• 제목/요약/키워드: Late injection

검색결과 151건 처리시간 0.023초

몇가지 간담도질환에서 간기능에 따른 Tc-99m EHIDA의 담도영상능 (Tc-99m EHIDA Scintigraphic Demonstrability of Biliary Elements and Liver Function Tests in Hepatobiliary Diseases)

  • 김춘열;이명희;박용휘
    • 대한핵의학회지
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    • 제16권2호
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    • pp.71-80
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    • 1982
  • In the present communication, the results will be reported on a clinical study of how well scintigraphic visualization of the hepatobiliary elements and several commonly used clinical liver function tests correlate each other in various diseases oft hepatobiliary system. The demonstrability of the biliary tract, gallbladder (GB) and duodenum was rather closely paralleled to serum bilirubin level and less closely to alkaline phosphatase and rather poorly to SGOT and SGPT. The biliary tree could not be visualized scintigraphically when bilirubin exceeded 10.5mg/dl. The usefulness of Tc-99m EHIDA [N-(2,6-diethylacetanilido) iminodiacetic acid, made by Amersham, England] hepatobiliary scintigraphy (Tc EHIDA HBS) in settling diagnostic controversy and ambiguity raised by oral cholecystography, intravenous cholangiography and ultrasonography in many hepatobiliary diseases is well known. The purpose of this investigation was to semiquantitatively evaluate the scintigraphic demonstrability of the hepatobiliary tract, GB and duodenum following intravenous injection of Tc-99m EHIDA in normal subjects and in patients with a disturbed liver function from various hepatobiliary diseases. The hepatobiliary scintigraphy was performed in 10 normal subjects and 39 patients with various hepatobiliary diseases (Table 1) at the Dept. of Radiology, St. Mary's Hospital Catholic Medical College, Seoul, Korea during 2 years period from September 1979. Scintigraphic examination was started at end of 3 minutes after intravenous injection of Tc-99m EHIDA in the amount of $50{\mu}Ci/kg$ and was continued until after 30 minutes at 5 minutes interval. The imaging was usually terminated when the tracer could be seen in the duodenum. Late scintigrams were obatained at 1 1/2, 3, 4 and 6 hours when reeded. Scintigrams were analyzed in terms of promptness and clarity of visualization of the biliary tree, GB and duodenum and demonstrability of these anatomical landmarks was correlated with the values of liver function tests. The demonstrability of the common hepatic duct, common bile duct, GB and duodenum was closely paralleled to the level of serum bilirubin when it is less than 10.5 mg/dl as shown in figure 1. However when the bilirubin exceeded 10.5 mg/dl the time of visualization between protracted reaching a flat curve or plateau around 10.5 mg/dl. The biliary tract could not be visualized when the bilirubin was higher than 10.5 mg/dl. The correlability between scintigraphic demonstration and serum alkaline phosphatase was less strong and between scintigraphic demonstration and SGOT and SGPT was rather poor. The present clinical study confirmed the usefulness and limitation of Tc-99m EHIDA hepatobiliary scintigraphy in visulizing and diagnosing the biliary system and duodenum when radiogrpahy and ultrasonography failed to provide useful informations. Scintigraphy was very helpful in the diagnosis of neonatal hepatitis, biliary atresia, cholecystitis and extrahepatic biliary obstruction. The hepatobiliary system and duodenum were visualized when serum bilirubin level was less than 10.5 mg/dl, SGOT 135 units, SGPT 114 units and alkaline phosphatase 52.2 KAU.

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태반성 성선자극호르몬(HCG) 처리에 의한 독가시치, Siganus canaliculatus의 배란유도 (Induced Ovulation in rabbitfish, siganus canaliculatus, with Human chorionic Gonadotropin (HCG))

  • 황형규;이정의;양상근;노섬;강용진
    • 한국양식학회지
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    • 제12권3호
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    • pp.197-204
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    • 1999
  • Successful produciton of seedlings for marine fish species are highly influenced by the aquisiton of sufficient number of good-quality eggs on required time. human chorionic gonadotropin has been used to induce successful ovulation for the purpose. Rabbitfish, siganus canaliculatus, is inhabited along the coast of Cheju Province and treated valuably for raw fish and fish roasted with seasoning. Female wild-captured rabbitfish (314 to 279 g in body weigth) were injected into intraperitoneal space with human chorionic gonadotropin (HCG) of 5,00,1,000, and 1,500 IU/kg body weight during spawning season of July 14 (trial 1), and July 27 (trial 2). Test fish in trial 1 were injected two times, first on July 14 and second on July 21 with one weekinterval because of no ovulation symptoms, but just one time in trial 2. All females injected both 1,000 and 1,500 IU/kg body weight ovulated in all trials. Among 500 IU/kg injection treatments, just one female ovulated in trial 1 showing 25% of ovulation rate, but none ovulated in trial 2. Ovulation was not occurred in control goups during test period. Time to reach ovulation after injection was 172 to 270 hours in trial 1 and 77 to 132 hours in trial 2, showing shorter as spawning season approached. Generally, ovulation of smaller females were late than that of larger ones. Gonadosomatic index (GSI) and pseudo-gonadosomatic index (Pseudo-GSI) were ranged 22 to 33% and 19 to 28%, respectively. One female spawned 406,200 to 1,032,000 eggs, and obtainable eggs per 100g of body weight were calculated by 130,000 to 190,000. Spawning rates were comparatively high by 96.0 to 98.4%. Rates to reach embryo-formation and hatching were higher in 500 high by 96.0 to 98.4%. Rates to reach embryo-formation and hatching were higher in 500 and 1,000 IU/kg treatments than in 1,500 IU/kg treatment. The result of present study demontrates that HCG treatment during spawning season could become very useful for ovulation of rabbitfish and the suitable dosage was suggested as 1,000 IU/kg of body weight.

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산소 호흡을 이용한 뇌의 관류 자기공명영상 (Perfusion RRI of the Brain Using Oxygen Inhalation)

  • 최순섭
    • Investigative Magnetic Resonance Imaging
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    • 제4권2호
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    • pp.113-119
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    • 2000
  • 목적 : 산소호흡을 이용한 뇌의 관류 자기공명영상의 임상적용 가능성을 알고자 하였다. 대상 및 방법 정상 성인 지원자 2명과 3명의 환자, 각각 모야모야병 환자 1명, 뇌경색환자 1명, 뇌수막종 환자 1명을 대상으로 하였으며, 1.5 Tesla의 자기공명영상 장치를 이용하여 뇌의 자화율 대조 (susceptibility contrast) echo planar image (EPI) 방법으로 뇌영역을 10 slice씩 25회(검사시간은 검사당 1.6초) 영상을 얻었다. 검사자는 안면마스크를 착용한 상태로 스캔 시작 8초 후부터 35초가지 산소 15 liter/min를 실내 공기와 혼합되어 흡입되도록 하였다. 획득된 영상을 Magnetom Vision (Siemens Medical Systems, Erlangen, Germany)의 VB31C 프로그램을 이용하여 산소투여전(3골 번째 검사)과, 산소투여 후의 초기 (12-18 번째 검사)와 후기(19-25 번째 검사) 군으로 나누었다. 초기 및 후기 군과 산소투여전 군의 신호차이는 Z-score 0.7 내지 1.0으로 하여 여러번 영상후 처리를 반복하여 difference map을 얻어서, T1 강조영상에 중첩시켜 관류 영상을 얻었다. 모야모야병 환자는 추가로 Gd-DTPA를 0.1 mmol/kg급속주사 후 동일한 방법으로 관류 영상을 얻어 산소호흡에 의한 관류 영상과 비교하였다. 결과 : 산소 공급 후에 시행한 자화율 대조 EPI 방법으로 2명의 지원자와 각각 1예의 모야모야병, 뇌경색, 뇌수막종 증례에서 혈류 분포를 반영하는 관류 영상을 얻을 수 있었다. 모야모야병 1예의 산소 호흡에 의한 관류 영상은 Gd-DTPA투여후의 관류 영상과 유사한 양상을 보였다. 결론 : 산소호흡을 이용한 자화율 대조 EPI 방법은 향후 뇌의 관류 자기공명영상 방법으로 적용이 가능하리라고 생각된다.

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횐쥐 뇌에 방사선조사와 Cis-diamminedichloroplatinum(II)의 효과 : 치료 후 3개월과 6개월에서의 조직학적분석 (The Effect of Irradiation and Cis-diamminedichloroplatinum(II) in the Rat Brain : Analysis of Histopathology at 3 and 6 Months after Treatment)

  • 이경자;장승희;구혜수
    • Radiation Oncology Journal
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    • 제16권2호
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    • pp.125-138
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    • 1998
  • 목적 : 흰쥐의 전뇌에 방사선조사 후 cis-diamminedichloroplatinum(II)(cisplatin)을 복강내 주입하여 cisplatin이 방사선에 의한 후기 뇌손상(3개월, 6개월)에 미치는 효과를 알기 위하여 이 연구를 시행하였다. 방법 및 재료 : 흰쥐를 방사전조사군, cisplatin군, 방사선조사와 cisplatin 병용군으로 분류하였다. 방사선조사군은 선형가속기를 사용하여 20 Gy, 22.5 Gy의 x-ray를 각각 횐쥐의 전뇌에 단일조사하였다. Cisplatin군은 2, 4, 8mg/kg을 각각 복강내에 1회 주입하였다. 병용군은 방사선조사(20 Gy, 22.5 Gy) 후 즉시 cisplatin(2mg/kg)를 복강내에 1회 주입하였다. 각 군에 따라 치료 후 3개월과 6개월에 동물을 희생시키고 뇌의 조직병리학적 검사를 시행하였다. 결과 : Cisplatin군은 맥락총에 상피성 공포형성과 혈관주위의 부종 및 혈관의 확장이 3개월에 보였으며, 채상과 대뇌반구에 다원성 괴사가 3개월과 6개월에 나타났다. 방사선조사군과 병용군에서 뇌의 후기 방사선손상의 특징인 국소적 응고성 괴사와 혈관의 변화가 현저하게 나타났으며 현저한 혈관주위와 연수막에 성상세포의 증식은anti-GFAP 항체검사로 확인되었다. 방사선조사에 의한 혈관변화와 성상세포의 증식이 cisplatin에 의해서 증가되지는 않았다. 결론 : Cisplatin과 방사선조사에 의한 후기 뇌손상의 변화로 국소적 괴사가 양군에서 동시에 나타남으로서 뇌손상의 정도를 추정하는데 괴사가 지표인자로 이용될 수 있다고 본다. Cisplatin이 방사선에 의한 혈관의 변화와 성상세포의 증식에는 영향을 미치지 않았으므로, 뇌에서 cisplatin과 방사선의 상호작용을 파악하기 위해서는 향후 더 많은 실험이 필요하다.

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간실질세포(肝實質細胞)의 손상(損傷)이 철흡수(鐵吸收)에 미치는 영향(影響)에 관(關)한 실험적(實驗的) 연구(硏究) (The Relationship Between Intestinal Iron Absorption and Hepatic Parenchymal Cell Damage)

  • 김목현;한심석
    • 대한핵의학회지
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    • 제5권2호
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    • pp.19-40
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    • 1971
  • Since the iron balance is maintained by regulated intestinal absorption rather than regulated excretion, there have been many reports concerning the factors which may influence the intestinal iron absorption. As the liver is the largest iron storage organ of the body, any hepatocellular damage may result in disturbances in iron metabolism, e,g., frequent co-existence of hemochromatosis and liver cirrhosis, or elevated serum iron level and increased iron absorption rate in patients with infectious hepatitis or cirrhosis. In one effort to demonstrate the influence of hepatocellular damage on intestinal iron absortion, the iron absorption rate was measured in the rabbits whose livers were injured by a single subcutaneous injection of carbon tetrachloride (doses ranging from 0.15 to 0.5cc per kg of body weight) or by a single irradiation of 2,000 to 16,000 rads with $^{60}Co$ on the liver locally. A single oral dose of $1{\mu}Ci\;of\;^{59}Fe$-citrate with 0.5mg of ferrous citrate was fed in the fasting state, 24 hours after hepatic damage had been induced, without any reducing or chelating agents, and stool was collected for one week thereafter. Serum iron levels, together with conventional liver function tests, were measured at 24, 48, 72, 120 and 168 hours after liver damage had been induced. All animals were sacrificed upon the completing of the one week's test period and tissue specimens were prepared for H-E and Gomori's iron stain. Following are the results. 1. Normal iron absorption rate of the rabbit was $41.72{\pm}3.61%$ when 0.5mg of iron was given in the fasting state, as measured by subtracting the amount recovered in stool collected for 7 days from the amount given. The test period of 7 days is adequate, for only 1% of the iron given was excreted thereafter. 2. The intestinal iron absorption rate and serum iron level were significantly increased when the animal was poisoned by a single subcutaneous injection of 0.15cc. per kg. of body weight of carbon tetrachloride or more, or the liver was irradiated with a single dose of 12,000 rads or more. The results of liver function tests which were done simultaneously remained within normal limit except SGOT and SGPT which were somewhat increased. 3. In each case, there has been good correlation between the extent of liver cell damage and degree of increased iron absorption rate or serum iron level. 4. The method of liver damage appeared to make no obvious difference in the pattern of iron deposit in liver. This may be partly due to the fact that tissue specimens were obtained too late, for by this time the elevated serum iron level had returned within normal range and the pathological changes were almost healed. 5. The possible factors and relationship between intestinal iron absorption and hepatic parenchymal cell damage has been discussed.

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급성통증 유발 흰쥐에 대한 위령선약침(威靈仙藥鍼)의 통증 억제효과 (Analgesic Effect of Clematidis Radix (CR) Herbal-acupuncture on the Test Rats with Induced Acute Pain)

  • 최원주;김기봉;김경호;김장현
    • Journal of Acupuncture Research
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    • 제26권6호
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    • pp.91-100
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    • 2009
  • Objectives : The objective of this study is to investigate Anti-nociceptive and anti-inflammatory effects of Clematidis Radix (CR) herbal-acupuncture on the test rats with induced acute pain. Methods : The effects of Clematidis Radix (CR)-distillates were investigated in three types of models with three different pain. Highly purified distillate of CR called CR herbal-acupuncture was injected to Zusanli ($ST_{36}$) acupoint. In the tail flick test, the CR herbal-acupuncture treatment did not show a significant effect of relieving acute pain. To investigate the anti-inflammatory effect of CR herbal-acupuncture, the second testing model'pain was induced by injecting formalin to its planter. For the last model, carrageenan was injected into tarsal joint. the medicinal effect of CR herbal-acupuncture was evaluated through the behavioral analyses such as licking time, weight distribution ratio and ankle circumference. Results : In the formalin test, the analgesic effect of CR herbal-acupuncture was more pronounced in the late phase (for 20 min after the early phase) than in the early phase (for the first 10 min post formalin injection). It was proven by weight distribution ratio testing and ankle edema testing that herbal-acupuncture of CR inhibited arthritis caused by the carrageenan. Conclusions : These results revealed that CR herbal-acupuncture was effective to alleviate the inflammatory pain and could be used as an analgesic treatment with an anti-inflammatory effect.

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성(性)생활과 성기능장애 (Human Sexuality and Sexual Dysfunction)

  • 조두영
    • 정신신체의학
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    • 제7권1호
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    • pp.10-25
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    • 1999
  • 2세이상의 어린이는 성적 흥분을 느낄 수 있기에 만지거나 자위행위 등의 성적인 즐거움을 찾기 시작 한다. 60년대 후반부터 70년대 초반사이 산부인과 의사 Masters와 사회사업가 Johnson은 인간의 성반응 단계를 흥분기, 고원기, 오르가슴기, 반응소실기의 4단계로 나눠 설명하였고, 여성에게는 무반응기가 없어 여러번의 오르가슴이 가능함을 밝혔다. 그들의 성치료원칙은 행동치료에 입각하여 감각초점법과 부부치료, 성교육등으로 구성되어있다. Masters와 Johnson이후 정신과 의사이자 정신분석가인 Kaplan이 1970년대 초반에 정신분석적 정신치료와 행동치료를 결합한 '새로운 성치료'를 제안했다. 그리고, 성기능 장애를 3가지 카테고리로 재분류했다. 1980년대 이후는 남성의 발기부전의 치료를 중심으로 의학적 치료방법론이 대세를 이루고 있는데, 음경 보속물, 국소주사치료, 경구약제등이 발달하였다. 최근 Sildenafil(Viagra)이 등장해 남성 발기부전 치료의 최선의 선택으로 받아들여지고 있다.

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Effect of UV Irradiation and Rebamipide on the Blood Flow and Viability of Rabbit Skin Flap

  • Suh, Eung-Joo;Choi, Hyoung-Chul;Sohn, Uy-Dong;Ha, Jeoung-Hee;Lee, Kwang-Youn;Kim, Won-Joon
    • The Korean Journal of Physiology and Pharmacology
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    • 제1권5호
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    • pp.581-589
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    • 1997
  • This study was undertaken to examine the effects of ultraviolet light (UVL) and rebamipide on the cutaneous blood flow and tissue survival on rabbit skin flap. In a random bipedicle flap, Laser Doppler Flowmetry (LDF) was employed to measure the blood flow of flap (BFF). Wound Margin Strength (WMS) measured by force transducer and Light microscophy were used for evaluation of tissue viability. Single exposure to UVL increased the BFF gradually for more than 15 hours, and decreased the vasoconstrictor effect of intravenous phenylephrine. The UVL-induced increase in BFF regressed after 18 hours of irradiation, and this regression was tended to be enhanced by intradermal injection of L-NAME, a nitric oxide synthase (NOS) inhibitor, but the regression was significantly reversed by acetylcholine, an endothelial constitutive NOS (cNOS) activator and L-arginine, an NO precusor. Rebamipide, a novel antiulcer agent known to scavenge the hydroxyl radical, abruptly reversed the spontaneous regression of the UVL- induced increase in BFF by the same manner as L-arginine. In ischemic skin flap, rebamipide increased the BFF abruptly by the same manner as sodium nitroprusside (SNP), an NO doner, while N-acetylcystein (NAC), a free radical scavenger, gradually increase the BFF. The rebamipide-induced increase in BFF was sustained at the level of the SNP-induced increase in BFF during the late period of experiment. Rebamipide increased the WMS of skin flaps and prevented the tissue necrosis in comparison with L-NAME. Based on these results, it is concluded that in rabbit skin, UVL irradiation increases the BFF by NO release, and rebamipide exerts a protective effect on the viability of ischemic skin flaps by either or both the increase in BFF by NO release and free radical scavenger effect.

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남한의 백악기-제3기초 화강암과 마그마 혼합 : 시공간적 변화와 지구조적 의미(다중 슬랩 윈도우 모델) (Cretaceous to Early Tertiary Granites and Magma Mixing in South Korea : Their Spatio-temporal Variations and Tectonic Implications (Multiple Slab Window Model))

  • 김종선;김건기;좌용주;손문
    • 암석학회지
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    • 제21권2호
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    • pp.203-216
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    • 2012
  • 한반도 남부의 백악기-제3기초 화강암의 암석학적 특징과 연대측정 자료들을 종합하여 시공간적 변화를 반영하는 지구조 모델을 제안하고자 하였다. 여러 암석기재와 지화학적 연구결과로부터 이들 화강암류는 대륙 연변부에서 해양지각의 섭입에 의해 형성된 마그마 기원으로 지각 천처에서 정치된 특징을 보인다. 또한 화강암류 내에는 고화과정 중 맨틀에서 유래한 염기성 마그마의 주입에 의한 마그마 혼합을 지시하는 다양한 형태와 크기의 MME들이 분포한다. MME의 분포와 화강암의 연령자료를 함께 살펴보면 시공간적으로 일정한 시기의 것들이 일정한 지역에 한정되어 분포하는 양상을 보인다. 이러한 특징은 후기 백악기의 이자나기-태평양판의 해령섭입으로 인한 다중 슬랩 윈도우 모델에 의해 설명될 수 있다.

Ureolytic Vibrio parahaemolyticus Isolated from the Kamak Bay of Yeosu, in 2002 and 2003

  • Park Mi-Yeon;Kwon Chil-Sung
    • Fisheries and Aquatic Sciences
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    • 제7권2호
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    • pp.58-63
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    • 2004
  • Five urease-positive Vibrio parahaemolyticus strains were isolated from Kamak Bay in Yeosu in 2002 and 2003. V. parahaemolyticus YKB4 and YKB14 were isolated from seawater, YFB20 from black rockfish (Sebastes schlegeli), and YFO2l and YFO22 from olive flounder (Paralichthys olivaceus). The five urease-positive strains (YKB4, YKB14, YFB20, YFO21, and YFO22) did not show hemolysin and protease activity, while they did alter in color (to red) as the bacteria grew in the urea broth medium. All samples showed identical biochemical characteristics as a reference strain, V. parahaemolyticus KCTC2471, except in urease production. The five urease-positive strains showed urease activities at a mid stationary phase, and their activity was maximal in the late stationary phase of their culture supernatant. The addition of urea to the Luria-Bertani (LB) broth medium significantly affected the initial production of urease of V. parahaemolyticus isolates. Mortality by urease-positive V. parahaemolyticus YKB4, YKB14, YFO2l, and YFO22 was significantly high, being$60-80\%$, while YFB20 only reflected a rate of $20\%$. Protease-positive V. parahaemolyticus FM39 and FM50 showed a $40\%$ and $60\%$ mortality rate, respectively. However, hemolysin-positive V. parahaemolyticus had no mortality, like the non-pathogenic V. parahaemolyticus KCTC2471, while V. vulnificus resulted in a $40\%$ mortality rate. Injection with urease-positive V. parahaemolyticus strains showed mortality within 12 hrs in mice, and the strains could be isolated from the dead mice.