• 제목/요약/키워드: Kidney inflammation

검색결과 190건 처리시간 0.031초

The role of discoid domain receptor 1 on renal tubular epithelial pyroptosis in diabetic nephropathy

  • Zhao, Weichen;He, Chunyuan;Jiang, Junjie;Zhao, Zongbiao;Yuan, Hongzhong;Wang, Facai;Shen, Bingxiang
    • The Korean Journal of Physiology and Pharmacology
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    • 제26권6호
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    • pp.427-438
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    • 2022
  • Pyroptosis, a form of cell death associated with inflammation, is known to be involved in diabetic nephropathy (DN), and discoid domain receptor 1 (DDR1), an inflammatory regulatory protein, is reported to be associated with diabetes. However, the mechanism underlying DDR1 regulation and pyroptosis in DN remains unknown. We aimed to investigate the effect of DDR1 on renal tubular epithelial cell pyroptosis and the mechanism underlying DN. In this study, we used high glucose (HG)-treated HK-2 cells and rats with a single intraperitoneal injection of streptozotocin as DN models. Subsequently, the expression of pyroptosis-related proteins (cleaved caspase-1, GSDMD-N, Interleukin-1β [IL-1β], and interleukin-18 [IL-18]), DDR1, phosphorylated NF-κB (p-NF-κB), and NLR family pyrin domain-containing 3 (NLRP3) inflammasomes were determined through Western blotting. IL-1β and IL-18 levels were determined using ELISA. The rate of pyroptosis was assessed by propidium iodide (PI) staining. The results revealed upregulated expression of pyroptosisrelated proteins and increased concentration of IL-1β and IL-18, accompanied by DDR1, p-NF-κB, and NLRP3 upregulation in DN rat kidney tissues and HG-treated HK-2 cells. Moreover, DDR1 knockdown in the background of HG treatment resulted in inhibited expression of pyroptosis-related proteins and attenuation of IL-1β and IL-18 production and PI-positive cell frequency via the NF-κB/NLRP3 pathway in HK-2 cells. However, NLRP3 overexpression reversed the effect of DDR1 knockdown on pyroptosis. In conclusion, we demonstrated that DDR1 may be associated with pyroptosis, and DDR1 knockdown inhibited HG-induced renal tubular epithelial cell pyroptosis. The NF-κB/NLRP3 pathway is probably involved in the underlying mechanism of these findings.

TCDD 투여로 급성독성을 유도한 웅성 기니픽에 있어 홍삼의 방어 효과에 대한 병리조직학적 연구 (Histopathological Study on the Protective Effect of Korean Red Ginseng on TCDD-induced Acute Toxicity in Male Guinea Pig)

  • 황석연;정화숙;위재준;성노현;김시관
    • Journal of Ginseng Research
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    • 제23권4호
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    • pp.222-229
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    • 1999
  • 본 연구는 웅성 기니픽에 있어 2,3,7,8-tetrachlorod-ibenzolp-dioxin(TCDD)-유도 급성독성에 대한 홍삼의 방어효과를 병리조직학적 관찰을 통하여 밝히고저 수행되었다. 40마리의 기니픽($200{\pm}20g$)은 목적에 따라 4군으로 나누었다. 즉, 시험군 1에 대하여는 TCDD의 운반체(미량의 DMSO와 소량의 아세톤을 함유한 대두유)와 생리식염수를, 시험군 2에 대하여는 TCDD와 생리식염수를 복강 주사하였다. 시험군 3(TCDD투여 7일전부터 14일간 투여)과 4(동시투여군, 7일간)에 대하여는 홍삼 물추출물(KRG-WE)을 200mg/kg b.w./day 용량으로 복강주사 하였다. 한편, TCDD($5{\mu}g/kg$ b.w.)는 1회 복강주사 함으로서 급성독성을 유도하였다. 시험군 2에서는 장기의 무게가 현저히 감소하였으며, 특히 간(p<0.05)과 고환(p<0.05), 신장, 비장 및 폐의 무게는 시험군 1 비하여 유의하게 낮았다. 흥선은 심하게 위축되어 있어 지방조직과 구별하기 어려웠다. 폐조직에 있어서는 간질의 미만성화와 섬유아세포의 출현, 간세포의 펭윤, 비장세포에 있어서는 헤모시더린에 침착된 대식세포의 수적 증가, 고환의 정세관에서는 정자 생성 저하 및 세포의 변성이 관찰되었으며, 신장조직에 있어서도 심한 병변이 관찰되었다. 반면, 홍삼 물추출물의 전 혹은 동시 투여군에 있어서는 TCDD-단독 투여군에서 관찰되었던 병리조직학적 소견이 현저히 개선되었다. 특히, TCDD-투여로 야기되는 고환의 위축은 유의하게 억제된다는 사실을 알았다(p<0.01). 이상의 결과는 홍삼 물추출물이 TCDD투여로 야기되는 장기의 조직 손상을 현저히 방어한다는 사실을 시사한다 하겠다.

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면역억제 마우스 모델에서 왕느릅나무 유래 DEU-7의 면역기능 증강 (DEU-7 Derived from Ulmus macrocarpa Improved Immune Functions in Cyclophosphamide-treated Mice)

  • 강경화;고지수;이인환;이상호;이성도;김덕원;이종환;황혜진;현숙경;김병우;김철민;정경태
    • 생명과학회지
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    • 제25권10호
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    • pp.1156-1163
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    • 2015
  • 고량강(Alpinia officinarum), 산초(Zanthoxylum schinifolium), 황금(Scutellaria baicalensis Georgi), 왕느릅나무(Ulmus macrocarpa Hance), 네 종류의 식물성 한방 약재의 면역증강효능을 cyclophosphamide를 처리한 동물모델을 이용하여 조사하였다. 실험은 cyclophosphamide로 면역억제를 유도한 후 네 종류의 한방 약재를 식이하여 cyclophosphamide에 의해 억제된 면역인자의 회복 여부를 조사하였다. 네 종류의 한방 약재를 동일한 방법으로 열수 추출한 후 동일한 농도로 마우스에 처리하였다. 이 중 왕느릅나무 열수 추출물(DEU-7)이 cyclophosphamide의 영향으로 면역 억제된 마우스에서 면역인자 혈중 농도를 정상치 준하는 또는 가깝게 유지하는 것으로 나타내었다. DEU-7에 의해 비장의 무게와 비장세포수는 증가하였으나 간과 흉선과 같은 다른 장기에는 통계적으로 유의한 변화가 없었다. Ex vivo 조건에서 DEU-7은 비장세포의 사멸을 지연시키는 것으로 나타났다. 중요한 면역인자인 IL-2와 IL-4 cytokine은 면역억제로 농도가 감소되었으나 DEU-7이 약 2배와 3배 향상시키는 것으로 나타났으며, 이는 정상치의 약 1/2 수준이었다. IgM과 IgG의 농도는 cyclophosphamide 처리로 정상치의 약 1/2로 떨어졌으나, DEU-7에 의해서 정상치와 동일한 농도로 증가하였다. IL-2와 IL-4 결과에서 DEU-7은 T 림프구에 영향을 줄 수 있다고 생각되며, 또한 IgM과 IgG의 결과로서 B 림프구에 영향을 줄 수 있다고 생각된다. 선천성 면역에 중요한 면역인자인 TNF-α, IL-12과 IFN-γ 역시 cyclophosphamide에 의해 농도가 감소되었으나 DEU-7에 의해 정상치에 가깝게 회복되었다. 따라서, DEU-7은 면역 억제 또는 감소된 상태를 정상 상태로 회복 또는 유지하는 기능이 있는 것으로 생각된다.

왕느릅나무 껍질 열수 추출물의 마우스에서의 in vivo 면역조절 효과 (Immune-modulation Effect of Ulmus macrocarpa Hance Water Extract on Balb/c Mice)

  • 이인환;권다혜;이선희;이성도;김덕원;이종환;현숙경;김철민;김병우;강경화;황혜진;정경태
    • 생명과학회지
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    • 제24권10호
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    • pp.1151-1156
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    • 2014
  • 약용식물은 염증, 감염증, 암과 같은 질병에 광범위하게 사용되고 있으며, 전통적으로 오래 동안 사용되어 왔다. 왕느릅나무(Ulmus macrocarpa Hance)는 느릅나무의 한 종으로서 중국, 일본을 비롯해 한국 전역에 분포하고 있으며, 줄기와 뿌리의 껍질을 유백피라 하여 한의학에서 피부염, 유방염, 부종 등에 사용하여 왔다. 이 연구의 목적은 유백피의 열수 추출물(Ulmus cortex water extract, UCWE)이 면역조절 기능을 가지고 있는지를 조사하는 것이다. UCWE 식이농도 30 mg/kg, 100 mg/kg, 300 mg/kg의 3개 군으로 나누어 14일 동안 식이한 후 면역반응을 측정하였다. IL-2, IL-12, IFN-${\gamma}$ 의 혈중 농도가 UCWE를 식이한 군에서 유의적으로 증가하였으며, lymphokine activated killer cells (LAK)을 이용한 세포매개 세포독성 시험에서도 정상군에 비해 UCWE를 식이한 군에서 유의적으로 증가하였다. 그러나, 간, 신장, 비장, 흉선의 무게변화는 UCWE를 식이한 군과 정상군과의 차이가 없었다. 이는 300 mg/kg 고농도의 2주간 식이가 장기에 영향을 거의 미치지 않는다는 것을 암시한다고 생각된다. 따라서, UCWE는 내부 장기에는 영향을 주지 않으며 면역기능을 향상시키는 효과를 가진다고 여겨진다.

주관적 건강인식과 건강검진 결과의 비교분석을 통한 건강행위 연구 (A Study of Health Behavior through Comparative Analysis of Self-perceived Health Status and Health Examination Results)

  • 문상식;이시백
    • 보건교육건강증진학회지
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    • 제18권3호
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    • pp.11-36
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    • 2001
  • The purpose of this study is to analyze health behavior by comparing the difference between self-perceived health status and health examination results. The study subjects consist of 7,702 people aged over 20, surveyed by Health Interview survey, Health Examination survey, Dietary Life survey, Health Consciousness and Behavior survey. Data used in the study are drawn from raw data from a 1998 National Health and Nutrition survey. General characteristics variables are sex, age, education level, residential area, marital status, occupation, and living standard while dichotomous variables, ‘not healthy’ and ‘healthy’ are used to measure self-perceived health status. Variables for health examination results are high blood pressure, high cholesterol, diabetes, liver diseases, liver inflammation, kidney diseases, normal weight, regular diet, optimum sleeping time(7-8 hours), regular health examination and health behavior practice group. Major findings of the study are as follows: 1) Analysis of self-perceived health status and health behavior by disease: Variables significantly correlated with high self-perceived health status have strong associations with high health behavior practice, which supports the hypothesis that as one has high self-perceived health status, one is more likely to practice health promoting behavior. The results of analysis of health behavior differences by dividing subjects into two categories, ‘cases of illness’ and ‘cases of no illness’ indicate that drinking, sleeping time, health examination are significant variables (p〈0.001, 0.05) whereas smoking, weight control, regular exercise, regular diet are not significant. 2) Analysis of disparity patterns between self-perceived health status and health examination: The hypothesis that health behaviors would be different according to the disparity pattern between self-perceived health status and health examination is supported as a result of χ2 test. Among Type I : Self-perceived health status is high and actual health status is good (no disease) Type II: Self-perceived health status is high and actual health status is poor(have disease) Type III: Self-perceived health status is low and actual health status is good(no disease) Type IN: Self-perceived health status is low and actual health status is poor(have disease) Type I and Type IV show no disparity, Type I shows the highest health promoting behavior whereas Type IV shows the lowest health promoting behavior. Type II, and III, compared to Type I, practise lower health promoting behavior. Multi-logistics regression analysis was conducted to find out the degree of impact on health behavior. Independent variables are general characteristics, self-perceived health status and health examination result and presence of illness, while the dependent variable is health promoting behavior. The analysis of the impact of self-perceived health status on the health promoting behavior shows that smoking, drinking, weight control, regular exercise, health examination practice, and/or regular diet are significantly correlated to self-perceived health status. High self-perceived health status is inversely related to high health promoting behavior. This finding supports the hypothesis that the higher one perceives one's health, the more likely one is to practice health promoting behavior. On the contrary, the presence of illness has little impact on health promoting behavior. 3) Multiple logistics analysis on how disparity patterns between self-perceived health status and health examination affect health behavior: The results of multiple logistics analysis made on health behavior variables compared to the standard variable are as follows: When analyzed on the standard of Type I, smoking is a significant risk factor for the Type IV. In case of drinking, all the patterns show a high probability of relative risk ratio. With regard to weight control, it is a risk factor for Type II while all the patterns show high probability of not practising when analyzed on the standard of type IV. Type III and IV show high probability of not doing regular exercise while Type IV, shows a high probability of not taking appropriate sleeping time. When analyzed on the standard of type IV, all the patterns show a high probability of not taking health examinations. Type III and IV show a high probability of not having regular meals. As for overall health promoting behavior, Type III and IV show a high relative risk ratio. These two groups have low self-perceived health status. It implies that self-perceived health status has significant impact on health promoting behavior. This is also supported by the fact that Type I with high self-perceived health status and no illness shows a high practice rate of health promoting behavior. Types II and III the groups with high disparity between self-perceived health status and health examination results, show a low practice rate of health promoting behavior when compared to Type I. Type IV, that is the group with low self-perceived health status and actual illness, shows the lowest practice of health promoting behavior. It is highly probable that this type proves to be the poorest health group.

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실험적 급성 신우신염이 유발된 이유기 백서에서 methylprednisolone이 TGF-${\beta}1$, 세포고사 및 신반흔에 미치는 영향 (Effects of Methylprednisolone on TGF-${\beta}1$, Apoptosis and Renal Scarring in Experimental Acute Pyelonephritic Weaning Rats)

  • 황수자;성순희;이승주
    • Childhood Kidney Diseases
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    • 제6권1호
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    • pp.75-84
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    • 2002
  • 목 적 :성장기 신장에서의 급성신우신염은 신반흔으로 진행된다. 신반흔의 형성에는 세균자체보다도 숙주의 염증반응과 면역반응의 산물인 TGF-${\beta}1$이 세포 고사를 증가시키고 세포증식을 억제함으로서 섬유화를 촉진한다고 하였다. 이에 저자는 항염증제인 methyl-prednisolone (MP)이 실험적으로 급성신우신염을 일으킨 이유기 백서에서 신반흔 형성에 미치는 영향을 관찰하고자 하였다. 대상 및 방법 : 생후 3주(체중 50-60g)된 이유기 Sprague-Dawley 백서의 방광에 삽입된 16 guage의 실리콘 도관내로 107/mL 농도의 E coli (ATCC No. 25922, pili형)를 5 mL씩 주입하여 급성신우신염을 유발하였다. 실험군은 1군 (ceftriaxone 단독투여, n=31)과 2군 (MP와 ceftriaxone투여, n=28)으로 나누었고 대조군 (n=43)에는 약제를 투여하지 않았다. 실험 1주와 3주에 실험동물을 희생하여 병리 조직학적 소견상 염증점수, 세포고사 지수와 TGF-${\beta}1$ 발현점수 및 섬유화 점수를 관찰하였다. 결 과 : 사망률은 II군이 $21.4\%$였으나 대조군 $41.9\%$, I군 $32.3\%$와 유의한 차이는 없었다. 염증 점수는 실험 1주에 II군에서 $0.8{\pm}0.87$로 대조군의 $2.3{\pm}0.87$, I군의 $1.7{\pm}0.79$에 비하여 유의하게 낮았다 (P<0.05. 세포고사 지수는 실험 1주에 II군에서 $2.9{\pm}2.15$로 대조군의 $10.0{\pm}1.95$, I군의 $8.3{\pm}2.53$에 비하여 유의 하게 낮았다 (P<0.05). TGF-${\beta}1$발현도 실험 1주에 II군에서 $0.8{\pm}0.72$로 대조군의 $1.90{\pm}67$, I군의 $1.8{\pm}0.60$에 비하여 유의하게 낮았다 (P<0.05). 섬유화 지수는 실험 3주에 II군에서 $0.8{\pm}0.63$로 대조군의 $1.8{\pm}0.83$에 비하여 유의하게 낮았다 (P<0.05) 결 론 : 성장기 백서의 실험적 급성 신우신염에서 MP는 ceftriaxone단독 투여에 비하여 염증 반응, 세포고사, TGF-${\beta}1$발현, 섬유화를 모두 감소 시켰다. 즉 항생제 외에 항염증제의 병용투여가 신반흔의 정도를 감소시킬 수 있으므로 치료지연등 신반흔의 위험인자가 있는 경우에 고려할 수 있을 것으로 생각된다.

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간호학 교육에서 기초의과학 교과목별 목표와 내용에 대한 연구 (Objectives and Contents of Basic Medical Sciences in Nursing Education)

  • 최명애;신기수
    • 대한간호학회지
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    • 제29권6호
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    • pp.1455-1468
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    • 1999
  • The purpose of this study was to investigate the objectives and contents of basic medical sciences at department of nursing in college of nursing, and junior college of nursing, thus ultimately providing the basic data to standardize the curriculum of the basic medical sciences in nursing education. Seventy eight professors who were in charge of teaching basic medical sciences to at 22 colleges of nursing/ department of nursing, and 20 junior colleges of nursing responded to the questionnaires that consisted of the questions regarding objectives and contents, of basic medical sciences. Based on the description of objectives, the description related to nursing, nurse, nursing science was cathegorized as on objective applicable to nursing science, the description related to medicine or clinical medicine as medical model, the description without description related to medicine was cathegorized as knowledge acquisition. The number of schools corresponding to each category were summerized in descending order. The objectives of basic medical sciences were categorized by concepts and number of schools corresponding to the categorized concept. The findings of the study are as follows ; 1. The subjects of basic medical science identified were physiology, anatomy, biochemistry, pathology, microbiology, and pharmacology in most colleges of nursing and junior colleges. Two colleges of nursing/department of nursing (9.1%) and 19 junior colleges of nursing(95%) did not offer biochemistry, 1 college of nursing /department of nursing(5%) did not offer pathology & pharmacology. 2 junior colleges of nursing (10%) did not offer pharmacology, 1 junior college of nursing(5%) did not offer pathology. The other 1 junior college of nursing did not offer microbiology. 2. Objectives of physiology were to acquire knowledge and understanding on human function in both 6 (50%) colleges and 5 junior colleges. Objectives of anatomy were to acquire knowledge on human structure in both 4 (57%) colleges and 2 (50%) junior colleges; knowledge applicable to nursing sciences in both 3 (42.8%) colleges and 2 (50%) junior colleges. Objectives of biochemistry was to obtain knowledge and understanding on biochemistry, and understanding of basic concepts about biochemistry. Objectives of pathology were to obtain knowledge and understanding on pathology in both 4 (57.1%) colleges and 5(62.5%) junior colleges. Objectives of microbiology were to acquire knowledge and understanding on microbiology in both 5(83.8%) colleges and 6(85.7%) junior colleges. Objectives of pharmacology were to acquire knowledge on pharmacology in both 7(100%) colleges and 8(100%) junior colleges. 3. Contents of physiology in 19 (100%) schools were membrane transport, digestion, circulation, nervous system and respiration. In 16(84.2%) were kidney and muscle, that in 13(68.4%) were endocrine physiology. In 11(57.9%) were introduction and that in 9(47.4%) were structure and function of cells. Contents of anatomy in 11(100%) schools were skeletal system, muscle system, digestive system, circulatory system, concepts regarding human structure. In 10(90.9%) schools were endocrine system and nervous system, and in 5(45.5%) schools were blood, urinary system and cell. Contents of biochemistry in 6(100%) schools were history of biochemistry, body regulating factor, bioenergy, health and nutrition, nutrition of cell, energy production system. In 5(83.3%) schools were metabolism of protein and carbohydrate and enzyme, and in 3(50%) schools were metabolism of energy and fat. Contents of microbiology in 13(100%) schools were environment and influenc of bacteria, virus, G(-) rods, purulent cocci, G(+) rods. In 10 (76.9%) were immunity, diphtheria, enterobacteria, and in 9(69.2%) were spirochete, rickettsia and clamydia, and that in 6(46.2%) were sterilization and disinfection. Contents of pathology in 14(100%) schools were cell injury and adaptation, inflammation, respiratory diseases, circulatory diseases. In 10(71.4%) were neurological disorders, in 8(57.1%) were immunity and disease, and in 7 (50%) were tumor and progressive changes. Contents of pharmacology in 15(100%) were cardivascular drugs, introduction to pharmacology, hypnotics, analgesics, local anesthetics, an ticonvulsants. In 12(80%) were drugs activity on sympathetic and parasympathetic nervous system, and in 11(73%) were sulfa drugs, antibiotics, drug abuse and addiction.

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붉은자루동충하초의 자실체 증식 특성 (Biological Activities and Artificial Cultivation of Cordyceps pruinosa Petch)

  • 홍인표;남성희;정이연;성규병;김현복;정인모;조수묵;이민웅
    • 한국버섯학회지
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    • 제3권4호
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    • pp.133-139
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    • 2005
  • 경제적 부가 가치가 높은 붉은자루동충하초의 안정적 대량생산 기틀을 마련하고자 자실체 증식 특성 및 자실체 성분 분석을 한 결과를 요약하면 다음과 같다. 1. 붉은자루동충하초의 감염률은 관행인 누에 5령 기잠시 분무 접종하는 방법보다 번데기 시기에 주사접종 하는 방법이 높았다. 2. 붉은자루동충하초의 자실체 발생은 온도 $21{\sim}25^{\circ}C$, 습도 91% 이상, 광 1500 lx 이상에서 양호하였다. 3. 붉은자루동충하초의 유리당 함량은 Glucose가 7.9 mg으로 가장 많았으며, 다음이 Sucrose 이었으며 Glycerol과 Mannitol은 미량 검출되었다. 4. 붉은자루동충하초의 누에 자실체에 함유된 아미노산의 총 함량은 $34.6{\mu}mole/g$이며, 16종의 구성 아미노산중 Arginine이 15.6%로 가장 높았으며, Lysine이 3.4%로 가장 낮게 분포하였다. 5. 붉은자루동충하초의 누에 자실체 유리 지방산 조성은 Oleic acid 함량이 가장 많았으며, Palmitoeic acid는 소량 함유되어 있었다. 6. 붉은자루동충하초의 누에 자실체 유기산 조성은 Citric acid가 가장 많았으며, Malic acid와 Propionic acid는 미량 존재하였다.

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겨울철 양식장 환경에서 Tai koi, Anabas testudineus (BLOCH)의 임상병리학적 특징 (Investigation of Diseases of Thai koi, Anabas testudineus (BLOCH) from Farming Conditions in Winter)

  • 자아스 우딘 아메드;미리 드하르;모함메드 누늘 압사르 칸;최재석
    • 생명과학회지
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    • 제17권10호
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    • pp.1309-1314
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    • 2007
  • 방글라데시의 양식어류 생산에서 가장 큰 문제점은 어병이며, 어병을 진단하는 위해서는 병변부의 조직병리학적 진단이 필수적이다. 방글라데시의 주요 잉어과에 속하는 몇몇 어류에 대해서는 조직병리학적 연구가 진행되었지만, 고유종(indigenous species)이면서 담수 소형어류인 어종에 대해서는 거의 연구가 이루어지지 않은 상태이다. 그러므로 본 연구는 보양식으로 경제적 가치가 높은 Thai koi (Anabas testudineus)에 대한 조직병리학적 특성을 규명하고자 하였다. 2006년 8월부터 2007년 2월까지 7개월간 방글라데시 미멘싱(Mymensingh)지역의 두 양어장에서 임상학적 그리고 조직병리학적 관찰을 통해 Thai koi(A. testudineus)의 건강상태를 조사하였다. 어류개체의 홍반, 출혈, 외상, 원생동물 피낭(cyst)과 같은 비정상적 증상에 대한 임상학적 진단을 월별로 조사하였다. 동절기양어장의 수질 요인 중에서 수온, 용존산소량과 같은 변수는 어류에게 적합하지 않은 것으로 나타났다. 임상학적으로는 12월부터 1월 사이에 병에 걸린 어류가 더 많았고, 8월과 9월 사이 그리고 2월에는 외형상으로는 거의 정상에 가까웠다. 12월과 1월에 피부탈락, 피부외상, 궤양과 꼬리지느러미의 손실과 같은 여러 가지의 임상학적 증상이 나타났다. 조직병리학적 측면에서 8월과 9월 기관의 구조는 정상으로 나타났다. 10월과 11월 사이에는 미미한 병적 증상들이 발견되었고, 12월과 1월에는 조직 괴사, 핵응축(pyknosis), 염증, 출혈, 이상비대(hypertrophy), 세포과형성(hyperplasia), 1 2차 새판(gill lamellae)의 손상과 같은 현저한 조직병리학적 변화가 발견되었다. 반면에 2월에는 어류의 병적증상이 점차적으로 감소하였다. 개개의 어류양식장을 고찰해 보았을 때, Relance Aqua Farm의 어류가 Sotota Mastshya Hatchery의 어류보다 더 감염률이 높았다. 본 연구 결과는, Thai koi의 월별 임상학적 조직병리학적 진단을 통해, 어병 발생 시기를 예측하고, 예방하기 위한 기초자료로 활용될 수 있다.

알레르기성 비염을 포함하는 과민성 비염 환자에 관한 임상적 연구 (A Clinical Study of Hypersensitive rhinitis including Allergic rhinitis)

  • 최인화
    • 한방안이비인후피부과학회지
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    • 제15권2호
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    • pp.169-182
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    • 2002
  • Background: Allergic rhinitis(AR) is a heterogeneous disorder that despite its high prevalence is often undiagnosed. It is characterized by one or more symptoms including sneezing, itching, nasal congestion, and rhinorrhea. And it is frequently accompanied by symptoms involving the eyes, ears, and throat, including postnasal drainage. There are many different causes of rhinitis in children and adults. Approximately 50$\%$ of all cases of rhinitis are caused by allergy. In the case of rhinitis caused by allergens, symptoms arise as a result of inflammation induced by a gamma globulin E-mediated immune response to specific allergens such as pollens, molds, animal dander, and dust mites. The immune response involves the release of inflammatory mediators and the activation and recruitment of cells to the nasal mucosa. AR is similar to 鼻?, hypersensitive rhinitis in Oriental Medicine. I think hypersensitive rhinitis is including of AR, vasomotor rhinitis and non-allergic rhinitis related with eosinophil increased and so on. Purpose: To perform a clinical analysis of hypersensitive rhinitis including allergic rhinitis and estimate the efficacy of Oriental Medical treatment. Objective: We studied 96 patients who had visited our hospital with complaints of nasal symptoms from March 2000 to February 2002; they had the signs more than 2 - nasal obstruction, watery discharge, sneezing and eye or nasal itching. Parameters Observed & Methods: We treated them with acupuncture & herb-medication. Sometime they used aroma oil or external medicine. 1) the distribution of sex & age groups 2) the clinical type based on duration & the severity of symptom 3) the breakdown of complication & pasl history of Otolaryngologic or allergic disease 4) the clinical assessment and classification of rhinitis(sneezers and runners & blockers) 5) the associated symptoms and signs 6) the classification of Byeonjeung 7) the classification of prescriptions and 8) the efficacy of treatment. Result: 1. In the clinical type of based on duration, the intermittent type was 42.7$\%$ and the persistent was 57.3$\%$. 2. We observed the severity of symptoms based on the quality of life. The mild type was 24.0$\%$ and the moderate-severe was 76.0$\%$. 3. In the clinical assessment and classification of rhinitis, the sneezers and runners type was 69.8$\%$ and the blockers was 30.2$\%$. 4. The most common family history with otolaryngologic or allergic disease were allergic rhinitis(17.7$\%$), urticaria, paranasal sinusitis and T.B.(3.1$\%$). 5. The most common past history with otolaryngologic or allergic disease were paranasal sinusitis(14.6$\%$), atopic dermatitis and asthma(8.3$\%$). It was 31.3$\%$ they had a family history and 44.8$\%$, past history. 6. The most common complication was paranasal sinusitis(15.6$\%$). In decreasing order the others were otitis media with effusion(9.4$\%$), GERD and headache(6.3$\%$), asthma, bronchitis, nasal bleeding and allergic dermatitis(5.2$\%$). 7. Classification through Byeonjeung : ⅰ) 39 cases(34.9$\%$) were classified as showing Deficiency syndrome. The insuffficiency of Qi was 17.7$\%$, deficiency of Kidney-Yang, 12.5$\%$ and Lung-Cold, 10.4$\%$. ⅱ) 57 cases(59.4$\%$) were classified as showing Excess syndrome. The Fever of YangMing-meridian was 35.4$\%$, Lung-Fever, 24.0$\%$. 8. The efficacy of treatments showed: an improvement in 22cases(22.9$\%$); an improvement partly in 24 cases(25.0$\%$); no real improvement or changes in 16 cases(16.7$\%$); and couldn't check the results 18cases(18.6$\%$). Conclusion: We suggest that this study could be utilized as a standard of clinical Oriental Medical treatment when we treat hypersensitive rhinitis including allergic rhinitis.

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