• Title/Summary/Keyword: 물질 관련 장애

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Carcinoma of Esophagus Developing at the Site of Lye Stricture (부식성 식도염에 의한 협착부에 발생한 식도암)

  • 김종훈;김중강;백준기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.10.4-10
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    • 1979
  • The cause of esophageal cancer is still unknown in the majority of patients, but pre-existing diseases of esophagus related to the development of cancer were reported by many authors: e.g. lye stricture, achalasia, Plummer-Vinson syndrome, dietary and alocholic habbits etc. Recently the authors had experienced one case of esophageal cancer with complaint of dysphagia, developing at the site of lye stricture, which was diagnosed by the esophagogram and esophagoscopic biopsy.

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Comparison of Emotional and Psychological Characteristics between Suicide Attempters and Non-Attempters in Depressed Patients : Using MMPI-2 Profiles (우울장애 환자의 자살 시도 여부에 따른 심리적 특성의 차이 : MMPI-2 프로파일을 중심으로)

  • Lee, Seul-Ah;Kim, Keun-Hyang;Suh, Shin-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.40-49
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    • 2012
  • Objectives : To examine emotional and psychological characteristics associated with suicide attempts in depressed patients. Methods : A sample of 37 inpatients diagnosed with major depressive disorder or depressive disorder NOS was divided into two groups : lifetime suicide attempters(N=15 ; 40.54%), non-attempters(N=22 ; 59.46%). Beck Depression Scale(BDI), Beck Anxiety Scale(BAI), Hamilton Depression Rating Scale(HDRS), Hamilton Anxiety Rating Scale(HARS), and MMPI-2 were used to evaluate symptoms severity and psychological characteristics. Results : Suicide attempters scored higher on the BDI though there were no group differences on the HDRS and on the both anxiety scales. Also they showed higher scores on the F, Fb, Pa, RC1, DEP, HEA, PK, AAS among MMPI-2 subscales. Our findings suggest that suicide attempters among depressed patients undergo more severe subjective distress and difficulties in adjustment than non-attempters. Also they were more hostile to others and showed lower trust. Lastly, they showed more somatic complaints and substance related problems. Conclusion : The present study showed that suicide attempters among depressed patients have distinct emotional and psychological characteristics. MMPI-2 would be helpful to assess suicidal risk of depressed patients.

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곤쟁이, Neomysis awatschensis의 대사에 미치는 중금속 및 내분비계 장애 물질의 영향

  • Jin, Pyung;Shin, Yoon-Kyung;Ji, Jung-Hoon;Lee, Jung-A;Lee, Jung-Sik;Kang, Ju-Chan
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.10a
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    • pp.327-328
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    • 2001
  • 최근 우리나라 연안의 오염은 날로 심각해지고 있는 실정이며, 이에 따른 해양생물의 피해는 상당할 것으로 예측된다. 이러한 영향을 파악하는 방법 중 수산생물의 생리대사의 변동을 조사하는 것은 이들 생물의 생산성과 관련이 클 것으로 인식되고 있다. 곤쟁이는 해양오염원에 대한 공시재료로 널리 사용되고 있으며, 연안 오염에 대한 간접적 평가에 좋은 실험재료로 생각되고 있다(Gaufin et al., 1965; McLusky and Heard, 1971). (중략)

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Aging and Defense (노화 현상과 방어)

  • Lee, In
    • Journal of Life Science
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    • v.1 no.1
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    • pp.15-23
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    • 1991
  • 노화현상에 관련된 가설은 프로그램설, 세포손상축적설 등 다양하나 증거와 연구자료가 아직은 불충분하고 미흡하다. 현재 상당한 주목을 받고 있고 또 일견 설득력이 있는 것으로 수용되고 있는 oxygen species에 의한 세포손상축적 가설은 시험관 또는 생체 내에서의 실험과 관측을 통해 연구에 상당한 진전이 있음에도 노화현상을 해석하는 또 다른 실마리에 불과하다. Oxygen radical이 세포내의 거대분자들 중 DNA에 손상과 변이를 일으키거나, 우리기를 수반하지 않는 다른 기작에 의해 조직손상이 일어나면서 세포내의 유리기반응에 이차적 장애가 유도되어 세포내의 분자들이 훼손되거나 변화됨으로서, 이들 손상물이 시간과 더불어 축적하여 신체기능의 퇴행을 수반한 질병과 노화현상이 나타나게 된다는 것이다. 유리기에 대한 효과를 가지는 SOD, catalase, glutathione, peroxidase, metal-chelator와 chain-breaking 효과를 가진 alpha-tocopherol, beta-carotere, urate, ascorbate, ubiquinone, glutathione, protein-thiol 등 항산화물질의 적용과 섭취의 중요성이 인식되었다.

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Relationship between the Abnormalities of the Reproductive Organ and the Accumulation of the Environmental Disruptors in the Striped Field Mouse, Apodemus agrarius (등줄쥐의 생식계 이상과 내분비계장애물질 축적과의 관련에 대하여)

  • Yoon Myung Hee
    • Proceedings of the Korea Society of Environmental Biology Conference
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    • 2003.11a
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    • pp.38-47
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    • 2003
  • Relationships between accumulations of endocrine disruptors and abnormalities in the reproductive organs in the adult male striped field mice, Apodemus agrarius, were reviewed. High levels of phenolic compounds were detected in the mice collected at an agricultural village in Gaduck island and at a place having a sewage problem in Samdong-myeon, Namhae. High levels of organo tin compounds were found in the mice collected at Jiri Mt. a tourist resort. Considerably high levels of phenolic or organo tin compounds were detected in mice with shrunken reproductive organs accounting for 14∼42% of the mice examined in each area, which suggests that the abnormality of reproductive organs may be induced by the endocrine disruptors. This hypothesis is strongly supported by histological observations of shrunken reproductive organs, such as necrosis of testicular germ and epithelial cells. This was found not only in the mice with shrunken reproductive organs but also in the mice with enlarged reproductive organs, both had accumulated high levels of endocrine disruptors in general.

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Nitric Oxide: The Pathophysiological Roles and Clinical Implications in Circulatory System (순환계에서 Nitric Oxide의 생리-병리학적 역할과 그 임상적 의의)

  • Lee, K.Y.
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.159-172
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    • 1996
  • 대기오염물질이면서 동시에 생체내 화학반응의 산물이기도 한 nitric oxide(NO)는 그 생체내 분포가 광범위하고 생리적 역할이 다양하여, 최근의 생명과학 분야에서 가장 크게 주목받는 몇가지 연구대상 중 하나이다. 세포에서의 NO 산생은 nitric oxide synthase (NOS)에 의해 촉매되는데, 이들은 brain form (bNOS, neuronal; nNOS, NOS I), inducible form (iNOS), 및 endothelial form(eNOS)로 구분되는데, 이중 bNOS(nNOS)와 eNOS는 inducible form에 대비되는 constitutive form(cNOS)에 해당하므로 각각 ncNOS 와 ecNOS로도 불리운다. NOS는 아미노산인 L-arginine을 산소와 결합시켜 L-citrulline으로 변환시키면서 NO를 유리하고, 이 NO는 세포내의 guanylate cyclase를 활성화하여 cyclic GMP를 생산하거나, superoxide(O2-) 및 수소이온과 차례로 결합하여 반응성이 매우 높은 수산화기(-OH)를 발생시켜 세포독작용을 유발하기도 한다. 정상상태에서 뇌혈관내피세포의 ecNOS로 부터 유리된 NO는 혈관을 확장시켜 신경세포에 대한 산소공급을 원활히 유지해 주지만, 순환장애를 일으켰을 때는 뇌조직내의 iNOS로부터 대량의 NO가 유출되어 신경세포의 손상을 가져온다. 호흡기에서는 NO가 기도평활근을 이완시키고 폐혈류를 개선하므로, 미숙아나 성인의 호흡장애시에 소량의 NO를 흡입시키면 oxygenation을 호전시킬 수 있다. 그러나 대기오염이나 흡연 등으로 대량의 NO를 흡입할 경우 치명적인 폐부종이나 methemoglobin혈종을 일으킬 수 있다. 순환계에서는 cNOS가 혈관을 확장시켜 조직의 혈류를 유지하는데 일익을 담당한다. 세균내 독소(lipopolysaccharide; LPS)나 각종 명역조절물질들이 혈관내피세포와 혈관평활근세포로 부터 과다한 NO를 유리시키면 혈압이 급격히 떨어져 순환허탈상태에 빠지게 된다. 심장에서는 관상혈관 내피세포의 eNOS가 심근의 혈류를 유지해 주지만 허혈이나 세균내독소 또는 면역조절물질 등에 의하여 심근세포나 침윤된 대식세포의 iNOS로 부터 과량의 NO가 유리되면 심근세포의 손상이 초래된다. 신장에서는 내피세포의 cNOS에 의하여 사구체여과가 조절되고 있는데, 세균내독소나 면역 조절물질 등에 의하여 사구체관막세포(mesangial cell)등의 iNOS로 부터 과량의 NO가 유리되면 신조직과 사구체의 손상을 초래한다. 위와 같이 대부분의 장기에서 ecNOS는 조직의 혈류를 유지하는 역할을 하며, iNOS는 애초 세균 등 침입자에 대한 세포독작용이 그 존재 목적이라고 풀이할 수 있겠으나 일종의 부작용으로 자체조직의 손상을 초래하게 되는 것으로 본다. 따라서 NO와 관련된 각종 병변의 치료를 위해서는 NOS의 비선택성 억제제인 arginine 유도체 보다는 iNOS에 대한 선택적 억제제인 S-methylisothiourea(SMT), aminoethylisothiourea(AETU), aminoguanidine (AMG), agmatine, L-canavanine, transforming growth factor b1(TGF-b1) 등의 사용을 검토해 보는 것이 타당할 것으로 사료된다.

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Phentermine and Phendimetrazine-Induced Psychotic Disorder and Bipolar Disorder: A Case Series (Phentermine 및 Phendimetrazine으로 유발된 정신병적 장애 및 양극성 장애 증례군 연구)

  • Kim, Soo Young;Kim, Tae-Suk;Kim, Dai-Jin;Chae, Jeong-Ho;Lee, Chang Uk;Joo, Soo Hyun
    • Korean Journal of Biological Psychiatry
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    • v.29 no.1
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    • pp.22-31
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    • 2022
  • Objectives Recently, weight loss has emerged as a national concern in South Korea, and this has resulted in an increase in the frequency of use of central nervous system (CNS)-stimulating appetite suppressants. This study aimed to collect cases of psychotic disorders and bipolar disorders triggered by phentermine and phendimetrazine and explore the clinical features and courses. Methods In this retrospective study, we analyzed the electronic medical records of patients and selected eight patients who developed psychotic symptoms and manic symptoms for the first time after taking phentermine and phendimetrazine. All cases were reviewed, and their clinical features and course were summarized. Results All eight patients developed psychotic symptoms, and one had accompanying manic symptoms. The final diagnosis was appetite-suppressant-induced psychotic disorder in four patients, schizophrenia in three, and appetite-suppressant-induced bipolar disorder in one. In addition, three patients were diagnosed as having substance-use disorder. The key psychotic symptoms of these patients were hallucinations and paranoia. Conclusions These case findings suggest that phentermine and phendimetrazine can cause psychotic disorder, bipolar disorder, or substance use disorder and that medical professionals and the public should practice caution when prescribing and using these drugs.

Aqueous Extracts of Jibaekjihwang-tang Ameliorate Ovariectomy-induced Climacterium Symptoms in Mouse (난소적출 마우스에서 지백지황탕 열수 추출물의 갱년기 장애 개선 효과 평가)

  • Lee, Seung-Hye;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.2
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    • pp.16-36
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    • 2017
  • Objectives: The purpose of this study was to evaluate the anti-climacterium effects of Jibaekjihwang-tang (JBJHT), especially on estrogenic, anti-obesity, hypolipidemic, hepatoprotective against fatty liver and anti-osteoporotic effects by Ovariectomy (OVX) mice. Methods: In order to evaluate anti-climacterium effects of JBJHT, we used bilateral OVX female ddY mice. In this study, six groups were used; sham control, OVX control, estradiol, JBJHT 500, 250 and 125 mg/kg treated groups. Since 28 days after OVX surgery, JBJHT extracts were orally treated, and $17{\beta}$-estradiol $0.03{\mu}g/head$ were subcutaneously injected for 84 days, once a day. And then, we observed anti-climacterium effects classified into five categories; estrogenic, anti-obesity, hypolipidemic, hepatoprotective against fatty liver and anti-osteoporotic effects. The results were compared with $17{\beta}$-estradiol $0.03{\mu}g/head$/day subcutaneous treated OVX mice. Results: OVX control mice showed noticeable hypertrophic changes of adipocytes in abdominal fat pads, fatty liver, uterine atrophic changes, decreases of bone strength were also observed in OVX control. However, these estrogen-deficient climacterium symptoms were significantly and dose-dependently inhibited by JBJHT 500, 250 and 125 mg/kg treatment. Moreover, JBJHT 500 mg/kg showed comparable inhibitory effects as compared to those of estradiol $0.03{\mu}g/head$/day subcutaneous treatment. Conclusions: The results suggest that oral administration of JBJHT 500, 250 and 125 mg/kg has clear dose-dependent anti-climacterium effects in OVX mice.

Removal of Endocrine Disrupting Chemicals in Wastewater by Nitrifying Sludge (질산화 슬러지에 의한 폐수 중의 내분비계 장애물질 제거)

  • Lim, Kyoung Jo;Hong, Soon Ho;Chung, Jin Suk;Yoo, Ik-Keun
    • Korean Chemical Engineering Research
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    • v.47 no.6
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    • pp.775-780
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    • 2009
  • The efficacy of nitrifying sludge existed in biological nutrient removal process was examined for possible removal of endocrine disrupting chemical(EDC) in the effluent of wastewater treatment plant. Some of ammonia oxidizing bacteria causes ammonia oxidation mediated by ammonia monooxygenase(AMO) activity, which has low substrate specificity resulting in cometablic degradation of several chemicals. In this study, the removal of three model EDCs such as bisphenol A(BPA), nonylphenol(NP) and dibutyl phthalate(DBP) was studied in batch cultures using nitrifying sludge, BOD-oxidizing sludge with low nitrifying activity, and sterilized sludge. Nitrifying sludge showed higher initial removal rates in all batches of three EDCs when it was fed with ammonium as an energy source. The acclimation time was required for the removal of EDCs in batches using BOD-oxidizing sludge or nitritefed nitrifying sludge. That retardation seemed to attribute to the slow growth of cells using the EDCs while ammonium-fed nitrifying sludge could degrade EDCs through simultaneous cooxidation with ammonia oxidation. Sterilized sludge was also tested under the same conditions in order to find the contribution of physical adsorption to the removal of EDCs. About 10~20% of initial EDCs dose was removed when using sterilized sludge. Thus the biological activity is likely to play major role for the degradation of BPA, NP, and DBP rather than the physical adsorption from wastewater.

Correlation Between Sensory Modulation and Arousal : A Literature Review (감각조절과 각성의 관련성에 대한 문헌고찰)

  • Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.13 no.2
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    • pp.75-84
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    • 2015
  • Objective : The aim of this study was to provide mechanism information of a link between arousal and sensory modulation to increase understanding of neurophysiological study. Subject : Optimal arousal state of a child is an important issue in sensory integration therapy. Limbic system and reticular formation are related to sensory modulation by sensory input. Sensory inputs processes from reticular formation to cortex via ascending reticular activation system for moderate arousal. A lot of neurotransmitters such as cholinergic neurons and monoamin neurons help this processes. Mechanism of arousal was measured by functions of central nervous system (CNS) and autonomic nervous system (ANS) using objective tools such as an electroencephalogram (EEG) and electrodermal responses. Functions of CNS and ANS showed differences between normal children and children with disabilities. Optimal sensory input using sensory integration therapy for children with disabilities helps to act reticular formation, limbic system, and cortex and to maintain appropriate arousal. Conclusion : Such quantitative studies by using neurophysiological methods provide evidence for sensory integration therapy.