• Journal of Radiation Protection and Research
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• 제40권1호
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• pp.65-72
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• 2015

방사선 노출에 따른 피부손상의 기본이론들은 정립되어 있지만, 정확한 기전에 관해서는 알려지지 않은 실정이다. 본 연구에서는 감마선 조사 후 용량 및 시간에 따라 돼지 피부의 장애를 육안 및 조직학적인 변화를 통해 평가하고 cyclooxygenase(COX)-2 발현 정도를 비교하고자 하였다. 미니돼지의 등 쪽 피부에 20-70 Gy 감마선을 국소조사 후 12 주 동안 육안적인 변화를 관찰하고 생검을 통해 조직학적인 변화를 관찰하였다. 방사선 조사 후 피부의 기저세포층에서의 세포자멸사와 표피층의 두께 변화를 평가하였고 COX-2 발현 정도를 면역염색을 통하여 비교하였다. 방사선 조사 후 피부 장애는 용량이 증가할수록 피부손상이 더욱 심하였으며 초기에 발적 소견을 보이다가 50 Gy 이상 조사군에서는 미란과 궤양으로 이어졌다. 조직학적인 변화는 육안적인 소견과 일치하였다. 방사선 조사 후 3일부터 기저세포에서 세포자멸사가 관찰되었으며 기저세포수의 감소가 유발되었으며 이러한 변화는 용량이 증가할수록 더욱 증가하였다. 방사선 조사 후 표피층의 두께는 3일 무렵에 일시적으로 증가하다가 점차 감소하였으며 20, 30, 40 Gy 조사 군에서는 다시 회복되는 소견이 관찰되었으나 50, 70 Gy 조사 군에서는 다시 회복되지 못하고 표피창의 두께 소실을 보였다. 방사선 조사 후 피부에서의 COX-2 발현은 피부손상정도와 일치하게 관찰되었다. 방사선 조사 후 COX-2 발현은 방사선의 용량이 증가할수록 발현이 증가하였고 시간이 증가할수록 증가하였다. 이러한 조직학적인 변화와 함께 방사선 손상을 일으키는 신호전달에 관여하는 COX-2 발현이 방사선조사 용량에 비례하여 증가하며 이러한 단백질의 발현은 피부손상과 관련성이 높은 것으로 사료된다.

• 대한관절경학회지
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• 제5권2호
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• pp.116-119
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• 2001

목적 : 주관절 퇴행성 강직 환자에서 시행한 관절경하에서 주관절 주두부 절제술과 구상돌기 제거술을 시행하고 6례에서는 추가로 후방 관절낭 유리술을 시행하고 그 효과를 평가하고자 하였다. 대상 및 방법 : 1996년 10월부터 2000년 1월 동안 내원한 환자에서 외상의 병력이 없는 주관절 퇴행성 강직 21례를 대상으로 하였으며 환자의 평균 연령은 43.2세였다. 내원 당시 주소는 동통을 동반한 관절 운동 제한이었으며 평균 관절운동 범위는 굴곡구축 17도 후속 굴곡 87도였다. 결과 : 전례에서 술후 2개월 추시 상 평균 굴곡구축 3도(14도 호전), 후속 굴곡 122도(35도 호전)를 보였으며 술후 1년 추시상 평균 굴곡 구축 5도(12도 호전), 후속 굴곡 113도(25도 호전)의 호전을 얻을 수 있었다. 얻어진 관절 운동 범위 내에서는 동통이 없는 상태를 보였으며, 합병증은 발견되지 않았다. 결론 : 비외상성 주관절 퇴행성 강직에 대한 관절경적 처치는 조기 재활이 가능한 효과적인 술식으로 사료된다.

• 한국임상수의학회지
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• 제27권6호
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• pp.627-630
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• 2010

본 연구는 중환자의 개에서 전신성염증반응증후군 및 패혈증에 의하여 유발되는 백혈구 활성화 지표를 분석하기 위하여 실행되었다. 분석된 지표로는 백혈구 수치, 혈소판 수치, 혈액 도말 표본의 백혈구 변화상 및 백혈구 표면의 CD11b발현 정도 등을 검사하였다. 그 결과, 패혈증군에서 백혈구의 CD11b 발현 값 (유세포 분석)이 현저하게 높게 관찰되었으며(P<0.05), 퇴행성 변화 정도도 같은 군에서 현저하게 높게 관찰 되었다(P<0.05). 또한 비 생존군의 CD11b 발현 값도 생존군에서의 값보다 현저하게 높았다. 이러한 연구 결과로 볼 때, 백혈구의 CD11b 발현은 중환자의 개에서 그 예후를 평가하는데 유용하다고 여겨진다.

• 한국임상수의학회지
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• 제24권3호
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• pp.325-330
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• 2007

본 연구는 개에서 수술적으로 짧은 기간 동안 관절의 불안정성을 최대로 유도하여 수술후 운동 없이 관절의 퇴행성 변화의 유무 및 정도와 골관절염 모델로 적합한지를 평가 하였다. 10두의 비글견을 본 실험에 사용하였다. 실험군은 오른쪽 무릎관절의 앞십자인대 및 내측 곁인대의 절제와 내측 반월 연골 절제술을 시행하였으며, 왼쪽 무릎관절을 대조군으로 사용하였다. 수술 12주 후 연골의 손상, 윤활막의 염증 정도와 윤활액의 생화학적 변화를 평가 하였다. 조직 검사에서 연골의 비후, 연골 세포의 분화, 프로테오글리칸의 소실 및 윤활막의 염증이 대조군과 비교하여 유의성 있는 증가가 관찰되었다. 윤활액의 생화학적 검사에서 유의성 있게 증가된 MMP-2, -9의 농도를 실험군에서 관찰 하였다. 이상의 결과로부터 본 연구에 수행한 관절염 모델은 골관절염 유도가 가능하며, 술후 운동으로 소모되는 시간 및 비용을 줄 일수 있는 장점 있어 골관절염 모델로서 유용하게 활용될 것으로 판단된다.

• Asian Spine Journal
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• 제12권6호
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• pp.1060-1068
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• 2018

Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column. magnetic resonance imaging (MRI) is the method most often used to specifically evaluate intervertebral disc degeneration. The Pfirrmann classification is a well-known method used to evaluate degenerative lumbar disease. After spinal fusion, an increase in stress, excess mobility, increased intra-disc pressure, and posterior displacement of the axis of motion have been observed in the adjacent segments. Methods: we retrospectively secured and analyzed the data of 15 patients (four boys and 11 girls) with AIS who underwent a spinal fusion surgery. We studied the full-length view of the spine (anterior-posterior and lateral) from the X-ray and MRI obtained from all patients before surgery. Postoperatively, another full-length spine X-ray and lumbosacral MRI were obtained from all participants. Then, pelvic tilt, sacral slope, curve correction, and fused and free segments before and after surgery were calculated based on X-ray studies. MRI images were used to estimate the degree to which intervertebral discs were degenerated using Pfirrmann grading system. Pfirrmann grade before and after surgery were compared with Wilcoxon signed rank test. While analyzing the contribution of potential risk factors for the post-spinal fusion Pfirrmann grade of disc degeneration, we used generalized linear models with robust standard error estimates to account for intraclass correlation that may have been present between discs of the same patient. Results: The mean age of the participant was 14 years, and the mean curvature before and after surgery were 67.8 and 23.8, respectively (p<0.05). During the median follow-up of 5 years, the mean degree of the disc degeneration significantly increased in all patients after surgery (p<0.05) with a Pfirrmann grade of 1 and 2.8 in the L2-L3 before and after surgery, respectively. The corresponding figures at L3-L4, L4-L5, and L5-S1 levels were 1.28 and 2.43, 1.07 and 2.35, and 1 and 2.33, respectively. The lower was the number of free discs below the fusion level, the higher was the Pfirrmann grade of degeneration (p<0.001). Conversely, the higher was the number of the discs fused together, the higher was the Pfirrmann grade. Conclusions: we observed that the disc degeneration aggravated after spinal fusion for scoliosis. While the degree of degeneration as measured by Pfirrmann grade was directly correlated by the number of fused segments, it was negatively correlated with the number of discs that remained free below the lowermost level of the fusion.

• 대한핵의학회지
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• 제1권1호
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• pp.37-54
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• 1967

The changes in histopathology of various organs and growth inhibition of the chick embryos incubated with radioactive sulfur ($^{35}S$) were experimentally studied. The various doses of $^{35}S$ were injected into the yolk sac at different intervals and the weight changes of the embryos were evaluated to determine the growth inhibition rates. The embryos sacrified on various incubation days were used for the study of histopathological changes in organs such as the bone, liver, kidney, gonad, and eye. Following were the results: 1) The weight changes of the $^{35}S$ treated groups were as follows: i. Embryos treated on the 5 th incubation day: No weight changes were noted on the 8th incubation day, however, the growth inhibition rate of 32.1% was noted in the group treated with $50{\mu}C$ and of 38.2% in the group treated with $150{\mu}C$ on the 12th incubation day. The rates were 9.1 and 12.1% on the 15th incubation day, and 6.5 and 10.6% on the 18th incubation day respectively. ii. Embryos treated on the 8th incubation day: The growth inhibition rates on the 12th, 15th and 18th incubation days in the groups treated with $50{\mu}C$ were 20.9, 25.9 and 18.8% and in those treated with $150{\mu}C$ were 20.0, 14.9 and 16.9% respectively. iii. Embryos treated on the 12th incubation day: The growth inhibition rates on the 15th and 18th in the groups treated with $50{\mu}C$ were 13.6 and 21.1% and in those treated with $150{\mu}C$ were 26.7 and 6.5% and in those treated with $250{\mu}C$ were 10.6 and 12.6% respectively. iv. Embryos treated on the 15th incubation day: The growth inhibition rates on the 18th in the groups treated with $50{\mu}C$ were 6.5% and in those treated with $150{\mu}C$ were 10.1% and in those treated with $250{\mu}C$ were 8.5% respectively. In summary, the longer the incubation days, the less the growth inhibition rates. II) The histopathological changes in the various organs were as follows: i. Bone: Hyperplasia and edematous changes of the bone cavity, irregular distribution of immature granular cells and increased number of the myeloblast, megakaryocyte and reticuloendothelial cells were noted. ii. Liver: The embryos treated with $150{\mu}C\;of\;^{35}S$ on the 8th incubation day showed necrosis and nucleolysis of the liver cell and abnormal enlargement of sinusoid on the 12th incubation day. The longer the incubation days, the more severe the changes such as the pyknotic artophy of the liver cells and heterochromatism. The embryos treated on the 5th incubation day with 50 and $150{\mu}C\;of\;^{35}S$ showed little changes, but sight enlargement and accumulation of serous fluid in the sinusoid on the 8th incubation day. iii. Kidney: No particular changes except atrophic changes of epithelium were noted in early stage, however, the infiltration of the granular cell and monocyte into the cortex and pyknotic changes of vascular glomeruli were noted in later stage. These changes were not closely related to the doses of $^{35}S$ given. iv. Gonad: The degenerative changes such as destruction of the immature germ cells, hyperplasia and vacuolization of the stroma were noted in testis and ovary. v. Eye: A slight distortion of the cornea and sclera was noted. The hypertrophy of inner layer and blood cell infiltration into the vascular layer of the choroid membrane were noted in embryo groups on the 12, 15 and 18th incubation days.

• 한국패류학회지
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• 제20권1호
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• pp.55-63
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• 2004

Gonadosomatic index, condition index and reproductive cycle with the gonadal development of the female Octopus ocellatus were investigated by histological observations and morphometric data, from January to December, 2000. And changes in biochemical components of the ovary and the trunk tissues including the digestive organ associated with gonadal development were studied by biochemical analysis from January to October, 2001. The specimens were collected at the coastal waters of Buan, Jeollabuk-do, Korea, from January 2000 to October 2001. O. ocellatus is a dioecious organism. The gonad of O. ocellatus locates medially in posterior region of the body. Morphology of the ovary shows round and oval in shape, the average diameter and external colour of ripe ovary was 32 mm and semitransparent light brown in colour. As the ovary was getting mature, transparent elongated eggs covered with chorion were present in the ovarian cavity. Monthly changes in the gonadosomatic index (GSI) showed a similar pattern with those of the condition index. The GSI and condition index began to increase in March and reached the maximum in April. And then, their values decreased from May and reached the minimum in September. Reproductive cycle of O. ocellatus can be categorized into five successive stages: early developing stage (September to December), late developing stage (November to March), ripe stage (March to May), partially spawned stage (April to June), and degenerative/resting stage (June to October). Follicle cells attached to an oocyte were involved in vitellogenesis in the cytoplasm of the vitellogeneic oocyte and formation of chorion (secondary egg membrane) of the ovarian eggs. Spawning occurred between April and June. The spawning period was once a year and the peak took place between May and June. This species belongs to semelparity. According to changes in biochemical contents of the ovary and the digestive organ, monthly variations of moisture, total protein, total lipid and glycogen contents (%) in the ovary showed a negative correlationship with those of the trunk tissues including the digestive organ. Accordingly, it is assumed that the ovary only may be received nutrient supply (total lipid content) for gonadal development from the trunk tissues including the digestive organ (r = -0.55, p < 0.05).

• 모자간호학회지
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• 제4권1호
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• pp.3-11
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• 1994

Presently there is an increasing demand for home health care services due to changes in the demographic structure as a result of an increasing elderly population, socio-economic improvements, and changes in the family structure, as well as the growing number of people with degenerative diseases. In addition to these reasons, rising medical costs and there a shortage of patient beds space in the hospital, particularly since introduction of national medical insurance. There has been an increasing demand for health care health care services. This study was done to identify the basic data for home health care management. It focused on developing client selection criteria, assessment tools, and recording methods. This was accomplished by the researchers visiting the patients in their homes. The research process included preparation investigation, tool development, training of the project researcher, and visiting the clients in their homes. The research tools are as follows : 1. Record development : a) The selection criteria tool for home health care of postpartum women was a structured tool and consisted of four parts. b) The structured assessment tool consisted of a general items, obstetric history, past medical history, methods of feeding, medications taken before admission, laboratory test results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of postpartum women and their newborns. c) The visit note I consisted of the frequency of visits. Visit note II consisted of the date ; nursing problems ; nursing process including the initial assessment ; nursing goal ; visit plan ; postpartum women and their neonate health status, diagnosis, goal, implementation, evaluation, summary, next plan, for visit revision. d) Problem note consisted of the date, problem numbers, nursing diagnosis, problem appearance date problem resolution date. The research results are as follows : 1. Nursing problems : The nursing problems of the postpartum women and their neonates were evaluated by the number of nursing diagnoses and the change in the pattern of nursing diagnosis related to the number of visits. a) Nursing diagnosis The nursing diagnosis was classified according to physical function, psychosocial function, family system maintained function. b) The changes of nursing diagnosis related to the number of visits. As the type of nursing diagnosis changed related to the number of visits the number of nursing diagnoses decreased. 2. Contents of home health care : The content was categorized according to assessment, direct care, counseling, education, family care, reporting to with the attending doctor. The recommendations based on the research results are as follows : 1. Tool development Replication of this study is needed to test the validity of the assessment tools used. 2. Home visit a) Home health care nurses should be licensed and qualified. A referral form from the attending doctor is needed for legal protection of nurses. b) The first home visit need to be within 24 hours of discharge from the hospital to decrease the anxiety of frightened postpartum women. c) When the changes occur in the newborn's status, home health care nurses should consult a pediatrician. Communication within the home healthcare team is essential and needs to consistent and done smoothly. 3. Home health care A Study is required to develop protocols for education of staff and for operation of all aspects of this program.

• 한국어류학회지
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• 제3권1호
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• pp.48-57
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• 1991

1988년(年) 4월(月)부터 10월(月)까지 전라남도(全羅南道) 영암군(靈岩郡) 삼호면(三湖面) 조간대(潮間帶)에서 월별(月別)로 채집(採集)된 자성(雌性)짱뚱어 Boleophthalmus pectinirostris(Linnaeus)를 대상(對象)으로 간세포(肝細胞)의 활성변화(活性變化)를 조사(調査)하기 위해 투과전자현미경(透過電子顯微鏡)으로 관찰하였고, GSI와 HSI의 월별변화(月別變化)와 난소발달단계(卵巢發達段階)에 따른 간조직(肝組織)의 단백질(蛋白質) 및 핵산함양(核酸含量)(총(總) RNA, DNA)의 변화(變化)를 조사(調査)하였다. GSI는 성장기(成長期)인 5월(月)부터 증가하기 시작하여 성숙기(成熟期)인 6월말(月末)에 연중(年中) 최대치(最大値)를 나타내었고, 산란기(産卵期)인 7월말(月末)부터 다시 감소하기 시작하여 퇴화기(退化期)인 9월말(月末)에 최저(最低)값을 나타내었다. HSI의 월별변화는 GSI와 역상관(逆相關) 관계(關係)를 갖는다. 난소(卵巢)가 성숙(成熟)하는 하계(夏季)에는 HSI값이 떨어지고 난소(卵巢)가 퇴화(退化)되는 10월(月) 중순(中旬)에는 HSI값이 최대(最大)에 이른다. 성숙기(成熟期)인 6월(月)에 암컷의 간조직(肝組織)의 간세포(肝細胞)들은 증대(增大)되고 핵(核)들은 비대(肥大)되었으며, 간세포내(肝細胞內)에는 글리코겐 입자(粒子)들과 지방적(脂肪滴)들이 정차로 감소되는 반면, 수많은 조면소포체(粗面小胞體)들은 증가(增加)되었다. 그리고 리보소옴이 부착된 잘 발달한 조면소포체(粗面小胞體)들은 세포질내(細胞質內)에서 단백질(蛋白質) 합성(合成) 및 vitellogenin 축적(蓄積)에 중요한 역할을 하는 것으로 추정된다. 산란기(産卵期)인 7월(月)에 글리코겐 입자(粒子)들과 지방적(脂肪滴)들은 점차로 증가되었으며, 이들 물질(物質)은 퇴화기(退化期)인 8월말에도 다량(多量)이 그대로 관찰되었다. 난소(卵巢)의 발달시기(發達時期)에 따른 암컷 간조직(肝組織) 1gr 당(當) 단백질함양(蛋白質含量)은 성숙기(成熟期)인 6월에 최고값($4.720{\pm}0.103mg/g$)을 보였으며, 그후 점차 줄어들어 산란기(産卵期)인 7월에는 최저값($3.640{\pm}0.130mg/g$)을 나타낸 후, 퇴화기(退化期)인 8월에 다시 점점 증가하는 양상을 보였다. 또한 간조직내(肝組織內)의 핵산(核酸), 즉 RNA함량(含量)은 6월에 최고값($0.523{\pm}0.040mg/g$)을 나타내었으며, 그후 점차 감소하여 7월에는 최저값($0.158{\pm}0.006mg/g$)을 나타내었고, 다시 8월에는 약간 상승하였다. 이 결과로 볼 때 단백질(蛋白質) 함량(含量)과 RNA함량(含量)과의 관계(關係)는 밀접(密接)한 관계(關係)를 나타내었다. 간조직(肝組織) 중량(重量)(g) 당(當) 총(總) DNA 함량(含量)은 시기별(時期別)로 약간의 수치상(數値上) 차이(差異)는 있지만 거의 비슷하였다. 총(總) RNA/DNA의 비율(比率)은 6월(月)에 0.745, 7월(月) 0.262, 8월(月) 0.341이었다.

• 한국환경농학회지
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• 제20권3호
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• pp.155-161
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• 2001

Paraquat와 bentazone이 횐쥐의 간조직과 NIH 3T3 섬유모세포에 미치는 독성과 그 독성에 대한 3-MC의 보상효과를 조사하기 위하여 NIH 373 섬유모세포에 적응한 후 경시적으로 MTT분석을 이용하여 세포독성을 측정하고 Sprague Dawley계 웅성 횐쥐에 paraquat와 bentazone단독 및 paraquat 및 bentazone과 3-MC를 병용투여한 후 경시적으로 관찰한 결과 paraquat와 bentazone은 NIH 3T3 섬유모세포에 대하여 $IC_{50}$값이 각각 1668.97 ${\mu}M$, 1506.97 ${\mu}M$으로 Borenfreund의 독성평가기준에 의하면 저독성이었다. Paraquat와 bentazone 단독투여군의 H&E 염색에서 3시간째에는 문맥 주위 세포들이 변성을 일으키고 별모양 세포들이 증가하였으나 12시간째에는 간소엽 전체의 세포들이 변성을 일으켰으며 48시간째에는 더욱 심한 변성이 일어났다. 특히 bentazone 투여 후 48시간째에는 핵농축현상이 뚜렷하였다. Best carmine 염색에서 glycogen 과립을 함유하는 간세포들도 3시간째에는 문맥주위의 세포들이, 12시간째에는 간소엽 전체의 간세포들이, 48시간째에는 전체의 간세포들이 함유하는 glycogen 과립량이 현저히 증가하였다. 3-MC를 paraquat와 bentazone과 동시에 투여한 군에서 3시간째와 12시간째에는 단독투여군과 유사하였으나 48시간째에는 bentazone과 3-MC 동시투여군의 문맥주위의 간세포들이 재생되는 경향이었으며 paraquat와 3-MC를 동시에 투여한 군에서는 중심정맥 주위의 세포들만이 glycogen과립을 함유하고 있어 단독 투여군과 뚜렷한 차이를 관찰할 수 있었다. 이 결론에서 3-MC는 paraquat와 bentazone에 의한 간세포의 독성을 경감시킬 수 있는 물질임을 알 수 있었다.