• 대한간호학회지
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• 제28권1호
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• pp.132-142
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• 1998

This study was conducted to investigate whether exercise therapy applied in an efficacy expectation promoting program based on the self-efficacy theory of Bandura(1977) would increase self-efficacy and metabolism in NIDDM patients. The study design was a nonequivalent control group pre-test post-test quasi-experimental desist The exercise therapy applied in the efficacy expectation promoting program was composed of a staged exercise program, a small booklet relating personal experience with diabetes mellitus and a telephone coaching program on performance accomplishment. vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. The subjects of the study were twenty eight NIDDM patients who received follow-up care regularly through the out-patient department of endocrine medicine in one general hospital which had a diabetic clinic. Fourteen were assigned to the experimental group and fourteen to the control group. The experimental group participated in the exercise therapy applied in the efficacy expectation promoting program from three to five times per week for four weeks and the control group did not have the program. The collected data were analyzed using the X²-test, t-test, paired t-test, and Cronbach's Alpha using SPSS /PC/sup +/. The results are summarized as follows 1. Experimental group had higher efficacy score than control group(t=5.98, p=.00). And. There was a significant different in the efficacy score before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(t=-6.42, p=.00). 2. Experimental group did not have lower level of glucose metabolism than control group(FBS : t=.32, p=.75, HbAlC : t=.60, p=.55, pc 2hrs. glucose : t=-.29, p=.78). But, There was a significant different in the aunt of glucose metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(FBS : t=3.63, p=.003, HbAlC t=4.20, p=.00, pc 2hrs. glucose : t=1.93, p=.001). 3. Levels of lipid metabolism were partly a significant different between Experimental group and control group(triglyceride t=-1.87, p=.07, HDL cholesterol : t=-.29, p=.77. body weight : t=1.78, p=.09, Total cholesterol : t=-2.17, p=.04). And, There was partly a significant different in the amount of lipid metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(triglyceride : t=2.50, p=.03, HDL cholesterol : t=-.43, p=.67, body weight : t=5.34. p=.00, Total cholesterol : t=2.26, p=.04). In conclusion, it was found that exercise therapy applied in an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and metabolism.

• 한방재활의학과학회지
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• 제18권2호
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• pp.97-109
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• 2008

Objectives : Effects of Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) on intellectual development and learning ability were investigated growth and intellectual impairment rat with insufficient nutrition diet. Methods : We divided male Sprague-Dawley rats into 4 groups(A, B, C, D). They were normal group(A), growth deficiency rat with insufficient nutrition diet group(B), growth deficiency rat with 0.1% Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) group(C) and growth deficiency rat with 0.2% Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) group(D). They were administered for 5 weeks. We measured body weight, serum growth hormone, insulin-like growth factor and thyroid stimulating hormone, RBC, concentration of Hb and PCV ratio, total WBC and its composition, the values of plasma glutamic oxaloacetic transaminase(GOT) and glutamic pyruvic transaminase(GPT) activities and morris water maze test in escape distance, escape time and escape speed. Results : 1. Body weight showed a tendency to increase in the Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) groups and 0.2% Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) group showed significantly different than control groups. 2. Serum growth hormone, insulin-like growth factor and thyroid stimulating hormone showed a tendency to increase in Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) groups, however these values showed no significantly different. 3. About the counts of RBC, 0.1% and 0.2% Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) groups showed significantly different than control groups. Concentration of Hb was higher than control group in Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) groups. And 0.2% Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) group showed significantly different than control groups in PCV ratio. 4. The counts of total WBC and its composition showed no significantly different in all treatment groups. 5. The values of plasma glutamic oxaloacetic transaminase(GOT) and glutamic pyruvic transaminase(GPT) activities showed no significantly different in all treatment groups. 6. In the morris water maze test, in escape distance and escape speed, Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) groups showed no significantly different than control group. But Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) groups showed the increasing tendency. Conclusions : So Kyungohkgo($Qi{\acute{o}}ng\;y{\grave{u}}\;g{\grave{a}}o$) have an effect of promoting growth of rats and might be effect to treat various kinds of growth delay in children.

• 한국식품영양과학회지
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• 제35권3호
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• pp.321-327
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• 2006

본 연구는 솔잎을 수증기 증류법으로 생산한 솔잎 추출용액을 2형 당뇨 마우스인 db/db mice에게 투여하여 솔잎 추출용액의 혈당강하 효과를 조사하고자 하였다. 이를 위해서 $30{\sim}40g$정도의 6주령 수컷 C57BL/Ksj(BL/Ls) homozygous diabetic(db/db) mice(SPF)를 음성대조군(corn oil), 솔잎 추출용액 저용량군(112.5 mg/kg), 고용량군(450 mg/kg) 및 양성대조군(metformin 150 mg/kg)의 4군으로 나누어 6주간 시험물질을 경구 투여하였다. 6주 사육기간 동안 혈당의 변화를 측정하기 위해 매주 1회씩 6시간 공복 시 미정맥으로부터 혈당을 측정하였으며, 6주 실험종료 후 모든 동물은 희생시킨 후 복대정맥에서 혈액을 채취하여 당화혈색소(HbAlc), 혈청 인슐린, C-peptide 및 leptin 농도 등을 측정하였다. 그 결과 다음과 같은 결론을 얻었다. 식이섭취량은 솔잎 추출용액 투여군에서 감소하는 경향을 보였으며, 양성대조군은 섭취량의 변화가 없었고, 1일 1마리당 평균섭취량은 고용량군이 음성대조군 및 양성대조군에 비하여 유의적으로 낮은 섭취량을 보였다. 체중은 군 간의 차이가 나타나지 않았으며, 간 무게와 상대적 간 무게는 음성대조군에 비하여 솔잎 추출용액 고용량군에서 유의적으로 높게 나타났다. 혈당은 솔잎 추출용액 고용량군에서 실험개시 3주부터 음성대조군에 비하여 유의적으로 감소하였으며, 최종 혈당은 저용량과 고용량군 모두 음성 대조군에 비해 유의적으로 낮아졌고, 용량 의존적인 경향성을 나타내었다. 당화혈색소의 함량 역시 솔잎 추출용액 고용량군에서 음성대조군에 비해 유의적이지는 않지만 낮은 경향을 보였다. 혈청 인슐린과 C-peptide농도는 솔잎 추출용액의 투여에 따른 차이가 나타나지 않아 솔잎 추출용액이 인슐린의 생성에 영향을 미치지는 않는 것으로 사료된다. 혈청 leptin 농도는 유의적이지는 않지만 음성대조군에 비해 솔잎 추출용액 투여군에서 높은 경향을 나타냈으며, 혈당과 음의 상관관계를 나타내고 있어 솔잎 추출용액의 혈당강하 효과의 작용기전으로 leptin과 관련된 인슐린 감수성에 영향을 미첬을 가능성이 있는 것으로 기대된다. 그러므로 본 연구에 사용한 112.5 mg/kg 및 450 mg/kg의 솔잎 추출용액은 6주 경구투여 시 혈당강하 효과를 나타냈으며, 인슐린의 농도에는 영향을 미치지는 않았다. 이러한 결과는 솔잎 추출용액의 혈당강하 효과의 작용기전이 인슐린의 감수성이나 저항성에 영향을 미쳤을 가능성이 있는 것으로 기대되며, 본 연구가 앞으로 솔잎 추출용액에 대한 다양한 연구를 활성화하는데 기여할 것으로 사료된다.

• 한국식품영양과학회지
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• 제40권5호
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• pp.689-695
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• 2011

본 연구는 효과적인 당뇨 교육 및 평가 방안을 모색하는데 기초 자료를 제시하고자 안동시 보건소를 내원하는 제2형 당뇨병 환자를 대상으로 4주간의 당뇨교육을 하고, 교육 전, 교육 후 및 교육 후 3개월에 각각 영양소 섭취, 혈당 관리와 항산화 영양상태 및 DNA 손상 정도를 조사하여 영양교육의 효과를 평가하였다. 시기에 따른 교육 효과를 반복 측정 분산 분석으로 검정한 결과, HbA1c와 총 콜레스테롤은 유의적으로 감소하였고, 혈장 레티놀(p=0.001)과 토코페롤(p=0.000), 그리고 CAT(p=0.000)와 GPx(p=0.000)의 활성은 유의적으로 상승하였으며, 혈장 과산화지질(TBARS) 농도(p=0.000)와 DNA 손상 정도(p=0.000)는 유의적으로 감소한 것으로 나타났다. 영양소 섭취 상태에 대한 영양교육의 효과는 에너지의 경우, 교육 전에 EER의 76.4% 수준으로 섭취하였으나 교육 직후와 교육 후 3개월에 각각 83.6%와 90.6%로 유의하게 증가한 것으로 나타났다(p=0.009). 에너지 섭취의 증가와 함께 인(p=0.033), 나트륨(p=0.001), 칼륨(p=0.019), 아연(p=0.043), 리보플라빈(p=0.050), 엽산(p=0.048) 및 비타민 C(p=0.008)의 섭취도 유의적으로 증가하였다. 한편, 영양소 섭취 상태의 변화와 생화학적 특성 변화 간의 관련성을 분석한 결과, 대부분의 영양소 섭취 변화는 공복혈당 및 HbA1c의 변화와 유의성은 없었으나 음의 상관성을 보였고, 칼륨(r=-0.418, p<0.05), 철분(r=-0.443, p<0.05), 리보플라빈(r=-0.432, p<0.05) 및 엽산(r=-0.446, p<0.05)의 섭취 상태 개선이 혈액의 과산화지질 감소와 관련성이 있는 것으로 나타났다. 에너지(r=0.543, p<0.01), 단백질(r=0.545, p<0.01), 인(r=0.425, p<0.05), 철분(r=0.485, p<0.05), 아연(r=0.570, p<0.01) 및 나이아신(r=0.510, p<0.05)의 섭취는 혈장 레티놀과, 엽산섭취(r=0.605, p<0.01)의 변화는 CAT와 각각 유의적인 양의 상관성을 보였다. 이처럼 당뇨병에서 식이를 통한 영양소의 섭취 증가는 항산화 상태 개선 및 산화 스트레스 감소와 일부 연관이 있는 것으로 사료된다.

• 한국식품영양과학회지
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• 제41권6호
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• pp.766-773
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• 2012

뽕잎 및 꾸지뽕잎이 당뇨쥐의 혈당관련 바이오마커(biomarkers)에 미치는 영향을 조사하고자 SD계 수컷 흰쥐에게 STZ 투여(47.5 mg/kg bw) 후 7일 뒤 혈당치가 350 mg/dL 내외되는 쥐를 선별하여 실험군당 8마리씩 배치하고, AIN-93G를 기본식이로 하여 뽕잎 10% 첨가군(A), 뽕잎 10%와 꾸지뽕잎 10%(B) 및 30%(C) 혼합 첨가군, 꾸지뽕잎 10% 첨가군(D), 당뇨대조군(E)으로 나누어 각 실험식이를 6주간 급여한 결과는 다음과 같다. 실험기간 동안 B군과 C군의 혈당치는 실험식이 급여 전 기준혈당치와 비슷한 수준을 유지하였고 실험 6주째의 경우 E군 및 A, D군에 비해 유의하게 낮았다(p<0.05). 기준혈당 대비 6주 후 혈당상승률은 B군과 C군이 각각 6.7, 7.6%로 E군(29.2%)에 비해 상대적으로 낮았으며, 6주간 혈당치의 곡선하면적(AUC)도 B, C군이 D, E군보다 유의하게 낮았다(p<0.05). 실험종료 후 공복혈당 역시 B, C군이 D, E군에 비해 통계적으로 유의하게 낮았고(p<0.05), C-peptide 함량은 C군이 다른 군에 비해 평균 50 pmol/L 가량 높았으나 유의적인 차이는 없었으며, 당화혈색소(HbA1c) 함량은 A군과 B군이 E군보다 유의하게 낮았다(p<0.05). 혈청 총콜레스테롤(TC) 농도는 E군에 비해 실험시료 급여군이 평균 14% 감소하였고, HDL-콜레스테롤 농도는 시료 처리군이 E군보다 평균 27% 증가하였으나 실험군 간에 유의적인 차이는 없었으며, 중성지방(TG) 농도는 E군에 비해 A, B, D군에서 유의적으로 감소하였다(p<0.05). 간기능치 중 AST 및 ALT 활성은 E군보다 A, B, D군에서 통계적으로 유의하게 감소하였다(p<0.05). 이상의 결과에서 뽕잎 및 꾸지뽕잎 첨가식이 중 이들을 1:1로 혼합하여 STZ로 유도한 당뇨쥐에게 급여하였을 때 혈당상승을 억제하고 혈당관련 지표성분, 그리고 혈청 지질농도 및 간기능치 개선에도 다소간의 효과를 확인할 수 있었다.

• Journal of Korean Biological Nursing Science
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• 제7권1호
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• pp.29-46
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• 2005

Purpose ; 본 연구는 X-염색체와 관련된 장애 중에서 가장 흔하고 심한 Duchenne Muscular Dystrophy(DMD)의 세포유전학 및 분자유전학적 특성을 설명하기 위해서 DMD에 영향을 받고 있는 두 가계의 13명을 대상으로 가계도 분석과 염색체 분석 및 DNA 분석을 하였다. Method ; DNA분석은 DNA probe을 이용한 Southern blotting method로써 RFLPs와 DMD유전자 부위의 exon소실 유무를 조사하여 아래와 같은 결과를 얻었다. Conclusion ; A 염색체 분석 : 말초혈액과 양수를 표본으로 High-Resolution GTG염색에서 A가계와 B가계의 염색체 분석에서 12명의 염색체는 정상 X-염색체였으나 B가계의 I-2(DMD여성)에서 46, x,-x,+t(2:x)(q 21.1 : p21.2)로 나타난다. B. DNA분석3 : 1) RFLPs의 분석 J66,XJ-1.1,754-11로써 B가계의 RELPs(Restriction Fragment Length Polymorphisms)에서 J66/Pst I은 1.7hb(E), 1.6kb(e)을 보여 주었고 XJ-1.1/Taq I은 3.6kb(F), 3.0kb(f), 754-11/EoR I은 4.2kb(G), 2.0kb(g)의 대립인자를 나타내었다. 이상의 결과를 바탕으로 영향을 받고 있는 남자 (II-2)의 haplotype는 보인자인 어머니의 한쪽 인자를 받았으며 어머니와 딸은 보인자이고 임산부의 태아는 남아였고 태아의 인자들은 그의 할아버지로부터 물려받아 DMD에 영향을 받지 않은 것으로 진단되었다. 2) DMD 유전자의 exon 소실에 대한 분석 cDNA probe 8과 cDNA probe 2b-3으로써 소실에 대한 진단은 영향을 받은 남자(II-2)는 cDNA probe 8에서 12, 7.3, 6.6, 4.2kb에 소실이 있고 cDNA 2b-3은 1.7kb에 소실에 나타났다.

• 한국환경보건학회지
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• 제24권2호
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• pp.88-99
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• 1998

This study was undertaken to find out the bio-effects due to be a radiation fractionated exposure. The experimental animals were divided into the control group and the radiation exposure groups of 20cGy, 40cGy and 80cGy with 220 male Sprague-Dawley rats at 6 weeks old. The radiation exposure groups were fractionated exposed from each 20cGy, 40cGy and 80cGy for every 5 days. The chromosome aberrations, the frequency of SCE, the changes of body weight, hematological values and enzyme activities were investigated for the fractionating exposure times and the time after fractionated exposure. The results were summarized as follows 1. The body weight of the radiation exposure groups were significantly decreased compared with control group according to the increasing fractionated exposure times, and it was the lowest values at the immediately after the end of the fractionating exposed, but it was recovered with the level of control group at 3rd weeks gradually increased 1st week after fractionated exposure. 2. The values of WBC, RBC, Hb and Hct in the radiation exposure groups were significantly decreased than those the control group, but the values of GOT, GPT, ALP, and LDH in the radiation exposure groups were significantly increased than those of the control group. 3. The frequency of chromosomal aberration were increased according to the increasing fractionated exposure dose, and it showed the highest at 5th days after fractionated exposed. The types of chromosomal aberration were occurred such as a numerical abnormality, deletion, break and duplication, it was not recovered immediately and maintained high frequency than the control group. 4. The frequency of SCE were significantly increased according to the increasing fractionated exposure dose in 20cGy, 40cGy and 80cGy groups. But it was recovered the level of control group at 7th days after fractionated exposure. According to the above results, this study could confirm that the frequency of chromosomal aberration and SCE were increased with fractionated exposure dose, the other hand, the changes of body weight, hematological values and enzyme activity values were significantly affected according to the increasing fractionated exposure dose.

• 한국식생활문화학회지
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• 제35권5호
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• pp.493-502
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• 2020

The objective of this study was to investigate the effects of dietary vitamin B intake on biomarkers related to lipid metabolism, inflammation and blood glucose control, that are important in the development of type 2 diabetes and its complications. Seventy-six adults (42 males, 34 females) were recruited from a group of diabetes patients who had visited the medical center for treatment. Data on anthropometric characteristics and dietary intake of thiamine, riboflavin, niacin, vitamin B₆ and folate were collected using 24-hour diet recall and the CAN Pro 4.0 program. Also, data on clinical indices such as serum lipids, blood pressure, high-sensitivity C-reactive protein (hs-CRP), hemoglobin A1c (HbA1c) and homeostasis model assessment 2-insulin resistance (HOMA2-IR) were collected and analyzed for correlation with dietary vitamin B intake. Results from the dietary intake survey showed that riboflavin and folate intake (in males) and folate intake (in females) were below the Dietary Reference Intake for Koreans. Statistical analysis revealed a negative correlation between hs-CRP and dietary intake of B vitamins. Riboflavin intake was inversely associated with systolic blood pressure after adjustments for age, BMI, smoking, alcohol consumption, exercise, ingestion of diabetes mellitus medication and energy intake (p<0.05). Our results suggest that dietary vitamin B may influence inflammation and consequently may help in better management of type 2 diabetes.

• Nutrition Research and Practice
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• 제17권2호
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• pp.241-256
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• 2023

BACKGROUND/OBJECTIVES: Diabetes-specific oral nutritional supplements (ONS) have anti-hyperglycemic effects, while D-allulose exerts anti-diabetic and anti-obesity effects. In this study, we investigated the efficacy and safety of diabetes-specific ONS, including allulose, on glycemic and weight changes in overweight or obese patients with type 2 diabetes mellitus (T2DM). SUBJECTS/METHODS: A single-arm, historical-control pilot clinical trial was conducted on 26 overweight or obese patients with T2DM (age range: 30-70 yrs). The participants were administered 2 packs of diabetes-specific ONS, including allulose (200 kcal/200 mL), every morning for 8 weeks. The glycemic profiles, obesity-related parameters, and lipid profiles were assessed to evaluate the efficacy of ONS. RESULTS: After 8 weeks, fasting blood glucose (FBG) level significantly decreased from 139.00 ± 29.66 mg/dL to 126.08 ± 32.00 mg/dL (P = 0.007) and glycosylated hemoglobin (HbA1c) improved (7.23 ± 0.82% vs. 7.03 ± 0.69%, P = 0.041). Moreover, the fasting insulin (δ: -1.81 ± 3.61 μU/mL, P = 0.017) and homeostasis model assessment for insulin resistance (HOMA-IR) (δ: -0.87 ± 1.57, P = 0.009) levels decreased at 8 weeks, and body weight significantly decreased from 67.20 ± 8.29 kg to 66.43 ± 8.12 kg (P = 0.008). Body mass index (BMI) also decreased in accordance with this (from 25.59 ± 1.82 kg/m² to 25.30 ± 1.86 kg/m², P = 0.009), as did waist circumference (δ: -1.31 ± 2.04 cm, P = 0.003). CONCLUSIONS: The consumption of diabetes-specific ONS with allulose in overweight or obese patients with T2DM improved glycemic profiles, such as FBG, HbA1c, and HOMA-IR, and reduced body weight and BMI.

• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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• pp.104.1-104.1
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• 2003

The purpose of this study is to investigate the effect of the samples on the blood levels of glucose, glycohemoglobin(HbAlc), total cholesterol and triglyceride. The samples have been used in the treatment of a type 2 diabetic animal model (C57BlKsj db/db). The samples were administrated orally before each meal for 6 weeks. Cinnamon dose was 50mg/kg/day, 100mg/kg/day, 150mg/kg/day and 200mg/kg/day, respectively. Rhodiola rosea dose was 50mg/kg/day, 100mg/kg/day, 15-mg/kg/day and 200mg/kg/day, respectively. (omitted)