate the antioxidant effect of methanolic extract of Houttuynia cordata (HCME) and to identify a compound having antioxidant effect. The ethyl acetate fraction of HCME showed the highest antioxidant effect in organic solvent fractions. The fraction was then separated into 12 fractions by open column chromatography. Among these fractions, the fraction 10 (Fr. 10) with the highest antioxidant activity was isolated, and its antioxidant effect was evaluated by DPPH radical scavenging activity, reducing power, TBARS, cell viability, DNA oxidation and DCF fluorescence. The Fr. 10 at a 64 μg/ml showed 60% of inhibitory effect similar to that of vitamin C at 10 μg/ml, compared with blank group. The Fr. 10 at 64 μg/ml showed 264% of reducing power, compared with blank group. TBARS assay showed that the Fr. 10 at 64 μg/ml had 35.5% of inhibitory effect similar to that of vitamin E at 1,000 μg/ml, compared with blank group. The Fr. 10 above 32 μg/ml displayed cytotoxicity. However, it was observed that the Fr. 10, above 1 μg/ml reduced DNA damage. DCF fluorescence assay showed that the Fr. 10 inhibited oxidative stress by H₂O₂ in a dose dependent manner. The compound of Fr. 10 was identified to be rutin whose molecular weight is 610 by the IR and LC-MS analyses. Therefore, these results suggest that the rutin of Fr. 10 could use as a natural antioxidant for development of cosmetics and functional foods.

계층적 의사결정표

남혜지(Hyeji Nam),강교철(Kyo C. Kang) 한국정보과학회 2012 한국정보과학회 학술발표논문집 Vol.39 No.1B

의사결정표는 의사결정의 표현 방식 중 하나로 상황에 따라 취하는 일련의 행동들을 표 형식으로 나타낸 것이다. 이러한 의사결정표는 기업의 정보 시스템 (Information System)과 같은 의사결정 기반 시스템 구축에 유용하게 쓰일 수 있다. 복잡한 업무를 위한 의사결정 프로세스를 의사결정표를 이용하여 나타냄으로써 복잡한 로직을 정확하게 표현할 수 있고, 이해하기 쉽기 때문에 사용자와 프로그래머 간의 의사소통을 원활하게 하며 문서화 작업을 비교적 간단하게 한다. 그러나 복잡한 의사결정이 필요한 업무의 경우 하나의 의사결정표에 필요한 정보를 모두 나타내게 되면 의사결정 단계를 이해하기가 어려울 뿐만 아니라 오류의 발생률도 높아지게 된다. 본 논문에서는 이러한 복잡한 의사결정을 돕기 위해 계층적인 의사결정표를 제안한다. 계층적 의사결정표는 여러 추상화 단계를 가진 의사결정표를 일관성 있게 표현함으로써 단계적으로 의사결정을 수행할 수 있게 하고, 이에 따라 의사결정에 대한 이해도를 높인다. 또한 기존의 의사결정표 지원 도구를 확장하여 계층적 의사결정표를 지원하는 도구를 개발함으로써 사용자의 편의성을 도모하였다.

A Trends of Threats and Security in Fintech Environments

Hyeonjun Kang,Jeonghyeon Kim,Jonghyeon Lee,Hyeji Son,Mingi Jeon,Hyeongjun Kim,Dohyun Kim 한국콘텐츠학회 2020 한국콘텐츠학회 ICCC 논문집 Vol.2020 No.11

Effects of Powder Carrier on the Morphology and Compressive Strength of Iron Foams: Water vs Camphene

Park, Hyeji,Um, Teakyung,Hong, Kicheol,Kang, Jin Soo,Nam, Ho-Seok,Kwon, Kyungjung,Sung, Yung-Eun,Choe, Heeman Springer-Verlag 2018 Metallurgical and materials transactions. B, Proce Vol.49 No.5

IT 센싱 기술을 이용한 전통주 발효의 품질관리 연구

송혜지(Hyeji Song),최지희(Jihee Choi),박찬원(Chan-Won Park),신동범(Dong-Beom Shin),강성수(Sung-Soo Kang),오성훈(Sung Hoon Oh),황권택(Kwontack Hwang) 한국식품영양과학회 2015 한국식품영양과학회지 Vol.44 No.6

전통주는 성장할 수 있는 전기를 맞이하고 있으나 전통적인 생산방식으로 인한 표준화, 품질관리의 문제점을 안고 있다. 이에 sensor 기술과 RFID 기술을 이용하여 품질관리와 표준화문제에 접근하고자 하였다. RFID 기술은 원거리 Sensing과 즉각적인 제어로서 표준화와 품질의 고급화를 이룰 수 있는 최적화 기술이다. 본 실험에서 3차에 걸친 발효과정을 측정하였는데 발효조의 내부온도에 따라 발효종말점이 14, 17, 20일까지 달랐다. pH의 경우 발효 초기 pH가 7.89, 7.95, 7.68에서 최종 pH 3.31에서 2.96까지 급격한 pH의 강하가 이뤄졌고 이후 서서히 상승으로 진행하다 최종에 pH 3.34에 도달하였다. 총산의 경우 발효 초기 0.1, 0.2, 0.1%에서 3~4일까지 급격히 총산이 증가하였고 이후 완만한 상승이 이어지다 최종에 pH 2.3∼2까지 낮아졌다. 이는 발효기간 중에 생성된 유기산과 밀접한 관계가 있다. 당도의 측정은 발효기에 부착한 sensor를 통하여 자료를 얻었는데 발효에서 당도의 변화는 초기 급격한 상승을 이룬 다음 중간발효에서는 점차 낮아졌고 발효 후기에 갈수록 점차 증가하는 경향을 보였다. 알코올의 측정과 총당의 측정은 아직까지 자동으로 검출이 어려워 manual 방식으로 측정하였는데, 알코올 함량은 초기에 급격히 증가하다가 발효 5일째서부터 대부분 완만한 증가를 보였고 1차 발효에서는 17.3%, 2차발효에서는 16.7%, 3차 발효에서는 17.1%에서 발효가 완료되었다. 유리당은 1일째 4,171.44 mg%를 나타내다 초기에 급격한 감소를 보였고 10일을 전후하여 증가폭의 변화가 둔화되었다. 전체 중에 glucose가 제일 많은 함량이었고, 다음으로 sucrose, fructose 순이었다. 유기산의 경우 초기에 전체 61.48 mg%를 보이면서 발효 11일째까지 88.09mg%를 보여 아주 완만한 상승이었는데, 이후 급격한 상승을 보였고 14일째 266.21 mg%에서 정점을 찍고 이후 완만한 진행을 보였다. 전통주의 발효에서 품질관리를 통한 전통주의 고급화 방법의 하나로 RFID 기술을 도입하여 이상발효의 차단과 적정한 sensor를 이용하여 지표로 활용, 정확한 발효과정을 판단할 필요가 있다. pH, 총산, 알코올 그리고 총당은 전통주 품질관리의 지표로 활용 가능한 바, 전통주 발효 전 과정을 monitering 하여 이상발효 유무의 중요한 지표로 활용이 가능할 것이다. The objective of this study was to investigate the quality characteristics of traditional wine using an radio-frequency identification (RFID) system annexed to a fermenter. In this study, we proposed an RFID-based data transmission scheme for monitoring fermentation of traditional alcoholic beverages. The pH, total acidity, total sugar, soluble sugar, free sugar, alcohol content, and organic acids of were investigated and subjected to fermentation of traditional alcoholic beverages three times. The pH ranged from 7.98, 7.95, and 7.68 at day 0, decreased drastically to 3.31∼2.96 at day 2, and then slowly increased to the end point, finally reaching 3.34 at day 20. Acidity tended to increase quickly with time, especially for all samples after day 2. The fermentation environment induced a sudden increase acidity in reactants and indicated a low pH. The total sugars during fermentation quickly decreased to the range of 20.3, 22.43, and 19.2% at day 2, and the slope of reduction steadily decreased to 5.1, 6.1, and 4.8% at day 10. On the other hand, the alcohol content showed the reverse trend as total sugars. The alcohol content also showed the same pattern as total acids, showing the highest alcohol content of 17.3% (v/v) on day 20. In this study on traditional wine fermentation using an RFID system, we showed that pH, soluble sugar, and alcohol content can be adopted as key indicators for quality control and standardization of traditional wine manufacturing.

Acoustic emission analysis of the compressive deformation of iron foams and their biocompatibility study

Park, Hyeji,Hong, Kicheol,Kang, Jin Soo,Um, Teakyung,Knapek, Michal,Miná,rik, Peter,Sung, Yung-Eun,Má,this, Kristiá,n,Yamamoto, Akiko,Kim, Hyun-Kyung,Choe, Heeman Elsevier 2019 Materials Science and Engineering C Vol.97 No.-

<P><B>Abstract</B></P> <P>We synthesized Fe foams using water suspensions of micrometric Fe<SUB>2</SUB>O<SUB>3</SUB> powder by reducing and sintering the sublimated Fe oxide green body to Fe under 5% H<SUB>2</SUB>/Ar gas. The resultant Fe foam showed aligned lamellar macropores replicating the ice dendrites. The compressive behavior and deformation mechanism of the synthesized Fe foam were studied using an acoustic emission (AE) method, with which we detected sudden localized structural changes in the Fe foam material. The evolution of the deformation mechanism was elucidated using the adaptive sequential <I>k</I>-means (ASK) algorithm; specifically, the plastic deformation of the cell struts was followed by localized cell collapse, which eventually led to fracturing of the cell walls. For potential biomedical applications, the corrosion and biocompatibility characteristics of the two synthesized Fe foams with different porosities (50% vs. 44%) were examined and compared. Despite its larger porosity, the superior corrosion behavior of the Fe foam with 50% porosity can be attributed to its larger pore size and smaller microscopic surface area. Based on the cytotoxicity tests for the extracts of the foams, the Fe foam with 44% porosity showed better cytocompatibility than that with 50% porosity.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Iron foam synthesized from water suspension of Fe<SUB>2</SUB>O<SUB>3</SUB> powder under 5% H<SUB>2</SUB>/Ar gas. </LI> <LI> Compressive deformation mechanism of iron foam is analyzed using an acoustic emission. </LI> <LI> Not porosity but pore size is a dominant factor for corrosion behavior of iron foams. </LI> <LI> Concentration released Fe<SUP>n+</SUP> controls cytotoxicity of iron foam extracts. </LI> </UL> </P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>