• Title/Summary/Keyword: 기저막

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The Expression of MMPs and TIMPs in IPF and NSIP (IPF와 NSIP에서 MMPs와 TIMPs의 발현)

  • Kim, Yu Jin;Kim, Jung Ho;Jeon, Hyo Keun;Kim, Mi Kyeong;Jo, Young Chan;Kyung, Sun Yong;An, Chang Hyeok;Lee, Sang Pyo;Park, Jung Woong;Ha, Seung Yeon;Jeong, Sung Hwan
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.5
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    • pp.447-455
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    • 2006
  • Background: MMPs and TIMPs are important factors for abnormal remodeling the pulmonary parenchyme in idiopathic interstitial pneumonia(IIP) This study evaluated the expression of MMPs and TIMPs in the tissue of IPF, NSIP and normal control subjects. Method: The MMP-2 and -9 activity in the lung tissue was studied by gelatin zymography, and the expression of MMP-1, -2, -9, TIMP-1 and -2 in the lung tissue was measured by immunohistochemistry. Thirty five patients, who were diagnosed with IIP (UIP ; 22, NSIP ; 13), were enrolled in the immunohistochemical study. Thirteen patients with IIP (UIP ; 9, NSIP ; 4) and five patients with lung cancer were enrolled in the zymographic assay. Results: (1) The immunohistochemistry for MMP-1,-2,-9, TIMP-1 and-2 ; MMP-1,-9 and TIMP-2 were stained stronger in the UIP subjects than NSIP and the normal control. TIMP-2 was strongly stained in the UIP tissue. particularly the fibroblasts in the fibroblastic foci. (2) Zymography for MMP-2 and MMP-9 revealed MMP-2 to have prominent expression in the UIP tissue than in the NSIP tissue. Conclusions: These results suggest that the overexpression of the TIMPs and gelatinases in UIP might be important factors in the irreversible fibrosis of the lung parenchyme.

The Risk Factors for Infectious Complications after Elective Gastrectomy for Gastric Cancer (위암의 정규 위절제술 후 감염성 합병증의 위험인자)

  • Kim, Seon-Kwang;Kim, Chan-Young;Yang, Doo-Hyun
    • Journal of Gastric Cancer
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    • v.8 no.4
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    • pp.237-243
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    • 2008
  • Purpose: Postoperative Infectious complications are recognized as major complications that are associated with surgery. Although many studies have focused on the risk factors of postoperative complications, little is known about the risk factors of infectious complications after gastric cancer surgery, and especially after elective gastrectomy. There is now more and more interest in the risk factors of infectious complications in relation to controlling infection and as indicators of qualitatively assessing infectious complications. The aim of this study was to evaluate the risk factors related with infectious complications after performing elective gastrectomy for treating gastric cancer. Materials and Methods: We retrospectively reviewed a total of 788 patients who had undergone elective gastrectomy for gastric cancer between Jan. 2000 and Dec. 2007. The characteristics of the patients were divided according to the patients' factors and the operations' factors. Results: The patients' mean age was 58.9 (range: 24~91) years; 545 were male and 243 were female. The mean duration of the hospital stay was 20.3 days (range: 5~135 days), the mean operation time was 181.3 minutes (range: 65~440 minutes). The total complication rate was 17.1% (n=135) and the complication rate was 38.5% (n=52) among the 135 patients with infectious complications. The infectious complications were surgical site infection (59.7%), Pneumonia (19.3%), intra-abdominal abscess (11.5%), pseudomembranous colitis (5.7%), bacteremia (1.9%) and hepatic abscess (1.9%). On the univariate analysis, the significant risk factors were male gender, blood transfusion, smoking at the time of diagnosis, alcohol drinking, diabetes mellitus and previous cardiovascular disease (P<0.05 for all). On multivariate analysis that used a logistic regression model, the significant independent risk factors were smoking at the time of diagnosis (OR: 2.877. 95% CI: 1.449~5.713), blood transfusion (OR: 3.440, 95% CI: 1.241~9.534), diabetes mellitus (OR: 3.150, 95% CI: 1.518~6.538), and previous cardiovascular disease (OR: 2.784, 95% CI: 1.4731~5.2539). Conclusion: Pre- or post-operative blood transfusion and the patient's medical history such as previous cardiovascular disease, diabetes mellitus, smoking etc. are the risk factors for infectious complications after undergoing elective gastrectomy for gastric cancer. The patients that have these risk factors need to be treated with great care to prevent infectious disease after elective gastrectomy.

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A Clinical Study of Renal Abscesses in Children (소아 신농양의 임상적 고찰)

  • Hwang You-Sik;Rhie Young-Jun;Ahn Sun-Young;Han Sang-Won;Lee Jae-Seung
    • Childhood Kidney Diseases
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    • v.9 no.1
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    • pp.64-68
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    • 2005
  • Purpose : Renal abscess is very rare in children and its diagnosis is difficult because symptoms are often nonspecific. In previous studies, on]y 15% to 25% of patients were reported to be diagnosed at the time of admission. Early diagnosis and treatment are important be cause mortality rate correlates positively with the time of diagnosis. The purpose of this study is to clarify the clinical features of children with renal abscess and to investigate the possible indicators of this disease for early diagnosis and Proper treatment. Methods : Twelve children diagnosed with renal abscess from Jan. 1996 to Jul. 2004 were included. The age of patients ranged from S months to 15 years. We retrospectively analyzed the demographics of patients, their symptoms, predisposing factors, diagnostic methods and causative organisms and the treatment modalities. Results : Fever was the most common manifestation, Five children(42%) had vesicoureteral reflux. Renal ultrasonography and computerized tornography were the most frequently used imaging tools to detect renal abscess. Gram negative bacteria were isolated in 7 patients and Staphylococcus aureus grew in 2 patients. All patients received intravenous antibiotics and 4 patients underwent aspiration or drainage of renal abscess. The average admission duration was 30 days. Conclusion : Renal abscess should be included in the differential diagnosis of prolonged fever in children, especially when flank pain is combined. For early diagnosis and a better prognosis, patients should be promptly investigated with ultrasonography or computerized tomography.

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Morphological Development of Eggs and Larvae of the Pacific Cod, Gadus macrocephalus (대구(Gadus macrocephalus)의 난 발생 및 자어 형태발달)

  • Kim, Tae-Jin;Park, Chung-Youl;Lee, So-Gwang;Gwak, Woo-Seok
    • Korean Journal of Ichthyology
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    • v.19 no.4
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    • pp.343-349
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    • 2007
  • Embryonic and larval developments on Pacific cod, Gadus macrocephalus are described from laboratory-reared specimens. The eggs (1.075~1.168 mm in diameter) were weakly adhesive, almost spherical in shape, transparent and unpigmented, showing a pale yellow yolk without oil globules. Hatching was occurred 220 hrs after fertilization at $9.8^{\circ}C$. The newly hatched larvae (3.72~4.40 mm in total length, TL) had 43~47 (11~13+32~34) myomeres, mouth and anus which was not yet opened. The yolk was completely absorbed at 4.58 mm TL, and transformed to postlarval stage. Locations of the anus and second dorsal fin origin, and distinctive growth of the larvae head were observed at 5.48 mm TL with melanophores in the gill cover and upper region of the occipital. In addition, melanophores were distinctive in the ventral region and caudal fin base at 6.88 mm TL. All fins were formed with a complete set of fin rays having the following counts (D. 3~7-12~14-13~14; A. 13-15) at 11.54 mm TL. Both lateral line and barbel of lower jaw were observed at 15.07 mm TL.

Gill Ultrastructure of the Granular Ark, Tegillarca granosa (Bivalvia: Acridae) (꼬막, Tegillarca granosa 아가미의 미세구조)

  • Ma, Kyung-Hwa;Lee, Jung-Sick
    • Applied Microscopy
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    • v.33 no.3
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    • pp.223-231
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    • 2003
  • Histology and ultrastructure of the gill in the granular ark, Tegillarca granosa are described using light and transmission electron microscopy. The gill of the clam have typical structure of the filibranch type. The gill filament have several band of lateral and apical cilia. The epithelial layer surrounding the hemolymph sinus is simple and consists of epithelial cells, ciliated cells and secretory cells. The epithelial cells are usually squamous and covered with microvilli. The ciliated cells are usually columnar and can be divided into two types (A and B). Type A cells are more abundance and have lower electron density than B cells. Ultrastructure of the cilia showed that '9+2' microtubular structure of the axial filament and '$2{\times}9$' proximal centriole structure in the cross section. Secretory cells are mainly observed in the apical region of the filament and can be divided into three types of A, B and C with morphological features of the secretory granules. Type A cells of oval shaped are more abundance than other secretory cells and contains numerous secretory granules of low electron dense. Type B cells contains secretory granules of membrane-bounded and high electron dense. Secretory granules of type C cells are elliptical and fine granules surrounding the homogeneous core materials.

INVASION OF ALVEOLAR BONE INTO ROOT CANAL AFTER TRAUMATIC INJURY (외상 후 근관내로의 치조골 함입)

  • Im, Ye-Jin;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.399-406
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    • 2011
  • Traumatic injury on tooth occurs frequently among trauma patients, and mainly occurs on tooth with premature roots which influences pulp tissue, periodontal ligament, alveolar bone, and Hertwig's epithelial root sheath. According to the degree of trauma, a number of kinds of healing process can be observed, such as complete re-vascularization of pulp, root canal obliteration, growth suspension of root apex, and invasion of alveolar bone into root canal, and there can be some complications such as necrotic change of inflammatory root resorption and partial pulp necrosis due to pulp necrosis toward complete necrosis. In this clinical case, 3 patients who had traumatic injury showed root growth suspension and alveolar bone invasion into root canal due to proliferation of periodontal ligament cell and osteocyte at the base of extraction socket into pulp chamber because of the injury on Hertwig's epithelial root sheath. If intrusion of alveolar bone into root canal due to injury on Hertwig's epithelial root sheath after having traumatic injury doesn't show any complication, the pulp may be considered to have normal vitality and doesn't need any further treatment, therefore differential diagnosis is very necessary. However, it may be accompanied with suspension of root growth, therefore, additional trauma during the treatment of injured tooth should not be applied.

Changes in Skin Parameters after Sequential Tape Stripping (Sequential Tape Stripping에 따른 피부 Parameters의 변화에 관한 연구)

  • Kim, Seung-Hun;Kim, Eun-Joo;Nam, Gae-Won;Ahn, Sung-Yeon;Lee, Hae-Kwang;Moon, Seong-Joon
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.33 no.2
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    • pp.99-104
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    • 2007
  • The skin barrier function is one of the vital functions. Horny layer and epidermis among various skin layers play an important role in protecting body from environmental insults. Stratum corneum is completely formed by differentiation processes from the basal layer and newly formed corneocytes push the older ones from skin surface. In this study we investigated changes of various parameters - capacitance, transepidermal water loss (TEWL), pH and amount of removed corneocytes - according to the stratum corneum's depth. We removed the stratum corneum using tape stripping technique. We found that uppermost stratum corneum play an important role in skin surface moisturization and lower stratum corneum in protecting transepidermal water loss. In addition, skin pH is more acidic than surface pH. In the stratum corneum, skin pH is mote acidic in the deeper layer. Furthermore amount of removed corneocyte is also decreased according to depth because of stronger cell-cell union strength. From these results we suggest that stratum corneum has different characteristics depending on their position.

Ilong Choehuilyang's life and poetry as warrior (일옹(逸翁) 최희량(崔希亮)의 무인(武人)의 삶과 시세계(詩世界))

  • Kwon, Hyok Myong
    • (The)Study of the Eastern Classic
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    • no.68
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    • pp.9-34
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    • 2017
  • The purpose of this paper is to examine the unmanned life and poetic world of Ilong Choehuilyang. Choehuilyang is uninhabited and rarely left 227 poems and being recognized for his poetic achievements by later writers. Therefore, it would be meaningful to look at Choehuilyang's poetic world in the point of studying the unmanned poetry system. In Chapter 2, I looked at life as a base stage to understand Choehuilyang. Choehuilyang from his youth while studying at the age of 21, but turned to 武科. This is due to the gauntlet of the family who does not care about the 文武, Choehuilyang's grand physical condition and the resulting unattended temperament. Choehuilyang passed the exam in the past. And he won the war seven times under General Admiral Yi. However, when Admiral Yi Sun - shin was killed in Noryang, Choehuilyang returned to his hometown. After that, he died without going out until he was 92 years old. In Chapter 3, we examined Choehuilyang's spoetic world based on Chapter 2. Choi 's poetry can be divided into revealing the temperament of the unmanned, living peacefully in his hometown after returning home, and revealing his concern for the country. The poems revealing the unattended temperament are created by sensuous sheer or direct narrative when they are on the battlefield, when they watch the war after returning home. Peaceful life in Kangho was created in Naju, the hometown. And the poem that worried about the country was created by seeing the sick horan. I hope that the research that has been discussed so far will help to understand Choehuilyang's life and world.

A Study on the Enhancement of Barrier Function and Improvement of Lipid Packing Structure in a 3D Skin Model by Ginsenoside Rg3 (Ginsenoside Rg3 에 의한 3D 피부 모델의 장벽 기능 강화 및 지질 패킹 구조 개선에 관한 연구)

  • Sunyoung Kim;Seol-Hoon Lee
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.49 no.4
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    • pp.323-330
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    • 2023
  • The skin's barrier structure is formed through the differentiation process of epidermal keratinocytes. It consists of corneocytes that are composed of keratin proteins and lipids that fill the spaces between them. During this process, the lipids such as phospholipid that made up the membrane of the basal layer cells of the epidermis are decomposed and replaced with newly synthesized components like ceramide. In this study, the effect of ginsenoside Rg3 components on the packing of the intercellular lipid structure of the skin barrier and the barrier function was confirmed. To confirm this, Rg3 components were treated during the differentiation process of 3D epidermal cells. The FT-IR and TEWL analysis on 3D epidermis showed an enhancement in the orthorhombic lipid packing and an improvement in barrier function. Additionally, in HaCaT cells, an increase in the expression of EVOL1 and EVOL4, which synthesize long-chain lipids, was detected, along with a decrease in CERS6, which synthesizes short-chain ceramide, and an increase in ACER6, which decomposes ceramide using phytosphingosine. This suggests the possibility that Rg3 affects lipid synthesis during the epidermal differentiation process, resulting in changes in barrier function.

Comparison of Anterior Segment Features between Groups with or without Glaucoma in Pseudoexfoliation Syndrome (거짓비늘증후군에서 개방각녹내장 병합 유무에 따른 전안부 소견과 생체 계측치에 대한 비교)

  • Gu, Bon Hyeok;Choi, Sangkyung
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1049-1055
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    • 2018
  • Purpose: To investigate the factors associated with glaucoma in patients with pseudoexfoliation syndrome by comparing features of the anterior segments and ocular biometry according to the presence or absence of open-angle glaucoma in pseudoexfoliation syndrome. Methods: We analyzed 96 patients (115 eyes) diagnosed as having pseudoexfoliation syndrome in this study. The patients were divided into two groups of simple pseudoexfoliation syndrome (64 patients, 76 eyes) and pseudoexfoliation glaucoma (32 patients, 39 eyes). We compared the age, sex, underlying disease, location of pseudoexfoliative material, iris change, degree of nuclear cataract, pupil dilatation, corneal endothelial cell counts, central corneal thickness, anterior chamber depth, axial length, corneal curvature, and intraocular pressure (IOP). Results: There were no significant differences between the two groups in terms of age (p = 0.694), sex (p = 0.161), diabetes (p = 0.440), hypertension (p = 0.238), pseudoexfoliative material observed in anterior capsule (p = 0.700), pupillary margin (p = 0.210), iris depigmentation (p = 0.526), pupillary ruff loss (p = 0.708), degree of nuclear cataract (p = 0.617), pupil dilatation (p = 0.526), central corneal thickness (p = 0.097), anterior chamber depth (p = 0.283), axial length (p = 0.095), or horizontal and vertical corneal curvature (p = 0.066 and 0.306, respectively). In pseudoexfoliation glaucoma, significantly higher IOP (p = 0.026), a high frequency of membrane formation (p = 0.047), and decreased corneal endothelial cell counts (p = 0.048) were observed. Conclusions: Pseudoexfoliation syndrome with open-angle glaucoma was shown to be associated with high IOP, decreased corneal endothelial cell counts, and a high frequency of membrane formation. Therefore, when such changes are observed in pseudoexfoliation syndrome patients, a higher risk of open-angle glaucoma should be recognized, and careful attentionis required accordingly.