• 제목/요약/키워드: Sex organs

검색결과 126건 처리시간 0.02초

삼출성 흉수에서 악성 감별을 위한 MAGE 유전자 검출의 의의 (Diagnostic Utility of MAGE Expression in Exudative Pleural Effusion)

  • 김경찬;서창균;박순효;최원일;한승범;전영준;박종욱;전창호
    • Tuberculosis and Respiratory Diseases
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    • 제56권2호
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    • pp.159-168
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    • 2004
  • 연구배경 : 최근 암에서 발현되는 다양한 종양특이항원들이 밝혀지고 있다. MAGE는 대부분의 암에서 발현되므로 이러한 종양 특이성을 이용하여 암을 진단하려는 연구가 시도되고 있다. 그러나 흉수를 대상으로 MAGE 발현을 검사한 연구는 아직 없었다. 이번 연구는 삼출성 흉수에서 MAGE 유전자의 발현여부를 검사하여 양성과 악성의 감별진단에 도움이 되는지를 알아보고 이를 기존의 세포검사 결과와 비교해 보기 위하여 시행하였다. 방 법 : 2002년 1월 1일부터 동년 6월 30일까지 삼출성 흉수임이 확인된 44명을 대상으로 하였다. 10 mL의 흉수를 채취하여 각각 5 mL씩 세포검사와 MAGE 검사를 시행하였다. MAGE 발현 유무는 RT-PCR 방법을 이용한 commercial kit를 이용하여 판정하였다. 등록된 환자들은 악성과 양성군으로 분류하여 각각 민감도와 특이도를 비교 분석하였다. 결 과 : 연령, 성별, 흉수 내 백혈구 수치, 흉수/혈청 protein 비 및 흉수/혈청 LDH 비 등은 악성과 양성군 간에 유의한 차이가 없었다. MAGE 검사의 민감도는 72.2%, 특이도 96.2%, 양성 예측값 92.9% 그리고 음성 예측값은 83.3%이었으며 세포검사의 민감도는 66.7%, 음성 예측값 81.3%이었다. MAGE 검사와 세포검사의 민감도는 통계적으로 유의한 차이는 없었으며 특이도의 경우 결핵성 흉막염 1례에서 MAGE가 위양성이 나왔다. 결 론 : MAGE 검사는 삼출성 흉수를 가진 환자에서 양성과 악성의 감별진단에 예민하고 특이적인 지표로 평가된다. 또한 악성 흉수를 가진 환자에서 5mL의 흉수를 검사할 경우 MAGE 검사는 세포검사와 동등한 수준의 민감도를 가지는 것으로 판단된다.

복부와 경부 관통상 환자에 대한 임상적 고찰 (Clinical Analysis of Patients with Abdomen or Neck-penetrating Trauma)

  • 노하니;김광민;박준범;류훈;배금석;강성준
    • Journal of Trauma and Injury
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    • 제23권2호
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    • pp.107-112
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    • 2010
  • Purpose: Recently, the change to a more complex social structure has led to an increased frequency of traumas due to violence, accident and so on. In addition, the severity of the traumas and the frequency of penetrating injuries have also increased. Traumas to cervical and abdominal areas, what are commonly seen by general surgeons, can have mild to fatal consequences because in these areas, various organs that are vital to sustaining life are located. The exact location and characteristics of the injury are vital to treating patients with the trauma to these areas. Thus, with this background in mind, we studied, compared, and analyzed clinical manifestations of patients who were admitted to Wonju Christian hospital for penetrating injuries inflicted by themselves or others. Methods: We selected and performed a retrospective study of 64 patients who had been admitted to Wonju Christian Hospital from January 2005 to December 2009 and who had cervical or abdominal penetrating injuries clearly inflicted by themselves or others. Results: There were 51 male (79.7%) and 13 female (20.3%) patients, and the number of male patients was more dominant in this study, having a sex ratio of 3.9 to 1. The range of ages was between 20 and 86 years, and mean age was 43.2 years. There were 5 self-inflicted cervical injuries, and 19 self-inflicted abdominal injuries, making the total number of self-inflicted injury 24. Cervical and abdominal injuries caused by others were found in 11 and 29 patients, respectively. The most common area involved in self-inflicted injuries to the abdomen was the epigastric area, nine cases, and the right-side zone II was the most commonly involved area. On the other hand, in injuries inflicted by others, the left upper quadrant of the abdomen was the most common site of the injury, 14 cases. In the neck, the left-side zone II was the most injured site. In cases of self-inflicted neck injury, jugular vein damage and cervical muscle damage without deep organ injury were observed in two cases each, making them the most common. In cases with abdominal injuries, seven cases had limited abdominal wall injury, making it the most common injury. The most common deep organ injury was small bowel wounds, five cases. In patients with injuries caused by others, six had cervical muscle damage, making it the most common injury found in that area. In the abdomen, small bowel injury was found to be the most common injury, being evidenced in 13 cases. In self-inflicted injuries, a statistical analysis discovered that the total duration of admission and the number of patients admitted to the intensive care unit were significantly shorter and smaller, retrospectively, than in the patient group that had injuries caused by others. No statistically significant difference was found when the injury sequels were compared between the self-inflicted-injury and the injury-inflicted-by-others groups. Conclusion: This study revealed that, in self-inflicted abdominal injuries, injuries limited to the abdominal wall were found to be the most common, and in injuries to the cervical area inflicted by others, injuries restricted to the cervical muscle were found to be the most common. As a whole, the total duration of admission and the ICU admission time were significantly shorter in cases of self-inflicted injury. Especially, in cases of self inflicted injuries, abdominal injuries generally had a limited degree of injury. Thus, in our consideration, accurate injury assessment and an ideal treatment plan are necessary to treat these patients, and minimally invasive equipment, such as laparoscope, should be used. Also, further studies that persistently utilize aggressive surgical observations, such as abdominal ultrasound and computed tomography, for patients with penetrating injuries are needed.

현호색속 Pes-gallinaceua절 집단의 종자생산 (Seed Production of Pes-gallinaceua(Corydalis, Fumariaceae) Group)

  • 민병미
    • The Korean Journal of Ecology
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    • 제26권4호
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    • pp.189-197
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    • 2003
  • 남한산성 지역에서 춘계단명식물인 현호색 자연집단에 대해 2년간 종자생산의 특성을 조사하였다. 개화는 4월초에, 종자생산은 5월초에 일어나 개화로부터 종자생산까지는 30일이 소요되었으며 생식기관의 수가 감소하는 시기는 낙화 및 결실기 사이가 가장 큰 것으로 나타났다. 개체 당 생산하는 꽃의 수는 1∼13개, 종자의 수는 0∼76개, 열매 당 종자의 수는 0∼20개이었다. 한 개체 내에서 열매 당 종자생산량은 가장 아래에 위치한 꽃이 11.8개로 많았으며 상부로 이행할수록 급격히 감소하였다. 동일한 개체가 생산하는 종자의 수는 매년 큰 폭으로 변하였으며 작은 개체는 다음해 많은 수의, 큰 개체는 적은 수의 증자를 생산하였다. 생육초기 개화체의 비율은 개체의 크기(괴경의 부피)가 증가할수록 증가하였으며 가장 작은 크기 계급인 <100 ㎣에서 5.0%(1999)∼5.4%(2000)를, 600㎣≤ 에서 100%를 나타냈다. 한편, 각 계급별 평균 꽃의 수는 2000년이 1999년보다 많았다. 특히 900 ㎣≤에서는 6.5개(1999)와 13.2개(2000)로 현저한 차이를 보였다. 생육후기 개화체의 비율은 <100 ㎣에서 13.3%이었고 500 ㎣≤ 에서 100%이었다. 따라서 생육초기보다 개화체의 비율이 다소 높게 나타났다. 괴경의 체적이나 건중량의 크기에 따른 열매의 수 및 종자의 수는 대체로 증가하였지만 경향성은 뚜렷하지 않았고 동일 크기계급 내에서도 개체마다 편차가 심하였다. 한편, 엽면적이 증가할수록 열매의 수나 종자의 수는 뚜렷이 증가하였다. 따라서 종자의 생산량은 생육기간동안 광합성량과 관계가 깊은 것으로 볼 수 있었다.

흰쥐 부정소에서의 세포자연사에 미치는 Ethane 1,2-Dimethane Sulfonate(EDS)의 효과 (Effect of Ethane 1,2-Dimethane Sulfonate(EDS) on the Apoptosis in the Rat Epididymis)

  • 손혁준;이성호
    • 한국발생생물학회지:발생과생식
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    • 제10권3호
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    • pp.203-209
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    • 2006
  • Ethane 1,2-Dimethane sulfonate(EDS)은 Leydig cells(LC)만을 선별적 사멸을 유도하는 약물로서 가역적인 테스토스테론 결핍 흰쥐 모델을 만드는데 널리 사용된다. EDS 투여에 의해 유도된 'LC 녹아웃' 흰쥐의 경우 부정소와 저정낭과 같은 테스토스테론 의존성 부속 생식기관들의 급격한 무게 감소가 초래됨이 이전의 연구들에서 보고되었는데, 이러한 무게 감소의 상당 부분은 세포자연사에 의한 것으로 보인다. 본 연구는 흰쥐 부정소에서 세포자연사 관련 유전자들의 발현에 미치는 EDS 투여 효과를 조사한 것이다. 성숙한 수컷 흰쥐(SD strain, $300{\sim}350\;g\;B.W.$)에 EDS(75 mg/kg, i.p.)를 1회 복강주사하고 주사 후 0, 1, 2, 3, 4, 5, 6 그리고 7주가 경과한 날 희생시켰다. 희생 직후 조직 무게와 부정소 미부의 정자수를 측정하였다. 부정소로부터 total RNA를 추출한 후 세포자연사 관련 유전자들 가운데 bcl-2, bax, Fas 그리고 Fas ligand(Fas-L)의 발현 변화를 semi-quantitative RT-PCR로 측정하였다. 예상한 바처럼, 부정소 무게와 정자 수는 EDS 주사 후 $1{\sim}2$주 동안에 급격히 감소하였다. 이후 어느 정도 회복하였지만, 최종적으로 주사 후 7주경 부정소 무게(71%)와 정자 수(38%) 모두 최초 수준에는 미달하였다. 부정소에서의 bcl-2 전사 수준은 주사 직후부터 6주 후까지 지속되다가 주사 후 7주에 유의하게 상승하였다. 또한 bax 전사 수준은 주사 후 6주에 유의하게 감소하였으며 나머지 전 기간 동안에는 별다른 차이가 없었다. 한편 Fas 전사 수준은 EDS 주사 후 $1{\sim}2$ 주간 상승하였다가 주사 후 3주부터 정상 수준으로 감소하여 7주까지 지속되었다. 유사하게, Fas-L의 전사 수준도 주사 후 $1{\sim}3$주 동안 상승하였다가 주사 후 4주부터 정상 수준으로 복귀하였다. 본 연구의 결과는 EDS 주사가 흰쥐 부정소에서의 세포자연사 관련 유전자 발현을 유도할 가능성을 보여준 것이며, 특히 Fas와 Fas-L 유전자 활성이 초기 세포자연사 유도 과정에 중요하고, 그 결과로 부정소 무게 감소와 정자 수 감소가 초래되는 것으로 추정된다.

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사춘기 전 수컷 흰쥐의 저정낭과 전립선의 성숙에 미치는 Di(2-ethylhexyl) phthalate(DEHP)의 영향 (Effect of Prepubertal Exposure to Di(2-ethylhexyl)phthalate on the Maturation of Rat Seminal Vesicles and Prostate Glands)

  • 허현진;이원용;윤용달;최돈찬;이성호
    • 한국발생생물학회지:발생과생식
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    • 제12권3호
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    • pp.251-259
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    • 2008
  • 플라스틱 가소제인 di(2-ethylhexyl)phthalate (DEHP)는 매우 잘 알려진 내분비계 장애물질(endocrine disrupting chemicals; EDCs) 중 하나로, 수컷 설취류와 인간의 생식과 발생 과정에 있어 강력한 항안드로겐성 작용을 하는 것으로 알려져 있다. 본 연구는 사춘기 이전에 수컷 흰쥐를 DEHP에 노출시킴으로써 부속 성기관의 성숙 과정 동안 나타나는 변화를 조사한 것이다. 결과로, DEHP 투여에 의한 체중, 혈중 T 수준, 저정낭과 전립선을 제외한 조직의 무게는 대조군과 비교하여 유의적인 변화가 없었다. 저정낭의 경우, 고농도(200 mg/kg)의 DEHP를 처리한 투여군의 무게가 대조군에 비해 유의하게 감소하였으며(p<0.05), 전립선의 경우, 저농도(20 mg/kg)와 고농도의 DEHP를 처리한 모든 투여군에서 대조군에 비해 유의한 무게의 감소를 나타내었다(p<0.05). 조직학적 연구 결과, DEHP 투여군의 저정낭은 대조군에 비해 점막층의 면적이 감소하였다. 또한, 전립선의 경우 대조군에서는 분비상피세포들이 입방형인데 비해 DEHP 투여군에서는 위중층상피세포 형태가 관찰되었다. 정량적 RT-PCR 연구에서, 저정낭에서의 ER-$\alpha$ 발현은 고농도 DEHP 투여에 의해 유의한 발현증가가 나타났으며(p<0.05), ER-$\beta$의 경우 저농도 DEHP 투여에 의해 유의한 발현 감소가 나타났다(p<0.05). 전립선에서의 ER-$\beta$ 수준은 저농도 DEHP 투여에 의해 유의하게 감소하나(p<0.05), 고농도 DEHP 투여에 의해서는 유의한 발현증가가 나타났다(p<0.01). 그러나 AR 발현의 경우, 저정낭과 전립선 모두에서 DEHP에 의해 유의한 차이가 나타나지않았다. 결론적으로, 본 연구는 (i) DEHP의 유해한 작용이 사춘기 이전 시기의 성적인 성숙을 교란할 수 있으며, (ii) 저정낭과 전립선이 사춘기 이전 시기 DEHP 노출에 대한 민감한 표적이 될 수 있고, (iii) DEHP의 유해한 작용이 ER과 연관된 기작을 통해 매개될 수 있음을 시사한다.

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양호겸직교사의 배치근거 및 분포양상 (A study on the distribution basis and aspect of teachers holding additional school health)

  • 이정임
    • 한국학교보건학회지
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    • 제2권1호
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    • pp.58-90
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    • 1989
  • This study was attempted to contribute to the development of school health by providing the basic data about the distribution basis and distribution aspect of teachers holding additional school health that are in charge of school health business in parimary schools, middle schools and high schools without any nurse-teacher. This study analyzed literatures about the history, related laws, organization and professional manpower of school health. The emphasis was set on the distribution basis of theachers holding additional school health. The results of this study are as following: 1. The school health of the world dates to the late 18th century in Europe where was free supplying with food for poor children. The school health of Korea orginated from smallpox vaccination which was executed with appearance of modern schools in the late 19th century. 2. The related laws of school health began as a part of Education Law with was constituted in 1949. By the School Health Law constituted in 1967 and the enforcement ordinance of School Health made firm the legal basis of school health. 3. The administrative organs of school health are the Ministry of Education in center and each Board of Education in cities and provinces. For the first time in 1979, the department of school health was established in the organization of the Ministry of Education. And at about the same time of establishment of the department of school health, health section was established in the department of social physical-training in locality. 4. In the manpower of school health which was presented in the related statute of school health, there are the ward chief of education, the superintendent of educational affair, of cities and districts, the mayors, the governors of provinces, the school managers, the principals, the school doctors, the school pharmacists, and the nurse-teachers, including teachers holding additional school health as the practical manpower of school health. 5. In order to get some information on distribution aspect of teachers additional school health, this study made up a questionnaire from August 3 to August 11, 1988. The subjects of this study were 212 leachers who took part in the yearly training for teachers holding additional school health from Kyunggi province, Chungbuk province and Jeonbuk province. The results of the questionnaire are as following: 1. The distribution percentages of teachers holding additional school health according to each Board of Education wich schools are subject to, are as following:70.1% (Kyunggi), 76.5% (Chungbuk), and 81.4% (Jeonbuk). There was a significant difference. The distribution percentages of teachers holding additional school health according to the school levels of 3 provinces are as following: 74.1% (Primary schools), 77.8% (Middle schools), 76.7% (High schools). There were little significant differences. 2. The distribution according to the general characteristics of the subject schools: There were 64.2 percent of primary schools and 35.8 percent of middle schools among 212 schools. 91. 5 percent of schools were located in districts. Public schools formed 55.7% and then national schools were higher in percentage than private schools. 58.5 percent of schools had 1-9 classes, 64.6 percent of schools had 101-500 students, and 90 percents of schools had 1-20 teachers. In considering student sex, the coed school showed the high distribution percentage (Primary schools : 100%, Middle schools: 81.6%). 3. The distribution according to the characteristics of teachers holding additional school health: 93.3 percent of teachers were female, and more than 60 percent of teachers were 20-29 years old. As the age got higher, the percentage became lower. There were little significant differences by marital status. In considering their educational status, 86.8 percent of teachers in primary schools were from teacher's colleges, and 64.5 percent of teachers in middle schools were from education colleges. In considering teaching career, 46.7 percent of teachers had teaching career of less than 2 years. 73.6 percent of teachers had held additional school health for less than one year. More than 80 percent of teachers had participated in the training one time or twice. More than 70 percent of teachers had 1-2 additional jobs except for the school health business. The motivation to hold additional school health is most caused by mandatory order, which accounts for more than 80.0 percent. In considering interesting degree concerning school health, lukewarm answer is the highest of 62.7 percent, followed by affirmative answer of 23.6 percent. In considering their contentment degree respecting additional school health job, "discontent or very discontent"is the highest of 47.6 percent. As a descontent reason of additional school health job, overwork is the highest factor of 37.9 percent. Among addiitional school health job, the most difficult affair is nursing service to be 34.0 percent, followed by health education of 31.6 percent. It testify the need of professional. The source of knowledge about school health has been acquired from masscommunication or private health experience, which account for as much as 56.1 percent. It shows seriousness of lack of professionalism. With regard to neccessity of school health experts, 95.8 percent represents absolute need. With above consideration of study results, I propose as follows : 1. I propose that the authorities concerned unify and improve statute respecting current school health which has not been steadfastly supporting school health business by ambiguity of expression and dualization. 2. I propose that the authorities concerned give the school manager, school staffs and parents of students educational chance with which they can acknowledge the importance of school health and in which they can participate as well as set up alternative policy plan to be albe to vitalize school health committee. 3. I propose that administrative organization practicable to taking totally charge of school health business is established within the Ministry of Education. 4. I propose that the authorities concerned back up and cooperate in an attempt by make school health better and desirable toward development by way of appointing qualitied health teachers on the basis of legally regular teacher staffs.

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