• Title/Summary/Keyword: 신경내분비

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The Relationship between Neuropathic Pain and Glycemic Control, Self Management in Type II Diabetes Mellitus Patients (당뇨환자의 신경병증 통증과 혈당조절정도 및 자가관리간의 관계)

  • Seo, Yeong-Mi;Choi, Won-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1774-1780
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    • 2013
  • The purpose of this study was to investigate the relationship between diabetic neuropathy, and glycemic control, self-management in type 2 diabetes mellitus(DM) patients. This was a cross sectional descriptive study and data were collected between May 10 and 31, 2011 using a questionnaire and medical record. The participants were 108 with DM who were treated at the endocrine medical outpatient department. The data were analyzed Pearson's correlation with SPSS WIN program. The mean scores of neuropathic pain and self-management were $9.3{\pm}1.4$(Range 0-14.64) and $5.40{\pm}0.76$(Range 1-7), respectively. There were 33.3% of the patients whose HbA1c levels are higher than 7.5%. Neuropathic pain was positively correlated with glycemic control(r=.18, p=.035), and was negatively correlated with self-management(r=-.19, p=.023).

An immunohistochemical study of the gastro-entero endocrine cells in the snakehead, Channa(ophicephalus) argus (가물치 위장관에 있어서 내분비세포의 면역조직화학적 연구)

  • Lee, Hyeung-sik;Lee, Jae-hyun
    • Korean Journal of Veterinary Research
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    • v.36 no.2
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    • pp.297-303
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    • 1996
  • The regional distribution and relative frequency of endocrine cells in the GIT of the snakehead, Channa(Oph icephalus) argus were studied immunohistochemically. Five kinds of endocrine cells and one kind of nerve cell were identified in this study. A few numbers of secretin-immunoreactive cells were restricted to the cardia and fundus of the stomach. Moti-lin- and GRP-immunoreactive cells were rare in the epithelium of the distal and proximal intestines. PYY-immunoreactive cells were found in a few number in the pyloric caeca and were rare in the distal intestine. Substance P-immunoreactive cells were distributed relatively numerous from the fundus to the distal intetsine. Also, their nerve cells were detected in occurrence in the lamina propria in the distal intestine. No neurotensin-, met-Enk- and GIP-immunoreactive cells were found in the GIT of the snakehead.

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Nonfunctioning Neuroendocrine Tumor of the Pancreas in a 15-year-old Girl - a Case Report - (15세 여아에서 발생한 췌장의 비기능성 신경내분비종양 - 1예 보고 -)

  • Lee, Kyung-Keun;Park, Jin-Young
    • Advances in pediatric surgery
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    • v.15 no.2
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    • pp.180-185
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    • 2009
  • We report a case of nonfunctioning neuroendocrine tumor of the pancreas in a 15-year-old girl who presented with back pain. On physical examination, there was mild tenderness in the left upper quadrant of the abdomen. The patient had no pancreatic hormone-associated symptoms. An abdominal ultrasonography showed a well-demarcated hypervascular solid mass with calcification in the tail of the pancreas. An abdominal computed tomography scan showed a $6{\times}5cm$ sized well-encapsulated enhancing solid mass with cystic component in the tail of the pancreas. Distal pancreatectomy was performed. Pathology revealed awelldifferentiated nonfunctioning low grade malignant neuroendocrine tumor of the pancreas. The postoperative course was uneventful.

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Primary Small Cell Carcinoma of the Larynx : A Case Report (후두에 발생한 원발성 소세포암종 1예)

  • Choi, Joo Yul;Park, Sung Ho;Kim, Nam Young;Kim, Kyoung Hun;Choi, Ik Joon
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.1
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    • pp.22-26
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    • 2015
  • Small cell carcinoma of larynx has been reported as a rare disease occurring in 0.5% of larynx cancer. This tumor is known as one of the most lethal of all malignancies and associated with early recurrence and distant metastasis, leading into death. We experienced a case of a 70-year old male patient, who had admitted for sore throat and dysphagia and diagnosed as small cell carcinoma of larynx. We present small cell carcinoma of larynx with a brief review of literature.

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Surgical Treatment of Esophageal Small Cell Carcinoma -1 Case Report- (식도에 발생한 소세포암의 수술 치험)

  • Kim, Seung-U;Ryu, Ji-Yun;Jo, Gwang-Hyeon
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.923-926
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    • 1996
  • Small cell carcinoma of esophagus is a rare malignant tumor Recently we experienced one case of small cell carcinoma in mid thoracic esophagus. The patient was a 68 year old male patient. On preoperative endoscopic biopsy, neuroendocrine carcinoma was suspected. Esophagectomy and esophagogastrostomy was performed. Postoperative course was uneventful and patient was discharged without specific complicalion.

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곤충호르몬의 작용기작과 그 이용방안

  • 문재유
    • Journal of Sericultural and Entomological Science
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    • v.38 no.2
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    • pp.186-188
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    • 1996
  • 곤충애 있어서 호르몬의 작용기작과 그 이용에 관하여 요야하면 다음과 같다. 곤충호르몬에는중추신경계의 신경분비세포에서 합성, 분비되는 peptide의 neuropeptide hormone (PTTH, bombyxin, diapause hormone등)이 있고, 상피계의 내분비선에서 합성, 분비되는 sesquiterpene의 유약호르몬 ( juvenile hormone)과 steroid의 탈피호르몬 (ecdysone)이 있다. 곤충호르몬은 특정한 표족세포에 있는 수용체와 높은 특이성과 높은 친화성을 가지고 결합해서 세포의 작용을 조절한다. 일반적으로 peptide hormone은 표적세포의의 세포막을 통과할 수 없으므로 표적세포의 막표면에 있는 수용체와 결합하는 것에 의해 세포내 대사제를 활성화시킴으로서 peptide hormone의 특이적인 발현이되는 것으로 알려지고 있다. 한편, ecdysone과 같은 steriod hormone이나 juvenlie hormone은 표적세포의 세포막을 용이하게 통과할수 있으므로 세포내의 세포막을 용이하게 통과할 수 있으므로 세포내로 들어가 수용체와 결합해서 hormone-receptor comlpex는 핵내로 들어가 DNA의 특이적인 영역에 결합하므로서 이들 호르몬 특이적인 기능이 발현되는 것으로 알려져 있다. Ecodysone의 활성이 있는 ecdysteroid가 여러 식물에서 발견되고 있어, 금후 양잠의 상족에 이용이 기대되고 있다. 또한, 향유약호르몬(AJH) 활성물지인 imidazole계 화합물은 양잠에 있어서 세섬도고치 생산에 그 이용이 기대되고 있다.

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Secretory and contratile sensory receptor cells in the Sucker of Korean Octopus variabilis (한국산 낙지(Octopus uariabilis) 흡반(sucker)내분비 및 수축성 감각수용 세포)

  • 장남섭
    • The Korean Journal of Zoology
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    • v.35 no.4
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    • pp.414-427
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    • 1992
  • Octopus variabilis의 흡반을 광학현미경과 주사전자현미경 그리고 투과전자현미경을 이용하여 그 미세구조를 관찰하였기에 이에 보고하는 바이다. 또한 내측상피 부위 돌기구 조물 속에서 관찰된 세포들은 핵을 둘러싼 세포들이 공포화 현상으로 인하여 해면처럼 보였다. 이 세포들은 감각과 수축에 관여하는 해면질성인 세포로 생각된다. 외측 상피조직에서는 2종의 분비성인 감각세포(A 및 B형세포)차 2종의 상피성인 감각세포(C 및 D형세포)가 관찰되었다. 분비성인 감각세포는 감각이외에 점액분비 기능을 소지하였으며, 상피성인 감각세포는 상피의 지지와 감각기능을 수행하는 것으로 생각되었다. 흠반을 구성하고 있는 근섬유는 중앙이 기린 도나스 형태로서 10-15개의 종선이 나타났다. 또한 부위에 따라서는 근섬유들은 서로 집결하여 원주형의 근육 기등을 형성하기도 했는데 이들은 신경섬유에 의하여 서로 연결 되고 통제되었다.

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Management of T1 Rectal NEN (T1 직장 신경내분비종양의 치료)

  • Kim, Ji Hyun;Nam, Seung-Joo
    • Journal of Digestive Cancer Reports
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    • v.7 no.2
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    • pp.45-50
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    • 2019
  • Incidence of rectal neuroendocrine neoplasms (NEN) has increased tremendously over the decades due to disease awareness and widespread use of screening colonoscopy. Although NEN has been recognized as malignant disease, most rectal NENs are initially found as small mass confined to the submucosa, which can be removed completely through various endoscopic treatments with good prognosis. In this review, we summarize the treatment options focusing on localized T1 rectal NEN by comparing representative international guidelines and discuss current controversies on the management. We also discuss various resection techniques focusing on endoscopic resection.

Diagnosis and Treatment of Gastric Neuroendocrine Tumors (위 신경내분비종양의 진단과 치료)

  • Soo In Choi
    • Journal of Digestive Cancer Research
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    • v.10 no.1
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    • pp.1-8
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    • 2022
  • The incidence of gastric neuroendocrine tumors (NET) has been increased with the improvement of endoscopy accessibility. The World Health Organization classified NET of low (G1), intermediate (G2), high (G3) grade and neuroendocrine carcinoma with poor differentiation by mitotic count and Ki-67 labeling index. Gastric NET are divided into three subtypes based on the pathophysiology, and treatment is determined according to the subtype and prognostic factors of tumor. For diagnosis, endoscopy with biopsy, endoscopic ultrasonography, abdominal pelvis computed tomography, and serum gastrin level measure are required. In general, type 3, size > 2 cm, deep submucosal infiltration, high histological grade, lymphovascular invasion and metastasis are poor prognostic factors. Type 1 or 2 without these factors are treated by endoscopic resection, and other tumors needs surgery. Endoscopic resection of early type 3 or type 1 and 2 tumors with poor prognostic factors still remains a challenge.

Primary Nocturnal Enuresis: An Overview (일차성 야뇨증의 개관)

  • Song, Dong-Ho
    • Sleep Medicine and Psychophysiology
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    • v.2 no.1
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    • pp.23-30
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    • 1995
  • Bedwetting is the most common urologic complaint among children. Wetting frequency decreases from birth to adolescence. Etiology is multifactorial : genetic, neuromuscular or urologic maturation, psychosocial stressors, toilet training, or biologic aspects. Treatment has been also multimodal : drugs to depress bladder activity, increase urethral resistance, or modulate sleep. and recently urine reduction modulation. All of these approaches reflect a lack of sufficient knowledge of the underlying pathophysiology of nocturnal enuresis. Recent researches have focused on sleep disturbances, bladder reservoir function, urine output, and a combination of the three. Sleep studies indicate that enuretic patients are normal sleepers, and enuresis can take place during any stage of sleep, but generally occurs when the bladder is filled to the equivalent of maximal daytime functional capacity. Bladder reservior capacity appears to be normal, and bladder instability is somewhat related with the pathology of nocturnal enuresis. However, enuretic patients have shown the lack of normal nocturnal increase in antidiuretic hormone levels, and nocturnal urine production increases up to 2-4 times volume of functional bladder capacity, which explains the need for bladder emptying. But behavioral approaches, especially Bell-alarm method, remain important in the treatment of primary enuresis.

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