• Toxicological Research
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• 제34권1호
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• pp.65-73
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• 2018

Pretreatment of low-dose lipopolysaccharide (LPS) induces a hyporesponsive state to subsequent secondary challenge with high-dose LPS in innate immune cells, whereas super-low-dose LPS results in augmented expression of pro-inflammatory cytokines. However, little is known about the difference between super-low-dose and low-dose LPS pretreatments on immune cell-mediated inflammatory and hepatic acute-phase responses to secondary LPS. In the present study, RAW 264.7 cells, EL4 cells, and Hepa-1c1c7 cells were pretreated with super-low-dose LPS (SL-LPS: 50 pg/mL) or low-dose LPS (L-LPS: 50 ng/mL) in fresh complete medium once a day for 2~3 days and then cultured in fresh complete medium for 24 hr or 48 hr in the presence or absence of LPS ($1{\sim}10{\mu}g/mL$) or concanavalin A (Con A). SL-LPS pretreatment strongly enhanced the LPS-induced production of tumor necrosis factor (TNF)-${\alpha}$, interleukin (IL)-6, TNF-${\alpha}$/IL-10, prostaglandin E2 ($PGE_2$), and nitric oxide (NO) by RAW 264.7 cells compared to the control, whereas L-LPS increased IL-6 and NO production only. SL-LPS strongly augmented the Con A-induced ratios of interferon (IFN)-${\gamma}$/IL-10 in EL4 cells but decreased the LPS-induced ratios of IFN-${\gamma}$/IL-10 compared to the control, while L-LPS decreased the Con A- and LPS-induced ratios of IFN-${\gamma}$/IL-10. SL-LPS enhanced the LPS-induced production of IL-6 by Hepa1c1c-7 cells compared to the control, while L-LPS increased IL-6 but decreased IL-$1{\beta}$ and C reactive protein (CRP) levels. SL-LPS pretreatment strongly enhanced the LPS-induced production of TNF-${\alpha}$, IL-6, IL-10, $PGE_2$, and NO in RAW 264.7 cells, and the IL-6, IL-$1{\beta}$, and CRP levels in Hepa1c1c-7 cells, as well as the ratios of IFN-${\gamma}$/IL-10 in LPS- and Con A-stimulated EL4 cells compared to L-LPS. These findings suggest that pre-conditioning of SL-LPS may contribute to the mortality to secondary infection in sepsis rather than pre-conditioning of L-LPS.

• 한국산업보건학회지
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• 제8권2호
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• pp.296-305
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• 1998

흰쥐에 있어서 toluene 또는 ethanol 전처치가 toluene 대사에 어떠한 영향을 미치는지를 검토하는 일환으로 흰쥐에 toluene 또는 ethanol을 경시별로 4주간 투여한 다음, 톨루엔을 1회 재투여한 후 처치하여 다음과 같은 결과를 얻었다. 즉, 간조직의 광학 및 전자현미경을 통한 병리조직학적 소견과 체중당 간무게, 혈청 alanine aminotransferase 활성 및 간조직 중 glutathione 함량 변동을 관찰한 결과, toluene 및 ethanol 전처치군 모두 가역적 간손상 정도가 관찰되었으며 톨루엔 및 에탄올 전처치군 간에 간손상 정도 차이는 볼 수 없었다. 이러한 실험동물 모델에서 toluene 및 ethanol 전처치군 모두 요 중 마뇨산 농도가 대조군 보다 높게 나타났으며 toluene 대사에 관여하는 간조직의 cytochrome P-450 함량 및 benzylacohol(BAD) 또는 benzaldehyde dehydrogenase(BzAD) 활성치가 대조군 보다 높게 나타났다. 그리고 요 중 마뇨산 농도와 BAD 및 BzAD 의 활성치는 톨루엔 전처치군이 에탄올 전처치군 보다 전 실험기간 동안 대체로 다소 높게 나타났다. 또한 간조직의 benzylalcohol dehydrogenase의 반응속도를 관찰한 결과 $V_{max}$치는 toluene 및 alcohol 전처치군 모두 대조군 보다 높게 나타났다. 이상 실험결과를 종합해 볼 때 실험동물에 toluene 및 ethanol 전처치가 toluene 대사를 촉진시키며 이는 toluene 대사에 관여하는 효소활성에 영향을 미쳐 나타난 결과로 생각된다.

• 대한한방내과학회지
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• 제30권2호
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• pp.270-287
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• 2009

Objective : Yinjinchunggan-tang(YJCGT) is reported previously as having theraputic effects on hepatitis such as anti-implammatory, anti-apoptotic, anti-viral(HBV), etc. Though this prescription is not studied on its anti-fibrogenic effect, it is still expected to have the effect in the liver. Thus, this study was performed to investigate the anti-fibrogenic effect of YJCGT on thioacetamide(TAA)-induced liver fibrosis in rats. Method: Rat liver fibrosis was induced by intraperitoneal TAA injection(150mg/kg) 3 times a week for 5 weeks. After the YJCGT (YJCGT 1g/kg, YJCGT 2g/kg)-treatment, body weight, liver and spleen weights, liver function test, the complete blood count and the portal pressure were studied. In addition, gene expressions of ASMA, procollagen type Ia2, MMP2, TIMP1 and TIMP2, all of which are known to be associated with liver fibrosis, were analyzed by RT-PCR. After YJCGT (YJCGT 1g/kg, YJCGT 2g/kg) treatment, percentages of collagen in TAA-induced rat liver tissue were measured by image analyzer. Results : The body weight of the normal group increased more than that of the control and YJCGT-treated groups. The AST level of the YJCGT lg/kg-treated group significantly decreased compared to that of the control. The ALT and the GGT levels of the YJCGT 2g/kg-treated group significantly increased compared to those of the control. In the YJCGT-treated groups. WBC, RBC and Hgb elevated by TAA injection decreased but platelet count increased. In the YJCGT lg/kg-treated group, the portal pressure elevated by TAA injection significantly decreased. The significant decreases in the gene expressions of procollagen type Ia2, MMP2 and TIMP2 were observed in the YJCGT-treated groups. In histological findings. TAA injections caused severe liver fibrosis, but the YJCGT treatment significantly reduced the amounts of hepatic collagens. Conclusions: These results suggest that YJCGT has beneficial effects on the treatment of patients with liver cirrhosis as well as chronic hepatitis. Further study should be done to decide the optimal concentration of the YJCGT for the treatment of liver cirrhosis.

• 동의생리병리학회지
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• 제18권6호
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• pp.1784-1794
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• 2004

To study the effects between Cd inhalation toxicity and methanol extract of Radix Achyranthis Bidentatae, 4 rat groups were exposed to Cd aerosol by whole-body inhalation exposure for 6 hours/day, 5 days/week, and 4 weeks. Cd concentration in air was 0.98㎎/㎥ and mass median diameter(MMD) was 1.78㎛. 3 different dose intraperitoneal injections of methanol extract of Radix Achyranthis Bidentatae to 3 inhalation exposure groups applied for 4 weeks and the results were as follows: The highest body weight gain for 4 weeks and food intake per day were from inhalation exposure group Ⅲ(p<0.05). The highest lung weight was from inhalation exposure group Ⅲ and the highest liver and kidney weight were from inhalation exposure group Ⅱ(p<0.05). The lowest Cd content in lung was 22.77㎍/g from inhalation exposure group Ⅲ(p<0.05). The highest Cd concentration in blood was 11.71㎍/㎗ from inhalation exposure group Ⅰ(p<0.05). Cd concentrations of 14.87㎍/g in liver and 17.91㎍/g in kidney were the highest from inhalation exposure group Ⅰ(p<0.05). The lowest Cd concentration in liver and kidney were 5.71㎍/g and 3.17㎍/g from the control(p<0.05). For weekly Cd concentration in urine, the highest value was 0.48㎍/㎖ from inhalation exposure group Ⅲ of the 3rd week and inhalation exposure group Ⅰ, Ⅱ of the 4th week. For weekly Cd concentration in feces, the highest value was 0.32㎍/g from inhalation exposure group Ⅰ, Ⅱ, Ⅲ. The highest metallothionein concentration in lung was 89.02㎍/g from inhalation exposure group Ⅲ(p<0.05). The highest metallothionein concentrations in liver and kidney were 265.47㎍/g and 214.21㎍/g from inhalation exposure group Ⅲ, respectively(p<0.05). The highest Hct, Hb, and WBC values were from inhalation exposure group Ⅱ and the highest RBC value was from inhalation exposure group Ⅲ(p<0.05). Mostly damaged part in liver tissue was hepatic lobule and the degrees of damage were lessened by the intraperitoneal injection of methanol extract of Radix Achyranthis Bidentatae. Proximal, distal convoluted tubules and glomerulus in kidney tissue were mostly damaged part. Degeneration and swelling were partially observed but the degrees of kidney tissue damage were lessened more or less by the intraperitoneal injection of methanol extract of Radix Achyranthis Bidentatae.

• Journal of Preventive Medicine and Public Health
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• 제22권2호
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• pp.223-235
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• 1989

To grasp the idea about how drugs are used under Medical Insurance Scheme, the amount and share of drug cost in the total medical fee have been reviewed and analyzed for different types of patients (in-patient out-patient), medical institutions and frequently seen diseases and following findings were revealed. In 1986, drug cost took 32.78% of total medical fee for in-patients and 32.98% for out-patients averaged over 30% share as a whole. When drug cost per case in 1980 be indexed to 100, it has shown steady growth to become 200 for in-patients and about 150 for out-patients in 1986. The contribution of drug cost to the total medical fee is, regardless of patient type-in-patients and out-patients, the highest in University hospitals and followed by General hospitals, Hospitals and Clinics in decending order That for the most frequent 10 diseases came out the highest,79 a with the essential benign hypertension of out-patients in the General hospitals, 61% for the gastric ulcer of out-patients in Hospitals and 33% for the female genital diseases of out-patients in Clinics. The drug cost of oral formula was contributed the most, 7.93% by cardiovascular agents followed by hepatic detoxicants(5.47%) and out-patients(4.93%), and that of injectable formula was contributed the most by antibiotics(24.17%), followed by protein amino-acid preparations(6.19%). The order of drug usage by specialty for the in-patients was the highest with internal medicine followed by general surgery and E.N.T, and that for the out-parients was in the order of Internal medicine, neuropsychology and Ob/Gy. This study revealed that the drug dependency was characteristically different to specialty. In view of the fact that drug cost on average exceeds over 30% of total medical fee, proper drug administration appears to be vitally important for the stabilization of the financial standing of the Medical Insurance Scheme. As a consequence, drug usage guidelines including antibiotics usage shall be established first of all and the voluntary participation for the regulation of drug usage and propagation of the guidelines to medical institutions are strongly coerced.

• 대한방사선기술학회지:방사선기술과학
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• 제40권2호
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• pp.229-235
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• 2017

상복부초음파검사에서 간실질의 에코 음영증가와 불명확한 혈관경계 등으로 지방간을 진단하는데, 여러 연구들에 의하면 지방간 진단에 84~95%의 특이도와 60~90%의 민감도를 가지나 결과가 검사자에 의존적이어서 차이가 있을 수 있고 지방의 침윤 상태의 정량적인 측정이 불가능하다. 건강검진의 상복부초음파검사와 흉부 전산화단층촬영(computed tomography; CT) 검사를 같은 날에 시행한 수검자중 초음파검사에서 지방간을 진단 받은 환자의 흉부 전산화단층촬영 영상에서 간(Liver) Hounsfield Units(HU)를 측정하여 지방간 진단의 정확성을 연관분석 하고자 하였다. 연구대상 수검자 720명 중 가정의학과 전문의에게 검사를 받고 지방간 판정을 받은 자는 448명으로 62.2%였다. 지방간 판정자의 CT영상에서 간 HU를 측정한 결과 40 HU 이하의 측정값은 720명 중 175명으로 24.3%이며, 초음파에서 진단 받은 448명에 175명 중 173명이 포함되어 98.9%가 일치하였다. 이는 지방간을 초음파로 진단 시 검사자의 주관적 경험과 능력이 병변을 진단하는데 크게 영향을 미친 것으로 생각되며 검진 CT검사에서 간 HU를 측정하여 40 HU 이하는 영상저장을 통하여 지방간 진단 시 참고자료로 활용될 수 있을 것으로 사료된다.

• 한국임상수의학회지
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• 제8권2호
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• pp.127-142
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• 1991

This study was carried out to investigate fatty liver in Korean black goats. Adult female goats were divided into 3 test groups(A, B and C). Group A and B of goats each received 3 test consecutive daily doses of DL-ethionine at 75mg/kg and 150mg/kg body weight, respectively. Group C of goats was given 3 consecutive doses of the compound every 48 hours at 150mg/kg body weight. The clinical symptoms, hematological values, serum chemical values and histopathological study of the liver were investigated in the test animals. The results obtained are as follows ; 1. Fatty liver were observed in every test animal. 2. Some clinical symptoms( anorexia, depression) were appeared from 1st day to 7th day after administration of the compound in every test animal. In addition to these symptoms, diarrhea and salivation were generally observed in test animals which were given the compound at 150mg/kg body weight. The degree of these symptoms was dose dependent. 3. There was no significant variations in total WBC counts and fibrinogen values in the blood of test goats. The PCV values were significantly increased on 5th day of dosing in group A and B of goats. 4. The total lipid value was not changed but the concentration of NEFA was significantly increased on 3rd day of dosing with the compound and returned to normal value after 10 days hereafter. The value of triglycerides was significantly increased on 1st day and returned to normal value on 3rd day of dosing. The value of cholesterol was significantly decreased on 3rd day and returned to normal value on 10th day after treatment. 5. Total protein level was decreased on 10th day of dosing in the groups of B and C, and billirubin level was significantly increased on 7th day of dosing in every test group and returned to normal level after 13th day of administration. 6. The activity of GGT in serum was not changed while the activities of SDH and AST were significantly increased in every test goat and those values were returned to normal after 10~13th day of trestment. 7 The 35K-protein fraction in serum was not detected by SDS-polyacrylamide gel electrophoresis, but this protein fraction was detected by the same method after treating the 21st and 22nd fraction which were obtained by column chromatography with Sephadex G-100. 8. The affected liver was congested and swollen on 3rd day, and yellowish brown in color and mottled appearance on 7th day of treatment. Histopathologically, fat droplets were common in the hepatocytes, this change was intensive on 7th day after treatment in group B and C. Hepatic cell necrosis was observed in some livers but this pathological change was disappeared and returned to normal after 13 days of treatment.

• 한국임상수의학회지
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• 제29권6호
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• pp.488-493
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• 2012

두 마리의 말티즈견 (2살 중성화 암컷, 4개월 암컷)과 한 마리의 페키니즈견 (10살 수컷)이 구토, 식욕부진, 두위하강과 침흘림 등의 증상으로 내원하였다. 신체검사, 혈액검사, 방사선검사, 초음파, 컴퓨터단층촬영이 진단을 위해 실시되었다. 실험실 검사에서 높은 간수치, 담즙산 수치, 암모니아 농도가 세 마리 모두에서 확인되었다. 두 마리의 환축에서 방사선검사 상 소간증이 확인되었다.복부 초음파 검사에서 세 마리 모두 문맥전신 단락이 많이 의심되어 컴퓨터단층촬영을 실시하였고, 그 결과 모두 단일 간외성 문맥전신 단락으로 확인되었다. 진단 후 세마리는 모두 수술적인 방법을 통해 단락 혈관에 아메로이드 링을 적용하였다. 본 증례보고는 세 마리의 개에서 발생한 단일 간외성 문맥전신 단락 증례에 대한 임상적, 영상학적인 특징들을 잘 나타내고 있으며, 컴퓨터단층촬영이 문맥전신단락의 정확한 진단을 위해 유용한 진단기법임을 잘 나타내고 있다.

• Journal of Chest Surgery
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• 제32권7호
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• pp.653-659
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• 1999

배경: 최근 식도암의 성적을 향상시키려는 노력들이 행하여지고 있고 수술 성적도 많이 보고되고 있으나 아 직 국내에서는 많은 수의 환자를 대상으로 한 장기 성적은 드문 형편이다. 이 연구에서는 지난 13년간 서울 대학교병원 흉부외과에서 치험한 식도암 환자를 대상으로 후향적으로 연구하여 장기 생존율을 분석하여 향 후 전향적 연구의 기초로 삼고자 하였다. 대상 및 방법: 1984년부터 1996년까지 서울대학교 병원에서는 총 734명의 환자가 식도암으로 진단 받았으며 이들 환자 중 식도 절제가 가능하였던 253례의 환자를 대상으로 종양의 병기별 생존율을 후향적으로 분석하였다. 결과: 식도암의 세포형은 편평상피세포암이 237례로 대부 분을 차지하였고, 선암이 6례, 선암-편평상피암 5례, 소세포암3례, 기타 흑색포암 등이 있었다. 종양의 병기는 상피내 암종 4례, 1기가 21례, 2A기가 79례, 2B기가 30례, 3기 107례, 4기 6례 있었고, 6례에서는 병기를 확인 할 수 없었다. 수술 사망은 14례 (5.5%) 있었고 그 원인은 폐렴에 의한 호흡부전이 8례로 가장 많았고, 그 밖 에 패혈증, 급성 간부전, 과다 출혈 등이 있었다. 수술 후 일부 환자에서는 보조적 방사선 치료를 시행하였으 며, 재발한 경우에는 화학요법이나 방사선 치료를 시행하였다. 수술 사망 환자를 제외한 장기 생존자 중 근 치적 절제가 가능했던 222명 환자의 생존율은 1년 74.7$\pm$3.1%, 2년 46.5$\pm$3.7%, 3년 32.3$\pm$3.7%, 5년 19.9$\pm$3.3% 이었다. 결론: 이상의 결과로부터 식도암에 대한 외과적 절제술은 비교적 낮은 수술 사망률로 시행할 수 있으나 장기 생존율은 아직 낮아 향후 화학요법 혹은 방사선 요법 등을 병합하여 치료하는 등의 새로운 치료법에 대한 연구가 시급하다고 판단되었다.

• Journal of Chest Surgery
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• 제36권12호
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• pp.970-974
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• 2003

하대정맥과 우심방의 종양혈전을 동반한 신세포암종은 지난 10년 동안 근치적 신절제술과 함께 체외순환을 이용한 종양혈전 제거술로 예후가 많이 증진되었다. 우리는 30세 여자에서 우신평활근육종과 종양혈전이 신정맥 상부의 하대정맥과 우심방까지 성장하고 혈액혈전으로 신정맥 하부의 하대정맥과 양측 장골정맥이 폐쇄된 1예를 진단하고 근치적 우신절개술 후 체외순환을 이용한 초저체온 순환 정지하에서 하대정맥과 우심방을 절개하여 종양혈전과 혈액 혈전 모두를 제거하였다. 수술 12개월 후 후복막강과 하대정맥의 국소적 재발로 우심방까지 성장한 종양을 다시 제거하였다. 환자는 두 번째 수술 11개월 후 폐 전이 및 간정맥에서 종양이 재발하여 우심방과 우심실까지 성장하여 사망하였다.