• 생명과학회지
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• 제28권7호
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• pp.778-785
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• 2018

오토파지(Autophagy, 자가포식)는 복합적인 신호과정으로, 암세포의 증식 억제 및 항암제에 대한 내성 획득의 상반적인 조절에도 관여한다. 오토파지의 암 억제 효과는 아팝토시스(apoptosis)와 상호협력으로 오토파지성세포 사멸의 유도에 기인된다. 본 연구에서는 NSAID 계열의 다기능 약물인 celecoxib (CCB)이 아팝토시스 및 오토파지의 복합적인 유도로, 항암제 다제내성(multidrug resistant, MDR) 암세포의 Hsp90 molecular chaperone inhibitor인 17-allylamino-17-demethoxygeldanamycin (17-AAG)에 대한 감수성을 증가시키는 활성이 있음을 밝혔다. 17-AAG 처리에 의한 항암제 다제내성 암세포의 변이형p53 분해 및 caspase-3 활성은 CCB 처리로 촉진되었다. MCF7-MDR세포에서 Z-DEVD-FMK 처리에 의한 caspase-3-매개의 아팝토시스 경로 차단은 CCB 유도의 세포 사멸을 완전히 차단시키지 못함을 알 수 있었으며, 또한 17-AAG과 CCB 병합 처리에 의한 오토파지 활성화는 Z-DEVD-FMK에 의해 방해되지 않는 것을 알 수 있었다. 본 연구의 결과를 토대로, CCB의 오토파지 유도 활성은 항암제 다제내성 암의 Hsp90 inhibitor에 대한 감수성 증가를 위한 약물 개발에, CCB가 효과적인 병용 약물로서 제안 될 수 있다.

• Earthquakes and Structures
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• 제13권6호
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• pp.599-611
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• 2017

This paper improves seismic fragility of a typical steel-concrete composite bridge with the deck-to-pier connection joint configuration at the concrete crossbeam (CCB). Based on the quasi-static test on a typical steel-concrete composite bridge model under the SEQBRI project, the damage states for both of the critical components, the CCB and the pier, are identified. The finite element model is developed, and calibrated using the experimental data to model the damage states of the CCB and the bridge pier as observed from the experiment of the test specimen. Then the component fragility curves for both of the CCB and the pier are derived and combined to develop the system fragility curves of the bridge. The uncertainty associated with the mean system fragility has been discussed and quantified. The study reveals that the CCB is more vulnerable than the pier for certain damage states and the typical steel-concrete composite bridge with CCB exhibits desirable seismic performance.

• 대한임상독성학회지
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• 제13권2호
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• pp.103-110
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• 2015

Purpose: The purpose of this study is to evaluate the effectiveness and the adverse events of high dose insulin/euglycemia therapy in acute calcium channel blocker (CCB) poisoning. Methods: We developed a systematic search strategy and applied it to 4 electronic reference databases. We searched medical journals as well as the bibliographies of relevant articles. All forms of literature relevant to human use of high dose insulin for acute CCB poisoning were included. The literature search was conducted by two investigators in August, 2015 with publication language restricted to English and Korean. Case reports were divided between CCB overdose alone and multi-drug overdose including CCB. The effect and adverse event of high dose insulin and clinical outcome of each case were analyzed. Results: Among 55 searched studies, 20 studies were included. A prospective study, a retrospective study, a systematic review study, and 17 case reports were identified. Case reports consisted of 11 CCB alone and 12 multidrug overdose cases including CCB. Although most cases described significant clinical improvements, one of them showed no beneficial effect. Several adverse events including hypoglycemia and hypokalemia were reported. No significant sequalae from adverse events was reported. Conclusion: Although there were many case reports demonstrating successful use of high dose insulin for CCB poisoning, the effect cannot be estimated due to a possibility of publication bias. Therefore, high dose insulin/euglycemia therapy might be considered adjunctive therapy in cases of CCB intoxication refractory for standard therapy.

• 대한임상독성학회지
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• 제18권1호
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• pp.1-10
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• 2020

Pharmaceutical agents are the most common causes of poisoning in Korea. Calcium channel blockers (CCBs) are commonly used in Korea for the management of hypertension and other cardiovascular diseases, but are associated with a risk of mortality due to overdose. Due to the frequent fatalities associated with CCB overdose, it is essential that the emergency physician is capable of identifying CCB intoxication, and has the knowledge to manage CCB overdose. This article reviews the existing clinical guidelines, retrospective studies, and systematic reviews on the emergency management of CCB overdose. The following are the varied treatments of CCB overdose currently administered. 1) For asymptomatic patients: observation with enough time and decontamination, if indicated. 2) For symptomatic patients: infusion of calcium salt, high dose insulin therapy, and vasopressor (norepinephrine) or atropine for bradycardia. 3) For patients refractory to the first line therapy or with refractory shock or impending arrest: lipid emulsion therapy and extracorporeal membrane oxygenation. 4) As adjunct therapy: phosphodiesterase inhibitors, glucagon, methylene blue, pacemaker for AV block. Small CCB ingestion is known to be fatal for pediatric patients. Hence, close observation for sufficient time is required.

• 한국안광학회지
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• 제20권3호
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• pp.285-291
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• 2015

목적: 하이드로겔 콘택트렌즈에 HA(hyaluronic acid)를 IPN(interpenetrating polymer network)방법과 화학적 공유결합 방법(CCB; Chemical covalent bonding)으로 첨가하였을 때 광투과율과 함수율의 물리적 특성과 lysozyme 흡착량을 비교하여 하이드로겔 콘택트렌즈의 기능성 부여를 위한 효과적인 HA의 첨가방법을 살펴보고자 한다. 방법: 실험실에서 제조한 하이드로겔 콘택트렌즈에 IPN과 CCB의 두 가지 방법으로 HA를 첨가하였다. 광투과율은 300~800 nm 범위에서 측정하였으며, 함수율은 0.9% NaCl 생리 식염수를 사용하여 중량측정법으로 측정하였다. Lysozyme 흡착량은 lysozyme이 포함된 인공눈물을 제조하여 12시간동안 흡착시킨 후 HPLC로 정량하였다. 결과: HA가 첨가된 하이드로겔 콘택트렌즈의 함수율은 HA가 첨가되지 않은 렌즈에 비해 증가하였으며, CCB 방법에 비해 IPN 결합에서 함수율이 더 높게 나타났다. 광투과율은 HA 첨가 전과 후 모두 90% 이상으로 나타났다. Lysozyme 흡착 감소율은 IPN 방법으로 제조한 콘택트렌즈는 60.0%이며, CCB 방법으로 제조한 콘택트렌즈에서는 40.4%로 나타났다. 결론: CCB 방법은 기능성 물질을 렌즈 내부와 표면 전체에 화학적으로 균일하게 분포시키기에 적절한 방법이며, IPN 방법은 상분리 없이 렌즈 표면에 기능성을 부여하기에 적절한 방법으로 여겨진다.

• The Journal of Asian Finance, Economics and Business
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• 제8권5호
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• pp.829-837
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• 2021

The study investigates the impact of the Counter-Cyclical Buffer Policy (CCB) on regional development bank profitability in Sumatra, Indonesia. CCB requires banks to hold capital at times when credit is growing rapidly so that the buffer can be reduced if the financial cycle turns down or the economic and financial environment becomes substantially worse. This study employs time series data of regional development banks (RDBs) in Sumatra Island, Indonesia. The methodology applied in this study is a panel dynamic model with Generalized Methods of Moments (GMM). The results show that increasing capital through the implementation of CCB did not have a significant effect on RDBs' profitability. The findings of this study suggest that the activation and implementation of CCB lead to an increase in the amount and cost of loans to companies but do not affect the profitability of RDBs. The value of a Non-Performing Loan (NPL) proved to have a negative and significant effect on bank profitability. The CCB policy aims to overcome the pro-cyclicality of credit growth and improve bank resilience through increased capital which is expected to reduce excessive credit growth as a source of systemic risk. This causes a lack of lending to the community so that the profits obtained by the bank decrease.

• Journal of the Korean Wood Science and Technology
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• 제24권4호
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• pp.93-99
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• 1996

In order to investigate the extent of fixation of new water-borne preservatives in blocks of pinus densiflora sapwoods the streaming potential through the column with preservative treated wood was measured at various conditions. The rates of leachability of ingredients in the treated wood were estimated by the measurement of electric conductivity of the solution with the leached components. The solution was also analyzed by Atomic absorption spectrophotometer (AA). As a results, the experimental data indicated that the fixation of CCB, CCFZ and ACQ in wood were relatively unstable. The fixation rates of CCB, CCFZ were improved by increasing heat and drying time. The amounts of the leached ingredients were apparently higher in CCB and CCFZ than in CCA, while the rate of leaching of ACQ was not changed at various drying temperature.

• Clinical and Experimental Reproductive Medicine
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• 제29권4호
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• pp.229-236
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• 2002

Objective : The purpose of this study was to evaluate the effect of Cytochalasin B (CCB) on the cytoskeletal stability of mouse oocyte frozen by vitrification. Methods : Mouse oocytes retrieved from cycle stimulated by PMSG and hCG were treated by CCB and then vitrified in EFS-30. These oocytes were placed onto an EM grid and submerged immediately in liquid nitrogen. Thawing of the oocytes was carried out at room temperature for 5 seconds, then the EM grid was placed into 0.75 M, 0.5 M and 0.25 M sucrose at $37^{circ}C$ for 3 minutes, each. These oocytes were fixed in 4% formaldehyde for an hour and then washed in PPB for 15 minutes 3 times, then incubated in PPB containing anti-tubulin monoclonal antibody at $4^{circ}C$ overnight. And then, the oocytes were incubated with FITC-conjugated anti-mouse IgG and propidium iodide (PI) for 45 minutes. Pattern of microtubules and microfilaments of oocytes were evaluated with a confocal microscope. Results: The rate of oocytes containing normal microtubules and microfilaments was significantly decreased after vitrification. The rate of oocyte containing normal microtubules in CCB treated group was higher than those in non-treated group (53.7% vs. 48.9%), but the difference was not significant. The rate of oocyte containing normal microfilaments in CCB treated group was significantly higher than those in non-treated group (64.5% vs. 38.3%, p<0.05). Conclusion: Microfilaments stability could be improved by CCB treatment prior to vitrification. It is suggested that CCB treatment prior to vitrification improve stability of cytoskeleton and then increase success rate in IVF-ET program using vitrification and thawing oocyte.

• Asia Marketing Journal
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• 제11권4호
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• pp.1-19
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• 2010

마케팅 과정에 있어서 최근 고객의 참여 및 역할에 대한 관심과 중요성이 점점 커지고 있다. 이러한 흐름 속에서 본 연구는 고객시민행동과 이에 대한 선행요인과 결과 변수들에 대한 문헌연구를 통하여 고객시민행동의 개념을 정리하였다. 고객시민행동은, 고객이 서비스를 제공받기 위해서 수행하는 참여행동을 초월하여, 서비스 제공자에게 협조하고 서비스 조직에 건의사항을 제공하며 다른 고객을 도와주는 등의 행동을 통해서 궁극적으로 서비스 품질 향상에 기여하는 행동을 의미한다. 본 연구는 이러한 고객시민행동에 영향을 미치는 주요 선행요인을 규명하였다. 나아가 고객시민행동의 결과인 기업과 고객 간의 장기지향성에 미치는 고객시민행동의 영향에 관한 개념화를 바탕으로 실증연구를 실시하였다. 연구결과에 의하면 고객은 서비스 상황에서 자신이 타인과 비교하여 공정하게 대우받았다고 지각할 때, 그리고 고객이 기업으로부터 정서적·수단적 지원을 많이 받았다고 지각할수록 고객시민행동을 적극적으로 하는 것으로 나타났다. 또한 고객이 기업이 제공하는 서비스에 대한 가치를 높게 지각할수록 기업에게 긍정적으로 기여하는 고객시민행동을 하는 것으로 나타났다. 마지막으로 고객이 기업에 공헌하는 고객시민행동을 통해 해당 기업과의 관계에 있어서 장기지향성을 보인다는 가설 또한 지지되었다. 본 연구는 고객시민행동에 대한 개념화와 실증분석을 통하여 고객시민행동의 주요 선행변수와 결과에 관한 통합적 모델을 제시함으로써 이 분야의 연구가 나아갈 방향의 기초를 제공하였다는 점에서 그 의의를 찾을 수 있다.

• 한국임상약학회지
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• 제22권4호
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• pp.330-339
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• 2012

Background : Hypertension is treated with both lifestyle modification and pharmacotherapy. The Seventh Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7), published in 2003, provides a streamlined management approach to hypertension for the primary care physician. The JNC-7 is the gold standard also in Korea. According to the JNC-7, special therapeutic considerations are recommended for high-risk individuals with compelling indications. The presence of compelling indications in any given patient should be considered when selecting specific pharmacotherapy to treat hypertension. However, in patients with compelling indications, it is unknown that hepatotoxicity is caused by Calcium Channel Blocker (CCB), one of 1st anti-hypertensive drugs. Now, the CCB is the most used 1st anti-hypertensive drug in Korea Therefore, we evaluated the changes in blood liver function parameters (ALT, AST, Total bilirubin, serum albumin) for the study group. Methods : We randomly collected and retrospectively analyzed Electronic Medical Record data (n=28,788) of patients, and who took calcium channel blockers(non-dihydropyridines; diltiazem, verapamil, dihydropyridines; amlodipine, barnidipine, benidipine, clinidipine, efonidipine, felodipine, isradipine, lacidipine, lercanidipine, nicardipine, nifedipine, nimodipine), with having liver function tests (LFTs) from July 1st 2009 to June 30th 2010 at the Seoul National University Hospital in Korea. Control groups are two antihypertensive agents: RAS blockade (ARB; candesartan, irbesartan, losartan, olmesartan, telmisartan, valsartan, ACE-I; cilazapril, enalapril, fosinopril, imidapril, perindopril, ramipril) and, Diuretics (loop; furosemide, torsemide, thiazide; hydrochlorothiazide[HCTZ], indapamide). Patients not having LFT results at these three standard points of time(baseline, during, medication, and after finishing medication) were excluded. The collected data were analyzed by using the SPSS (Version12.0) and Microsoft Excel (Version2007). Results : 711 patients who were treated CCB (297), RAS blockade (232) or Diuretics (182) monotherapy were selected for the study. In selected patients, liver damage degree(changes of each LFTs value) was higher in diuretics group than other groups, followed by RAS blockade and CCB. In diuretics group's was loop-diuretics group was higher than thiazide-diuretics group. In CCB group, Nondihydropyridine-CCB's damage degree was higher than Dihydropyrine-CCB's that. Conclusions : Despite the limitations due to the retrospective study, among patients with abnormal LFTs, the use of CCBs led to a less liver damage than other 1st anti-hypertensive agents. It can be recommended CCBs as one of the initial treatments of hypertension in patients with liver disease.