• 제목/요약/키워드: attack

검색결과 6,395건 처리시간 0.039초

${\cdot}$右側 口眼와斜 患者에 對한 臨床的 考察 (Clinical Observation on The Left and Right Facial Palsy)

  • 임진기;임규상;황충연
    • 한방안이비인후피부과학회지
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    • 제10권1호
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    • pp.383-402
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    • 1997
  • The author analyzed 155 cases of Facial Palsy, excluding lesions caused by cerebrovascular attacks, who were treated in the Kwang-ju Oriental Medical Hospital of Wonkwang University from March 1996 to September 1996. I've examined the 155 cases in the view of the etiologic distributions, the age, the relationship of the sex and paralytic side, attended symptoms and analyzed 95 cases who were treated over ten times in the view of the ratio of recovery according to the age, anatomic focus, the relations of sex and paralytic side. The following results are obtained. 1. The ratio of punghan(風寒) was $20.64\%$(32 cases), overwork was $18.70\%$(29 cases), stress was $6.44\%$(10 cases), excessive drinking was $3.23\%$(5 cases), teeth pain was $1.93\%$(3 cases), and idiopathy was $38.05\%$(59) and etc. 2. The ratio of stylomastoid pain was $15.48\%$(24 cases), auricular pain was $10.32\%$(16 cases), headache was $4.51\%$(7 cases), eyedried was $4.51\%$(7 cases), taste paralysis was $2.57\%$(4 cases), tinnitus was $2.57\%$(4 cases) and non-significant symptoms was $50.97\%$(79) and etc. 3. The ratio of 2th and 5th decade were $20.00\%$(31 cases), 4th decade was $18.71\%$(29 cases), 3th decade was $16.71\%$(26 cases), 6th decade was $11.61\%$(18 cases), teenagers in $5.81\%$(9 cases), over seventy and under teenagers were $3.23\%$(5 cases), and infant was $0.65\%$(1 case). 4. The ratio of the male-right was $28.39\%$(44 cases), female-right was $25.82\%$(40 cases), male-left was $23.23\%$(36 cases), female-left was $20.65\%$(32 cases) and male-both side was $1.94\%$(3 cases) in order. 5. Topographically, The ratio of the infrachordal lesion was $72.90\%$(113 cases), transgeniculate lesion was $16.13\%$(25 cases), suprageniculate lesion was $5.81\%$(9 cases), infrastapedial lesion was $3.87\%$(6 cases) and suprastapedial lesion was $1.29\%$(2 cases) in order. 6. When we examined the degree of recovery about the 95 patients who were treated over ten times after on attack, normal improvement was seen in $46.32\%$(44 cases), excellent in $7.37\%$(7 cases), good in $12.63\%$(12 cases), fair in $13.68\%$(13 cases), poor in $20.00\%$(19 cases). The total remedial value of the 95 patients who were treated over ten times was revealed $61.58\%$. 7. When we examined the 95 patients who were treated over ten times, the remedial value of the infant was $50.00\%$, under teenagers $43.75\%$, teenagers $37.50\%$, 2th decade $56.82\%$, 3th decade $64.06\%$, 4th decade $55.00\%$, 5th decade $73.53\%$, 6th decade $77.50\%$, over seventieth $68.75\%$. The remedial value of 3th decade, 5th decade, 6th decade, 7th decade and over seventieth were higher than the total remedial value($61.58\%$) 8. In the point of topographical lesion, when we examined the 95 patients who were treated over ten times, the remedial value of infrachordal lesion was $66.78\%$, infrastapedial lesion $58.33\%$, suprastapedial lesion $50.00\%$, transgeniculate lesion $48.44\%$, suprageniculate lesion $31.25\%$, in order. Only the remedial value of Infrachordal($66.78\%$) was higher than the total remedial value($61.58\%$). 9. In the point of the relationship of the sex and the paralytic side, when we examined the 95 patients who were treated over ten times, the remedial value of male-left was $57.29\%$, male-right $61.54\%$, male-both side $58.33\$%, female-left $57.81\%$ and female-right $68.27\%$. Only the remedial value of female-right($68.27\%$) was higher than the total remedial value($61.58\%$). These results demonstrated that in the point of prognostic view there was more concerned with the topographical lesion, body condition than the traditional rule of sex-paralytic relationship that man is awed left paralysis and woman right paralysis.

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유럽 선진국의 법제적 테러 개념에 관한 고찰 (A Study on the Legislative Conception of Terror of the Advanced European Nations)

  • 권정훈;김태환
    • 시큐리티연구
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    • 제15호
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    • pp.29-50
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    • 2008
  • 각국에서는 시대적 변천, 지리적 특성, 문화적 가치, 환경적 요소 등 자국의 입장을 고려하여 법적토대를 마련하고 있다. 특히, 테러발생 후 테러리스트들의 수사 및 처벌 역시 중요한 요소이기에 선진화된 유럽 에서는 법제화된 테러리즘의 규정에 따른 목적과 행위 그리고 이에 수반되는 죄를 규정하고 있다. 따라서 본 연구는 프랑스, 독일, 영국 등 유럽의 테러리즘에 대한 법제적 대응사례를 분석하고 이를 통해 향후 테러방지법안의 제정에 일익이 되고자 하는데 그 목적이 있다. 본 연구에서 도출된 내용을 통해 향후 테러를 직접적으로 규율하는 법제적 기본방향을 제시하면 다음과 같다. 첫째, 테러리스트에 대한 직접적인 수사 및 처벌을 위한 법률마련이 선행되어져야 한다. 대통령훈령 47호인 국가대테러활동지침은 행정적 조치 사항만을 규정한 것일 뿐 테러에 효과적으로 대처할 수 없기 때문에 조속한 시일 내에 테러리스트의 수사 및 처벌의 내용이 수반된 테러방지법의 제정을 마련해야 할 것이다. 둘째, 테러의 목적이다. 우리나라가 명시하고 있는 '각종'이라는 표현은 불명확하기 때문에 죄의 성립요건에 충족될 수 없다. 테러리스트들을 수사 및 처벌하기 위해서는 죄의 성립요건이 필요하다. 따라서 구성요건에 합치하기 위해서는 실질적인 목적을 가지고 발생되고 있는 '정치적 사상적 사회적 종교적'으로 자행되는 행위 등의 목적이라는 구체적이고 명확한 요소를 테러방지법안에 규정해야 바람직하다고 볼 것이다. 셋째, 테러행위와 관련하여 과학화, 정보화 시대환경의 흐름에 부합되는 전자 및 정보시스템 파괴, 핵물질 관련 범죄, 테러리스트들의 무기구입, 판매 금지를 위한 자금세정, 방화 등을 테러방지법안의 규정에 포함시켜야 할 것이다. 넷째, 뉴테러리즘의 특징으로 불특정다수를 향한 무차별 공격 가운데 하나가 환경테러이기 때문에 다수인에게 제공되는 음식이나 원료, 음용수, 공기 등에 독물 또는 건강을 해할 물질을 혼입하는 처벌규정을 별도로 지정하여 테러방지법안의 규정에 마련함이 타당하다고 볼 수 있겠다.

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중증근무력증(重症筋無力症)에 대(對) 임상적(臨床的) 연구(硏究) (The clinical study of Myasthenia Gravis)

  • 채병윤
    • 대한한의학회지
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    • 제17권1호
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    • pp.190-211
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    • 1996
  • Generally the Myasthenia Gravis is classified into two of hereditary factor and acquement. Aquired Myasthenia Gravis was Quite well known to be caused by the autoimmune mechanism. Not in accurateness, on the hereditary, acetylcholine receptor antibody was to be analyzed very high in their parents and brothers. Also Myasthenia Gravis is a chronic disease characterized by voluntary muscle weakness and fatigue. above all, ocular Myasthenia Gravis is characterized clinically by blepharoptosis and external ophthalmoplegia and to be showed abut 90% cases and so oriental medicine can not but deal with myasthenia gravis at blepharoptosis. Accordinglv 20 out patients with Myasthenia Gravis were clinical study and observation as to the sex, age, progress state of MG, blood type, history, main symptom, liking for warm and cool food and tepidity, state of pulse, treatment of acupuncture and administration of oriental medicine etc. The results were as follows. 1. There was investigaed on the frequency of attack for sex, age, oculus dexter, oculus sinister, oculus uterque. Among the 20 patients, the number of female were 60% with 12 cases and male were 40% with 8 cases, therefore it was the rate of 6 : 4. the patients under 10 ages and 40 ages were 20% with 4 cases, 10 ages and 50 ages were 15% with 3 cases, 20, 30, 60 ages were 10% with 2 cases. And then oculus uterque was 90% with 18 cases, oculus sinister was 10% with 2 cases and oculus dexter were none of them. 2. Stage I were 50% with 10 patients, stage $II_A$ were 30% with 6 patients and stage $II_B$ were 20% with 4 patients, on the clinical stage and too class I were 20% with 4, class II were 45% with 9, class III were 35% with 7, in the functional activity the patients with chest heavy were 15% with 3 and hyperthyroidism were 10% with 2. 3. Hospital which patients had used to before came to this hospital were 10 university hospital and 6 local clinic. 4. The duration of disease was from 3 months to 30 years, the patients suffering between 3 months and within 1 year were 25% with 5 cases, 1-2 years were 30% with 6 cases, therefore within 2 years were 55%. 4-5 years were 15%, over 7 years were appeared less than 10%. 5. In the main symptom, all of patients were appeared to be heavy in opening their eyes the patients with blephroptosis were 70% with 14 cases on the oculus uterque, oculus sinisterf and oculus dexter, there were 20% with 4 eases each other in the oculogyation incomplete. visual failing, ophthalmoxerosis, strabismus etc and indigetion, frequency of urine(feel hurt), mild stools(or diarrea), oversensitiveness etc. but in addition, all of the other were 10%. 6. In the distribution of blood type, 0 types were 45% with 9 cases, A types were 25% with 5 cases, B and AB types were 15% each other. 7. For the rates of patients of liking for warm and cool food or tepidity, patients of liking for warm food possess 45% with 9 cases, and cool food possess 35% with 7 and tepidity possess 20% with 4, and then most of patients liking for warm food were females and cool food were much more males than females. 8. Hyunsae(弦細) were 40% with 8 cases, Buhurl(浮滑) were 20% with 4 cases, Hyunsak(弦數) were 15% with 3 cases, and in addition, the others were 10%, among 7 types of pulses. 9. The patients with less than 1 week were 40% with 8 cases, and there were female most of them and over 4 weeks were 20% and 1-2weeks were 15%, in the duration acupuncture treatment. 10. 15 kinds of prescriptions were administrated with oriental medicine from 1 week to 20weeks 1_2 weeks were 25.71% with 9 cases, 3 weeks were 17.14% with 6 cases and 6 weeks were 11.42% with 4 cases and also Gamibaetaugunbitang(加味培土健脾湯) were 28.57% with 10 cases, Gamijeounyongtang(加味正容湯) were 14.28% with 5 cases, Gamibojoongyigitung (加味補中益氣湯), Gamiyinsamyangyoungtung (加味人蔘養榮湯) were 8.57% with 3 cases each other and also Gamisamgitung (加味蔘?湯), Gamisamuloajatung(加味四物五子湯) Gamigoudungum (加味鉤藤飮), etc were applied.

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에폭시 수지 모르터의 특성에 관한 실험적 연구 (Experimental Studies on the Properties of Epoxy Resin Mortars)

  • 연규석;강신업
    • 한국농공학회지
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    • 제26권1호
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    • pp.52-72
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    • 1984
  • This study was performed to obtain the basic data which can be applied to the use of epoxy resin mortars. The data was based on the properties of epoxy resin mortars depending upon various mixing ratios to compare those of cement mortar. The resin which was used at this experiment was Epi-Bis type epoxy resin which is extensively being used as concrete structures. In the case of epoxy resin mortar, mixing ratios of resin to fine aggregate were 1: 2, 1: 4, 1: 6, 1: 8, 1:10, 1 :12 and 1:14, but the ratio of cement to fine aggregate in cement mortar was 1 : 2.5. The results obtained are summarized as follows; 1.When the mixing ratio was 1: 6, the highest density was 2.01 g/cm$^3$, being lower than 2.13 g/cm$^3$ of that of cement mortar. 2.According to the water absorption and water permeability test, the watertightness was shown very high at the mixing ratios of 1: 2, 1: 4 and 1: 6. But then the mixing ratio was less than 1 : 6, the watertightness considerably decreased. By this result, it was regarded that optimum mixing ratio of epoxy resin mortar for watertight structures should be richer mixing ratio than 1: 6. 3.The hardening shrinkage was large as the mixing ratio became leaner, but the values were remarkably small as compared with cement mortar. And the influence of dryness and moisture was exerted little at richer mixing ratio than 1: 6, but its effect was obvious at the lean mixing ratio, 1: 8, 1:10,1:12 and 1:14. It was confirmed that the optimum mixing ratio for concrete structures which would be influenced by the repeated dryness and moisture should be rich mixing ratio higher than 1: 6. 4.The compressive, bending and splitting tensile strenghs were observed very high, even the value at the mixing ratio of 1:14 was higher than that of cement mortar. It showed that epoxy resin mortar especially was to have high strength in bending and splitting tensile strength. Also, the initial strength within 24 hours gave rise to high value. Thus it was clear that epoxy resin was rapid hardening material. The multiple regression equations of strength were computed depending on a function of mixing ratios and curing times. 5.The elastic moduli derived from the compressive stress-strain curve were slightly smaller than the value of cement mortar, and the toughness of epoxy resin mortar was larger than that of cement mortar. 6.The impact resistance was strong compared with cement mortar at all mixing ratios. Especially, bending impact strength by the square pillar specimens was higher than the impact resistance of flat specimens or cylinderic specimens. 7.The Brinell hardness was relatively larger than that of cement mortar, but it gradually decreased with the decline of mixing ratio, and Brinell hardness at mixing ratio of 1 :14 was much the same as cement mortar. 8.The abrasion rate of epoxy resin mortar at all mixing ratio, when Losangeles abation testing machine revolved 500 times, was very low. Even mixing ratio of 1 :14 was no more than 31.41%, which was less than critical abrasion rate 40% of coarse aggregate for cement concrete. Consequently, the abrasion rate of epoxy resin mortar was superior to cement mortar, and the relation between abrasion rate and Brinell hardness was highly significant as exponential curve. 9.The highest bond strength of epoxy resin mortar was 12.9 kg/cm$^2$ at the mixing ratio of 1:2. The failure of bonded flat steel specimens occurred on the part of epoxy resin mortar at the mixing ratio of 1: 2 and 1: 4, and that of bonded cement concrete specimens was fond on the part of combained concrete at the mixing ratio of 1 : 2 ,1: 4 and 1: 6. It was confirmed that the optimum mixing ratio for bonding of steel plate, and of cement concrete should be rich mixing ratio above 1 : 4 and 1 : 6 respectively. 10.The variations of color tone by heating began to take place at about 60˚C, and the ultimate change occurred at 120˚C. The compressive, bending and splitting tensile strengths increased with rising temperature up to 80˚ C, but these rapidly decreased when temperature was above 800 C. Accordingly, it was evident that the resistance temperature of epoxy resin mortar was about 80˚C which was generally considered lower than that of the other concrete materials. But it is likely that there is no problem in epoxy resin mortar when used for unnecessary materials of high temperature resistance. The multiple regression equations of strength were computed depending on a function of mixing ratios and heating temperatures. 11.The susceptibility to chemical attack of cement mortar was easily affected by inorganic and organic acid. and that of epoxy resin mortar with mixing ratio of 1: 4 was of great resistance. On the other hand, when mixing ratio was lower than 1 : 8 epoxy resin mortar had very poor resistance, especially being poor resistant to organicacid. Therefore, for the structures requiring chemical resistance optimum mixing of epoxy resin mortar should be rich mixing ratio higher than 1: 4.

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자주복 Fugu rubripes (Temminck et Schlegel)의 종묘 생산에 관한 연구 (BREEDING OF THE PUFFER FUGU RUBRIPES)

  • 변충규;노섬
    • 한국수산과학회지
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    • 제3권1호
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    • pp.52-64
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    • 1970
  • 1969년 5월 21일에 채란하여 부화시킨 후 월동 사육중에 있는 자주복의 치어 사육 과정에 있어서 우선 150일간이 되는 10월 25일까지의 시험 결과를 요약하면 다음과 같다. 1. 자주복의 인공 수정 란은 수온 $15.9\~17.4^{\circ}C$에서 163시간만에 최초의 부화를 볼 수 있었고, 부화율은 $61.56\%$ 였다. 2. 부화 후 $6\~7$ 일경에 후기 자어에 달하나 이 때에 1차 대량 폐사가 일어나서 부화 치어의 $57.26\%\~68.0\%$가 감소되었다. 3. 부화 후 16일경부터는 전장 6.7mm의 것이 4.6mm의 치어를 공격하는 것을 볼 수 있었다. 4. 부화 후 $25\~28$ 일 경에는 식성의 변화가 생기게 되며, 이 때는 다시 제 2차 대 량 폐사가 일어나서 부화 수량의 $90.7\%\~90.9\%$가 감소되었다. 5. 치어기 이후의 공식 현상은 체장에 관계없이 적정 먹이의 부족에서 일어나며 식해당하는 위치는 꼬리지느러미쪽에서 시작된다. 6. 46일간 사육한 유어기(체장 $53\~68$mm)의 먹이 종류별 증육 계수는 바지락 5.5, 지렁이 8.5, 잠어 8.7이었다. 7. 부화 후 $53\~63$일 경부터는 제 3차 폐사가 일어나서 부화 수량의 $95.76\~97.34\%$가 감소하였으나 주원인은 영양실조에 의한 구루병(곱추병)이었다. 8. 성장 결과는 부화 직후의 것은 전장이 2.68mm이나 부화 후 10일째는 전장 3.84mm, 25일째는 전장 7.96mm 40일째는 전장 20.96mm, 체중 130mg, 80일째는 전장 73.65mm, 체중 9.06g, 150일째는 전장 123mm 체중 31.8g로 성장하였다. 9. 이 때의 전사육 기간 중의 수온은 $15.7\~28.4^{\circ}C$(평균 $22.10^{\circ}C$)범위였고 염분 농도는 $25.53\~34.50\%_{\circ}$ (평균 $32.07\%$) 범위였다. 10. 자주복의 유어는 저염분 농도에 대한 저항력이 높아서 $5\%_{\circ}$까지의 급변에도 잘 견디었으나 $3\%_{\circ}$이하부터는 폐사율이 많은 편이었다. 11. 정상 해수에서 담수로 바로 옮긴 것은 9시간 40분 후에 폐사했는데 비하여 저염분 농도($5\%_{\circ}$)에서 54일간 단련시킨 것은 60시간 40분이나 더 생존할 수 있었다.

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단풍나무류 8종의 초식에 대한 방어전략 탐색 (A Study of the Defense Mechanism against Herbivores of 8 Species of the Genus Acer)

  • 김갑태;류동표;김회진
    • 한국환경생태학회지
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    • 제23권5호
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    • pp.411-417
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    • 2009
  • 목본식물의 초식에 대한 방어 전략을 알아보고자 8종의 단풍나무속 수종의 잎에 대하여 형태적 특성, domatia 구조와 수, 초식곤충과 응애 서식 여부 등을 관찰 조사하였다. 조사대상 수목들은 강원도 치악산, 청태산, 방태산, 태백산과 윈주시에 생육 중인 8수종에서 엽시료를 채취하여 2009년 4월부터 7월까지 관찰, 조사하였다. 얻어진 결과는 다음과 같다. 당단풍, 고로쇠 및 복장나무의 domatia는 tuft type, 단풍나무, 신나무, 복자기와 시닥나무는 pocket+tuft type, 산겨릅나무는 pocket type 임이 밝혀졌다. 엽당 domatia 평균 갯수는 산겨릅나무에서 20.2개/엽으로 가장 많았고, 신나무에서 4.2개/엽으로 가장 적었다. 엽표면의 털은 단풍나무, 당단풍, 신나무 및 복장나무는 응모(villous), 고로쇠나무와 복자기는 연모(pilose), 시닥나무는 강모(strigose)였다. 일반적으로 털의 밀도는 잎 뒷면이 앞면보다 높았다. 단풍나무, 당단풍, 산겨릅나무 및 시닥나무에서만 엽맥의 말단부에 소량의 단물이 분비됨을 확인하였다. 엽당 응애의 개체수는 수종간 고도의 통계적 유의성이 인정되었으며, 엽당 응애 개체수 평균은 시닥나무가 9.2마리로 가장 많았으며, 다음으로 복장나무, 당단풍, 복자기가 순이었다. 단풍나무류 잎을 가해하는 미소절지동물류는 진사진딧물, 단풍알락진딧물, 나무이, 혹응애, 매미충 등이었으며, 총개체수는 혹응애, 진사진딧물, 나무이, 단풍알락진딧물, 매미충 순이었다. 이들의 천적으로는 육식성 응애, 말벌, 그 약충, 광대노린재 약충, 등이 확인되었으며, 고동털개미와 곰개미는 진딧물과 상리공생을 하여 단풍나무류의 초식피해를 가중시킴을 확인하였다. 육식성 응애가 진사진딧물을 공격하여 체액을 빨아먹는 것을 확인하였으면, 이는 domatia가 중재하는 응애와 식물의 상리공생의 증거라 판단된다. 이러한 결과는 온대 활엽수종에서 이러한 응애와의 상리공생이 보편화되어 있음을 암시하는 것이라 사료된다.

PC12 세포에서 $CoCl_2$ 유발 세포자멸사에 대한 epigallocatechin-gallate의 역할 (Effects of epigallocatechin gallate on $CoCl_2-induced$ apoptosis in PC12 cells)

  • 모현철;최남기;김선미;김원재;양규호
    • 대한소아치과학회지
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    • 제33권1호
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    • pp.13-24
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    • 2006
  • 신경세포자멸사는 저산소 및 허혈환경에서 일어나며 이러한 세포죽음은 reactive oxident species (ROS) 생성을 동반함이 알려져있다. 그러나, 저산소 및 허혈환경에서 일어나는 세포자멸사의 기전 및 그 치료방법은 아직 정립되어 있지 않다. $CoCl_2$는 ROS를 생성하는 등 저산소환경과 유사한 조건을 초래하는 것으로 알려져 있다. Epigallocatechin gallate (EGCG)는 녹차의 polyphenol성분으로서 세포성장과 죽음에 다양한 약리학적 효과를 나타냄이 알려져 있다. 본 연구는 PC12세포에서 $CoCl_2$에 의한 세포자멸사기전을 밝히고 이에 미치는 EGCG의 효과를 조사하는데 목적이 있다. Cell viability는 MTT 측정으로 조사되었고, DNA fragmentation은 DNA laddering으로 조사되었다 Bcl-2와 Bax발현 정도는 RT-PCR로, caspase-3와 -9의 활성은 spectrophotometer, caspase-8의 활성은 flow cytometry에 의해 측정되었다. 미토콘드리아에서 세포질로 분비된 cytochrome c는 western blot으로, -분해된 DNA양과 미토콘드리아 세포막전위 $({\Delta}{\psi}_m)$는 FACScan으로 조사되었다. $CoCl_2$ 투여로 PC12 세포수는 용량 및 시간 의존형태로 감소하였고, genomic DNA fragmentation이 발생하였다. $CoCl_2$ 투여로 야기된 cell viability의 감소와 DNA fragmentation은 EGCG 전처치에 의해 억제되었다. $CoCl_2$는 세포용적팽창과 condensed nuclei 같은 형태적 변화를 일으켰으며, apoptotic peak, ${\Delta}{\psi}_m$ 감소 및 cytochrome c 유리를 야기하였다. EGCG는 $CoCl_2$에 의한 세포형태변화, apoptotic peak, ${\Delta}{\psi}_m$ 소실 및 cytochrome c유리를 억제시켰다. $CoCl_2$는 Bcl-2 발현을 감소시켰지만, Bax 발현에는 영향을 미치지 않았다. EGCG는 $CoCl_2$에 의해 야기된 Bcl-2 발현 감소를 억제시켰다. $CoCl_2$는 caspase-3, -8, 그리고 -9의 활성을 증가시켰으며, EGCG는 그 정도를 감약시켰다. ROS 제거제인 NAC (N-acetyl-cysteine)은 EGCG의 결과와 같은 양상으로 $CoCl_2$에 의 한 세포자멸사를 억제시켰다. 본 실험결과는 PC12 세포에서 $CoCl_2$가 미토콘드리아 의존 및 death receptor 의존 기전으로 세포자멸사를 일으키며, EGCG는 세포자멸사기 전을 억제시킴으로 신경보호기능을 가짐을 시사하였다.

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국제항공(國際航空)테러리즘으로 인한 여객손해(旅客損害)에 대한 운송인(運送人)의 책임(責任) ("Liability of Air Carriers for Injuries Resulting from International Aviation Terrorism")

  • 최완식
    • 항공우주정책ㆍ법학회지
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    • 제1권
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    • pp.47-85
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    • 1989
  • The Fundamental purpose of the Warsaw Convention was to establish uniform rules applicable to international air transportation. The emphasis on the benefits of uniformity was considered important in the beginning and continues to be important to the present. If the desire for uniformity is indeed the mortar which holds the Warsaw system together then it should be possible to agree on a worldwide liability limit. This liability limit would not be so unreasonable, that it would be impossible for nations to adhere to it. It would preclude any national supplemental compensation plan or Montreal Agreement type of requirement in any jurisdiction. The differentiation of liability limits by national requirement seems to be what is occurring. There is a plethora of mandated limits and Montreal Agreement type 'voluntary' limits. It is becoming difficult to find more than a few major States where an unmodified Warsaw Convention or Hague Protocol limitation is still in effect. If this is the real world in the 1980's, then let the treaty so reflect it. Upon reviewing the Warsaw Convention, its history and the several attempts to amend it, strengths become apparent. Hijackings of international flights have given rise to a number of lawsuits by passengers to recover damages for injuries suffered. This comment is concerned with the liability of an airline for injuries to its passengers resulting from aviation terrorism. In addition, analysis is focused on current airline security measures, particularly the pre-boarding screening system, and the duty of air carriers to prevent weapons from penetrating that system. An airline has a duty to exercise a high degree of care to protect its passengers from the threat of aviation terrorism. This duty would seemingly require the airline to exercise a high degree of care to prevent any passenger from smuggling a weapon or explosive device aboard its aircraft. In the case an unarmed hijacker who boards having no instrument in his possession with which to promote the hoax, a plaintiff-passenger would be hard-pressed to show that the airline was negligent in screening the hijacker prior to boarding. In light of the airline's duty to exercise a high degree of care to provide for the safety of all the passengers on board, an acquiescene to a hijacker's demands on the part of the air carrier could constitute a breach of duty only when it is clearly shown that the carrier's employees knew or plainly should have known that the hijacker was unarmed. A finding of willful misconduct on the part of an air carrier, which is a prerequisite to imposing unlimited liability, remains a question to be determined by a jury using the definition or standard of willful misconduct prevailing in the jurisdiction of the forum court. Through the willful misconduct provision of the Warsaw Convention, air carrier face the possibility of unlimited liability for failure to implement proper preventive precautions against terrorist. Courts, therefore, should broadly construe the willful misconduct provision of the Warsaw Convention in order to find unlimited liability for passenger injuries whenever air carrier security precautions are lacking. In this way, the courts can help ensure air carrier safety and prevention against terrorist attack. Air carriers, therefore, would have an incentive to increase, impose and maintain security precautions designed to thwart such potential terrorist attacks as in the case of Korean Air Lines Flight No.858 incident having a tremendous impact on the civil aviation community. The crash of a commercial airliner, with the attending tragic loss of life and massive destruction of property, always gives rise to shock and indignation. The general opinion is that the legal system could be sufficient, provided that the political will is there to use and apply it effectively. All agreed that the main responsibility for security has to be borne by the governments. I would like to remind all passengers that every discovery of the human spirit may be used for opposite ends; thus, aircraft can be used for air travel but also as targets of terrorism. A state that supports aviation terrorism is responsible for violation of International Aviation Law. Generally speaking, terrorism is a violation of international law. It violates the soverign rights of the states, and the human rights of the individuals. I think that aviation terrorism as becoming an ever more serious issue, has to be solved by internationally agreed and closely co-ordinated measures. We have to contribute more to the creation of a general consensus amongst all states about the need to combat the threat of aviation terrorism.

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주요우울장애가 동반된 공황장애 환자의 임상 특징과 심박변이도 (Clinical Characteristics and Heart Rate Variability in Patients with Comorbid Panic Disorder and Major Depressive Disorder)

  • 최영희;김원;김민숙;윤혜영;최승미;우종민
    • 수면정신생리
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    • 제12권1호
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    • pp.50-57
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    • 2005
  • 목 적:본 연구에서는 주요우울장애를 동반한 공황장애 환자들과 동반하지 않은 공황장애 환자들을 대상으로, 환자들이 경험하는 공황장애의 임상 양상 및 증상의 심각도의 차이를 확인하고, 주관적인 증상 평가 이외에 불안을 나타내는 생리적 지표인 자율신경계 기능의 차이도 함께 알아보고자 하였다. 방 법:DSM-IV 진단 기준으로 공황장애 환자들에서 주요우울장애가 공존하는 것으로 진단된 19명과 주요우울장애가 공존하지 않는 것으로 진단된 60명을 대상으로 첫 외래 방문시 공황 증상으로 인한 고통 정도와 회피 정도를 측정하는 기본 기록지와 기타 자기 보고식 설문지를 실시하였으며, 자율 신경계 기능을 평가하기 위해서 객관적, 생리적 지표로 Heart Rate Variability(HRV)를 측정하고 환자들이 경험하는 공황장애의 심각성을 평가하기 위해 임상가들에 의해 Clinical Global Impression(CGI)과 Panic Disorder Severity Scale(PDSS)을 시행하여 객관적으로 평정하였다. 자료 분석을 위해 환자들이 보고한 각 임상 척도 점수 및 임상가 평정 점수를 주요우울장애가 공존하는 공황장애 환자군과 그렇지 않은 공황장애 환자군에 따라 t-test를 통해 비교하고, 두 집단간 HRV 양상을 비교하기 위해서 연령을 공변인으로 설정하고 ANCOVA를 실시하였다. 결 과:주요우울장애가 동반된 공황장애 환자들은 공황장애로만 진단된 환자들에 비해 주관적으로 호소하는 우울이나 불안 수준이 더 높았으며, 불안 민감도나 신체 증상에 대한 예민성도 더 많이 호소하는 경향이 있었다. 또한 부정적인 일상생활에서 자신을 비하하고 낙담하게 하는 부정적인 자동적 사고 경향이 더 높았으며, 자기 자신을 고양하고 미래를 희망적으로 지각하는 긍정적인 자동적 사고 경향은 더 낮은 것으로 나타났다. CGI와 PDSS와 같은 객관적 평정 척도에서도 우울증이 동반된 공황장애 환자들의 증상 심각도가 더 높은 것으로 나타났다. 반면, 주요우울장애를 동반한 환자들의 심박 변이도가 보다 낮은 경향이 있었지만 두 군사이에 통계적으로 유의한 차이는 없었다. 결 론:본 연구 결과로 주요우울장애를 동반한 공황장애 환자들이 공황장애만을 지닌 환자들에 비해 임상 양상이 심하고 더 많은 고통을 겪는다는 것을 알수 있었다. 그러나 HRV 지표에서는 두 집단간 유의한 차이가 관찰되지 않았다. 향후 더 많은 대상자를 포함한 연구가 시행된다면 주요우울장애의 동반 여부에 따른 자율신경계 기능의 차이에 대해 더 많은 이해가 가능하리라고 기대된다.

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급성 천식환자에서 Vascular Endothelial Growth Factor와 Matrix Metalloproteinase-9 (Vascular Endothelial Growth Factor and Matrix Metalloproteinase-9 in Acute Asthma)

  • 박강서;진흥용;최유진;이흥범;이양근;이용철
    • Tuberculosis and Respiratory Diseases
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    • 제51권6호
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    • pp.530-539
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    • 2001
  • 연구배경 : 기관지 천식은 기도의 재구성과 관련된 기도의 염증성 질환이다. Vascular endothelial growth factor(VEGF) 는 혈관생성과 염증반응에 관여하는 강력하고 다양한 기능의 사이토카인이며 Matrix metalloproteinase-9(MMP-9)은 기관지 천식에서 기도의 재구성을 일으키는 주요 단백분해 효소이다. 그러나, 아직 급성 기관지 천식에서 VEGF의 역할 및 VEGF와 MMP-9의 관련성등에 관한 보고는 거의 없다. 저자들은 급성 기관지 천식에서 VEGF가 기관지 염증반응에 관여하는지를 조사하였고 또한 객담내 VEGF 발현 정도와 MMP-9의 관련성도 같이 알아보고자 하였다. 방 법 : 저자들은 안정상태 및 급성천식상태 환자에서 객담내 VEGF와 MMP-9의 양을 효소 면역측정과 zymography 분석으로 측정하였고 또한 기관지 천식의 자발 발작시에도 측정하였다. 결 과 : 기관지 천식 환자군에서 안정상태의 천식환자군이나 건강 대조군보다 객담내 VEGF 양이 유의있게 높음을 알 수 있었고 또한 천식 발작시에는 안정시보다 더 유의있게 높았으며 천식치료후 점차 감소하였다. 급성 천식 환자들에서 객담내 VEGF농도는 호중구및 호산구들 수와 의의있게 관련이 있었고 또한 객담내 VEGF와 MMP-9의 농도사이에 유의있는 상관관계가 있음을 알 수 있었다. 결 론 : 급성 기관지 천식 환자에서 VEGF의 과도발현은 기도 염증반응과 관련이 있으며 또한 MMP-9과도 밀접한 연관성이 관련성이 있는 것으로 사료된다.

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