• 간호행정학회지
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• 제5권2호
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• pp.209-224
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• 1999

I have practiced this reserch for the purpose of proposition of basic data for amendment and addition of computer system after I surveyed the degree of abilities and satisfaction on the computerization in nursing\ practice. Subjects were collected from September 1 to September 30, 1998. Study subjects are 151 clinical nurses who are working at university hospital in Chonbuk area. Study instrument consists of 116 questionnaire which was developed by Kim H. K(1998). The data were analized number, mean ,t-test, ANOVA by using SPSS. The study results are as follows: 1. Most of the nurses who answered the questions were educated computerizing(96%). The abilities of computer program utilities were the most in inputting data(74%). The program nurses wanted computerizing education was wordprocess, dealing internet and statistics. 2. As for applying parts of computer system in nursing, the most nurses were Dr's order check (96%), treatment activity(91.4%), medication(89.4%), lab. test(87 .4%), transfering department(85.4%), transfering room(79.5%), diet(71.8%), discharge (70.2%), Barcord Sticker(70.2%) , reservation(62.2%) in order that were all conected order system mutually to other part. It showed that computer system was not applied for treating the original nursing work such as nursing record (13%), duty scheduling(6.0%) , nursing process(4.6%) , Q.I(1.3%), nursing research(1.3%), education(1.3%), 3. As for the benefit when computer system is applied for, the most respondence was promptness of work and convenience(90.6%) , exactness of work (82.8%), offering information exactily and efficiently(36.3%), offering good quality of nursing (6.0%) in order. 4. The degree of contentment on computerizing in nursing practice showed average 3.24%. The best marking item is that they are eager to participate in the computer education. Next, the automatic output of label and giving the number automatically is to prevent loss and mentioned items of patient registration from being changed(3.95) and to prevent mistakes possibly happening because of doctor's difficult order(3.85). 5. The problems which may happen to in nurses' utilization of computerization for the nursing practice showed average 3.18. The most problem is that the practice may stop because of the problem of computer itself(3.67), and the next, the indication of act can be imperfect(3.66) , manual training may overlap because of incomplete computerization (3.60), practical education for the computerizing is lack(3.41), and the computer literate nurses are lack(3.40) . 6. Study subject's contentment by age was significant difference(F=3.10,P=0.0119). Study subject's contentment by job posision was significant difference(F=6.001P=0.0034) I will propose the following according to the above results. The domain of original nursing practice is urgernt. Manual and indication of act should be made before long in computer obstacle. Nursing department should support the nurses so that they could receive the education needed for the nurses themselves.

• Archives of Plastic Surgery
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• 제34권1호
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• pp.37-43
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• 2007

Purpose: Photogrammetry has been introduced as an alternative to direct measurement to obtain facial distances for a variety of anthropometric applications. The aim of this study is to establish morphological and functional value of an eye in Korean youths using specially designed computer software with digital photographic images. Methods: Authors measured anthropometry of an eye in Korean youths 1,449 individuals(622 males, 827 females) and analyzed stastically them. Results: The mean measurements are as follows. The diameter of cornea was $11.6{\pm}0.9mm$ in males and $11.3{\pm}0.9mm$ in females. The vertical dimension of palpebral fissure was $7.4{\pm}1.7mm$ in males and $8.2{\pm}1.6mm$ in females. The intercanthal width was $35.8{\pm}3.2mm$ in males and $34.4{\pm}2.9mm$ in females. The biocular width was $90.4{\pm}5.7mm$ in males and $87.4{\pm}5.3mm$ in females. The endocantion-superior margin of palpebral fissure distance was $12.7{\pm}1.4mm$ in males and $11.6{\pm}1.4mm$ in females. The horizontal dimension of palpebral fissure was $28.5{\pm}2.2mm$ in males and $27.4{\pm}1.9mm$ in females. The slant of palpebral fissure was $10.7{\pm}2.6^{\circ}$ in males and $11.3{\pm}3.0^{\circ}$ in females. The height of upper eyelid was $10.6{\pm}2.3mm$ in males and $10.7{\pm}2.3mm$ in females. The width of double fold was $2.0{\pm}0.7mm$ in males and $1.9{\pm}0.6mm$ in females. A double fold was seen in 21.9% of males and 44.9% of females. The most frequent shape of the double fold was type IV. The most common type of epicanthal fold was type III in both males and females. Conclusion: Photogrammetic measurement of large population using specially designed software could offer reliable data and these data could be useful reference for preoperative consultation, surgical planning and anthropometic study of eye.

• Tuberculosis and Respiratory Diseases
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• 제44권1호
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• pp.44-51
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• 1997

연구배경 : 최근 알려진 ${\gamma}{\delta}$ 수용체는 결핵균 감염의 초기에 제2형 주요 조직적합성 복합계(MHC class II)의 인식없이 결핵균 항원에 반응하여 세포성 면역반응을 나타냄이 보고되었다. 이에 연구자등은 페결핵환자와 결핵성 흉막염 환자, 그리고 다른 원인의 흉막염 환자사이에 T 림프구의 조성과 ${\gamma}{\delta}$ T-림프구 수의 차이를 관찰하였다. 방법 : 대상은 폐결핵환자 30예(이중 결핵성 흉막염환자 15예), 폐암 환자 12예(이중 악성 흉막염 환자 9예), 폐렴 7예(이중 폐렴성 흉막염 6예)등 모두 49예였다. 혈청 ADA(adenosine deaminase)활성도는 Hitachi 747 자동화학분석기에서 측정하였다. T 세포 림프구 아형의 분류는 lysed whole blood method로 anti-Leu4, anti-Leu3a, anti-Leu2a, anti HLA-DR 그리고 anti-TCR-${\gamma}{\delta}$-1를 이용하여 flow cytometer로 분석하였다. 결과 : 1. 말초혈액내 ${\gamma}{\delta}$-T 림프구의 평균치는 $4.8{\pm}4.6%$ 였고, 결핵군(29예) $5.5{\pm}4.5%$, 비결핵군(14예) $3.3{\pm}2.9%$(폐암군 $4.0{\pm}3.2%$, 폐렴군 $2.2{\pm}1.6%$로 유의한 차이는 없었다(p=0.24). 질병의 이환기간 1개월 이내의 환자중에서도 결핵군(20예) $6.4{\pm}6.6%$, 비결핵군(14예) $3.3{\pm}2.9%$ 으로 유의한 차이는 없었다(p=0.16)(Table 1). 2. 흉막액내 T 세포 림프구 아형중 CD4 림프구는 결핵성 흉막액에서는 $54.6{\pm}13.8%$, 비결핵성 흉막액에서는 $36.2{\pm}25.3%$(악성 흉막액 $38.4{\pm}23.8%$, 폐렴정 흉막액 $30.1{\pm}34.0%$ 결핵성 흉막액에서 의의있게 높았다(p=0.04)(Table 2). 3. 흉막염이 있던 환자에서 말초혈액내 ${\gamma}{\delta}$-T 림프구는 결핵성 흉막염군(14예)이 $7.0{\pm}9.0%$, 비결핵성 흉막염군(11예) $3.0{\pm}2.0%$ (악성 흉막염군 $3.1{\pm}2.2%$, 폐렴성 흉막염군 $2.7{\pm}1.7%$로 차이는 없었다(p=0.16). 흉막액내 ${\gamma}{\delta}$-T 림프구는 결핵성 흉막염군(15예)이 $3.9{\pm}2.9%$, 비결핵성 흉막염군(10예) $2.1{\pm}2.2%$(악성 흉막염군 $2.0{\pm}2.5%$, 폐렴성 흉막염군 $2.4{\pm}1.7%$ 로 유의한 차이가 없었다(p=0.12). 4. 환자의 연령이나 성별과 말초혈액내 ${\gamma}{\delta}$-T 림프구수와는 상관관계가 없었고, 폐결핵 환자에서 병변의 정도, 혈청 및 흉막액내 ADA와 ${\gamma}{\delta}$-T 림프구수와도 상관관계가 없었다. 결론 : 결핵성 흉막염환자에서 말초혈액 및 흉막액내 ${\gamma}{\delta}$-T 림프구수의 유의한 증가는 없어 다른 질환과의 감별진단에 도움이 되지 못할 것으로 생각되며, ${\gamma}{\delta}$-T 림프구의 증가는 결핵 초기 환자들을 대상으로 추가 연구가 필요할 것으로 생각된다.

• Clinical and Experimental Reproductive Medicine
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• 제30권3호
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• pp.207-215
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• 2003

Objective: To compare the pregnancy outcomes after in vitro fertilization with intracytoplasmic sperm injection (IVF-ICSI) between obstrucvtive and non-obstrucvtive azoospermia. Methods: From January 1994 to December 2002, 524 patients with obstructive azoospermia (886 cycles) and 163 patients with non-obstructive azoospermia (277 cycles) were included in this study. Microsurgical epididymal sperm aspiration (MESA) or testicular sperm extraction (TESE) in obstructive azoospermia and TESE in non-obstructive azoospermia were perfomed to retrieve sperm, which was used for ICSI and then fertilized embryos were transferred. The results of ICSI - fertlization rate (FR), clinical pregnancy rate (CPR), clinical abortion rate (CAR) and delivery rate (DR) - were statistically analysed in obstructive versus non-obstructive azoospermia. Results: There were no differences in the number of retrieved oocytes, injected oocytes for ICSI and oocyte maturation rate. FR was significantly higher in obstructive than non-obstructive azoospermia (71.7% vs. 61.1%, p<0.001). There was no difference in CPR per embryo transfer cycle. After pregnancy was established, however, CAR was significantly higher in non-obstructive than obstructive azoospermia (25.6% vs. 12.5%, p=0.004). DR per clinical pregnancy cycle was significantly higher in obstructive than non-obstructive azoospermia (78.0% vs. 64.4%, p=0.012). In the karyotype ananlysis of abortus, abnormal karyotypes were found in 75.0% (6/8) of obstructive and 55.6% (5/9) of non-obstructive azoospermia. Conclusion: Our data show significantly higher FR in obstructive than non-obstructive azoospermia. Though there was no differrence in CPR, CAR was significantly higher in non-obstructive than obstructive azoospermia. The abortion may be related to the abnormal karyotype of embryo, but further investigations are necessary to elucidate the cause of clinical abortion in azoospermia.

• Asian Pacific Journal of Cancer Prevention
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• 제17권9호
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• pp.4517-4525
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• 2016

Background: Sperm DNA damage is underlying aetiology of poor implantation and pregnancy rates but also affects health of offspring and may also result in denovo mutations in germ line and post fertilization. This may result in complex diseases, polygenic disorders and childhood cancers. Childhood cancer like retinoblastoma (RB) is more prevalent in developing countries and the incidence of RB has increased more than three fold in India in the last decade. Recent studies have documented increased incidence of cancers in children born to fathers who consume alcohol in excess and tobacco or who were conceived by assisted conception. The aetiology of childhood cancer and increased disease burden in these children is lin ked to oxidative stress (OS) and oxidative DNA damage( ODD) in sperm of their fathers. Though several antioxidants are in use to combat oxidative stress, the effect of majority of these formulations on DNA is not known. Yoga and meditation cause significant decline in OS and ODD and aid in regulating OS levels such that reactive oxygen speues meditated signal transduction, gene expression and several other physiological functions are not disrupted. Thus, this study aimed to analyze sperm ODD as a possible etiological factor in childhood cancer and role of simple life style interventions like yoga and meditation in significantly decreasing seminal oxidative stress and oxidative DNA damage and thereby decreasing incidence of childhood cancers. Materials and Methods: A total of 131 fathers of children with RB (non-familial sporadic heritable) and 50 controls (fathers of healthy children) were recruited at a tertiary center in India. Sperm parameters as per WHO 2010 guidelines and reactive oxygen species (ROS), DNA fragmentation index (DFI), 8-hydroxy-2'-deoxy guanosine (8-OHdG) and telomere length were estimated at day 0, and after 3 and 6 months of intervention. We also examined the compliance with yoga and meditation practice and smoking status at each follow-up. Results: The seminal mean ROS levels (p<0.05), sperm DFI (p<0.001), 8-OHdG (p<0.01) levels were significantly higher in fathers of children with RB, as compared to controls and the relative mean telomere length in the sperm was shorter. Levels of ROS were significantly reduced in tobacco users (p<0.05) as well as in alcoholics (p<0.05) after intervention. DFI reduced significantly (p<0.05) after 6 months of yoga and meditation practice in all groups. The levels of oxidative DNA damage marker 8-OHdG were reduced significantly after 3 months (p<0.05) and 6 months (p<0.05) of practice. Conclusions: Our results suggest that OS and ODD DNA may contribute to the development of childhood cancer. This may be due to accumulation of oxidized mutagenic base 8OHdG, and elevated MDA levels which results in MDA dimers which are also mutagenic, aberrant methylation pattern, altered gene expression which affect cell proliferation and survival through activation of transcription factors. Increased mt DNA mutations and aberrant repair of mt and nuclear DNA due to highly truncatred DNA repair mechanisms all contribute to sperm genome hypermutability and persistant oxidative DNA damage. Oxidative stress is also associated with genome wide hypomethylation, telomere shortening and mitochondrial dysfunction leading to genome hypermutability and instability. To the best of our knowledge, this is the first study to report decline in OS and ODD and improvement in sperm DNA integrity following adoption of meditation and yoga based life style modification.This may reduce disease burden in next generation and reduce incidence of childhood cancers.

• 한국의학물리학회지:의학물리
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• 제16권1호
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• pp.10-15
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• 2005

IAEA는 영상의 질에 영향을 주지 않는 범위에서 피부흡수선량의 기준선량을 제시하였다. 이러한 개념은 점차적으로 국제적인 기준으로 사용하게 되었다. 이 기준선량은 강제사항이 아니며 권고사항이지만 방사선촬영에서 아주 훌륭한 기준이 된다. 그러나 IAEA에서 제공한 선량기준은 서양 사람을 기준으로 개발된 것이어서 우리나라 사람에게는 맞지 않고, 상대적으로 우리나라의 환자선량은 적으리라 예상된다. 따라서 방사선촬영 시 촬영부위에 따른 환자 피폭선량에 대한 기준을 따로 개발해야 할 필요가 있다. 본 연구팀은 병원협회에 등록되어 있는 종합병원 278개를 대상으로 환자 피폭에 대한 설문조사를 실시하였다. 설문회수율은 57.9%였으며 각 병원에서 답한 촬영조건을 기초로 NDD법을 이용하여 환자 피폭선량을 계산하였고 방사선장치의 이용현황을 분석한 결과는 다음과 같다 1) 방사선장치의 현황은 일반촬영장치가 42.0%, 투시촬영장치가 29.4%, 치과장치가 13.2%, CT 장치가 8.1% 그리고 유방촬영장치가 7.2%로 나타났다. 2) 방사선장치의 정류방식에 따른 분류는 삼상장치가 29.9%, 인버터장치가 29.5%, 단상장치가 25.5%, 콘덴서방식이 9.0% 그리고 무응답이 6.0%였다. 3) 방사선장치의 수광방식에 따른 분류는 F/S 방식이 46.8%, CR 방식이 26.6%, DR 방식이 17.7% 그리고 무응답이 8.9%로 나타났다. 4) 방사선 촬영건수는 흉부가 49.2%, 척추가 16.8% 그리고 복부가 12.7%순으로 나타났다. 5) 환자 피폭선량은 두부 전후방향촬영 2.23 mGy, 복부 전후방향촬영 3.20 mGy 그리고 흉부 후전방향촬영 0.28 mGy로 나타났다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제30권1호
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• pp.52-59
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• 2008

The geometric design of an implant surface may play an important role in affecting early osseointegration. It is well known that the porous surfaced implant had much benefits for the osseointegration and the early stability of implant. However, the porous surfaced implant had weakness from the transgingival contamitants, and it resulted in alveolar bone loss. The other problem identified with porous surface implant is the loss of physical properties resulting from the bead sintering process. In this study, we developed the new bead coating implant to overcome the disadvantages of porous surfaced implant. Ti-6Al-4V beads were supplied from STARMET (USA). The beads were prepared by a plasma rotating electrode process (PREP) and had a nearly spherical shape with a diameter of 75-150 ${\mu}m$. Two types of titanium implants were supplied by KJ Meditech (Korea). One is an external hexa system (External type) and the other is an internal system with threads (Internal type). The implants were pasted with beads using polyvinylalcohol solution as a binder, and then sintered at 1250 $^{\circ}C$ for 2 hours in vacuum of $10^{-5}$ torr. The resulting porous structure was 400-500 ${\mu}m$ thick and consisted of three to four bead layers bonded to each other and the implant. The pore size was in the range of 50-150 ${\mu}m$ and the porosity was 30-40 % in volume. The aim of this study was to evaluate the osseointegration of the newly developed dental implant. The experimental implants (n=16) were inserted in the unilateral femur of 4 mongrel dogs. All animals were killed at 8 weeks after implantation, and samples were harvested for hitological examination. All bead coated porous implants were successfully osseointegrated with peripheral bone. The average bone-implant contact ratios were 84.6 % (External type) and 81.5 % (Internal type). In the modified Goldner's trichrome staining, new generated mature bones were observed at the implant interface at 8 weeks after implantation. Although, further studies are required, we could conclude that the newly developed vacuum sintered Ti-6Al-4V bead coating implant was strong enough to resist the implant insertion force, and it was easily osseointegrated with peripheral bone.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제8권2호
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• pp.266-272
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• 1997

본 연구의 목적은 선택적 함구증 환자에게 강력한 세로토닌 재흡수 억제제인 fluoxetine을 투여한 후에 임상효과를 검증하고자 하였다. 대상은 선택적 함구증 환아 17명으로 8주간 fluoxetine $20{\sim}60mg$을 투약하였고, Clinical Global Impression(CGI), Children’s Depression Inventory(CDI), Revised Children’s Manifest Anxiety Scale(RCMAS) 척도의 변화를 통해 치료효과를 평가함과 아울러 선택적 함구증의 동반병리 및 fluoxetine의 부작용을 조사하였다. Fluoxetine 치료후의 CGI 척도 점수는 치료전의 4.3(${\pm}0.6$)점에서 1.9(${\pm}0.9$)점으로, CDI는 치료전 17.8(${\pm}5.6$)점에서 11.6(${\pm}3.9$)점으로, RCMAS는 치료전 13.2(${\pm}4.2$)점에서 9.6(${\pm}3.6$)점으로 유의한 감소를 보였고, 8주 치료기간 중 치료 4주 이후에 58.8%의 환자가, 치료 8주 시기에는 76.5%의 환자가 임상적 호전을 보고하였다. 선택적 함구증 환자들은 가족 관계의 문제, 사회공포증, 경계성 지능, 언어문제 등의 정신과적 질환이 동반되어 있었으며, 8주간의 fluoxetine투여기간동안 식욕감퇴, 흥분/탈억제, 입면곤란, 구역질, 입마름 등의 부작용이 나타났으나 대체로 내약성을 유지하였다. 이 연구를 통해서 선택적 함구증 환아의 치료에 선택적 세로토닌 재흡수 억제제가 효과적임이 시사된다.

• 대한한방부인과학회지
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• 제18권1호
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• pp.55-63
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• 2005

Purpose : 자하거(Hominis Placenta; HP)는 건강한 사람의 태반을 홍제(烘製)하여 건조한 것으로 한의학에서는 기혈(氣血)을 대보(大補)하고 신정(腎精)을 보익(補益)시켜 구병(久病)으로 인한 신체허약(身體虛弱)이나 혹은 체질허약(體質虛弱)과 혈기부족(氣血不足) 및 신허정휴(腎虛精虧) 등 등(證)을 치료(治療)하는데 단미(單味) 또는 복방(複方)에 배오(配伍)하여 쓰여왔다. 또한 자하거는 면역학적으로 골대사 활성이 있는 것으로 알려져 있어 본 연구에서는 자하거의 항골다공증 활성을 분자세포생물학적으로 검정하고자 하였다. Methods : Osteoblast cells에서 자하거가 COX-2 mRNA의 발현과 $PGE_2$ 생합성을 억제시키는지를 관찰하기 위해 먼저 TNF-${\alpha}$, IL-${\beta}$ 와 IL-6를 처리한 후 $PGE_2$의 생합성과 더불어 COX-2 mRNA의 발현을 확인하였다. 그 후 TGF-${\beta}$, 자하거(紫河車)와 이 둘의 조합인 자하거+TGF-${\beta}$가 COX-2 mRNA 발현과 $PGE_2$ 생합성을 저해시키는지 관찰하였다. 또한 자하거가 IL-1${\beta}$로 유발된 흰쥐의 과칼슘혈증을 감소시키는지를 확인하였다. Results : IL-6, IL-1${\beta}$와 TNF-${\alpha}$를 동시에 처리하면 이것을 단독으로 처리한 것과 비교해 볼 때 $PGE_2$의 생합성과 더불어 COX-2 mRNA의 수치가 상승작용을 일으키며 증가하였다. TGF-${\beta}$, 자하거와 이 둘의 조합인 자하거+TGF-${\beta}$은 COX-2 mRNA 발현, $PGE_2$ 생합성 및 골재흡수를 감소시켰다. 자하거(紫河車)는 IL-1${\beta}$, TNF-${\alpha}$와 IL-6 각각 또는 이들의 조합으로 인해 증가하는 COX-2 mRNA 발현과 $PGE_2$ 생성을 감소시키는 반면 COX-1 mRNA 발현에는 유의성 있는 영향을 미치지 않았다. 한편 자하거는 농도의존적으로 IL-1${\beta}$로 유발된 흰쥐의 과칼슘혈증을 감소시켰다. 이러한 결과는 흰쥐의 두개골 골아세포에서 $PGE_2$ 생산에 대한 IL-${\beta}$, TNF-${\alpha}$, IL-6의 상승작용이 COX-2의 유전자 발현 증가에 기인함을 보여주었다. Conclusions : 이러한 결과들로부터 자하거가 골대사과정중 골재흡수를 억제하는데 효과적임을 밝히게 되었으며, 자하거의 골다공증의 억제기전이 골재흡수관련 단백질들의 전사조절에 있음을 최초로 해명하게 되었다.

• Natural Product Sciences
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• 제26권4호
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• pp.311-316
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• 2020

The chemical investigation of the methanolic crude extract of leaves of Diospyros iturensis gave us 15 known secondary metabolites identified as mixture of α-amyrenone (1) and β-amyrenone (2), β-amyrin (3), mixture of β-sitosterol (4) and stigmasterol (5), betulin (6), uvaol (7), betulinic acid (8), ursolic acid (9), corosolic acid (10), actinidic acid (11),11-O-p-hydroxybenzoylbergenin (12), bergenin (13) and mixture of stigmasterol glucoside (14) and β-sitosterol glucoside (15) respectively. The structures of secondary metabolites were elucidated with the help of NMR and mass spectral data and by comparison of their spectral data with literature. Among the fifteen isolated compounds, four compounds were identified for the first time in Diospyros genus. These included uvaol (7), corosolic acid (10), actinidic acid (11) and 11-O-p-hydroxybenzoylbergenin (12). Crude methanolic extract of leaves and four isolated compounds including betulin (6), betulinic acid (8), 11-O-p-hydroxybenzoylbergenin (12) and bergenin (13) were evaluated for their antiproliferative activity against two cancer cell lines CAL-27 and NCI-H460 by the MTT assay, antioxidant potential and inhibitory activity against the lipoxygenase and urease enzymes, respectively. The results indicated that the methanolic crude extract of leaves exhibited moderate antioxidant activity and was inactive against the two cancer cell lines. Betulin (6), 11-O-p-hydroxybenzoylbergenin (12) and bergenin (13) exhibited moderate antioxidant and lipoxygenase inhibition with IC50 = 65.8, 85.6, 82.5 μM and IC50 = 58.5, 95.2, 76.2 μM, respectively. Furthermore, 11-O-p-hydroxybenzoylbergenin (12) and bergenin (13) exhibited moderate urease inhibition activity with IC50 values of 45.6 μM and 49.8 μM, respectively.