• Journal of Oral Medicine and Pain
• /
• 제38권2호
• /
• pp.215-219
• /
• 2013

하행성 억제계란 중뇌, 연수, 뇌교에 존재하는 해부학적 유해수용 조절성 기전을 일컫는 용어이다. 이들 부위를 전기적으로 자극을 하면 진통효과가 나타나며, 하행성 억제계의 실패시 지속적인 통증이 야기된다는 것을 알 수 있다. 또한 우울불안 같은 질환은 만성 신경병성 통증 상태로 쉽게 진행됨이 밝혀졌다. 이러한 요인들이 만성 신경병성 통증에 영향을 주는 경로는 아마도 하행성 억제계일 가능성이 있다. 흥미롭게도, 광범위하게 하행성 억제계가 작동하지 않을 경우 과민성 대장증상이 호발하는 것으로 보인다. 또한 이러한 환자들은 높은 불안, 우울 지수가 관찰되기도 한다. 다양한 연구에서, 하행성 억제계에 관여하는 ${\alpha}2$ 아드레날린성 약물, 아편유사약물들이 만성 통증에 사용될 수 있음을 동물에서 평가 중이다. 아직 신체내에서 얼마나 하행성 억제계가 일어나고 있는가에 대해서는 임상적으로 증명하기 힘든 감이 있지만, 여러 감각 신경기전의 수정에 중요한 구실을 하고 있는 것으로 믿어진다. 즉 중추신경계는 대상을 인식하기 위해 말초정보를 받아들이는 기능만 있는 것이 아니라 여러 방법으로 정보의 홍수를 조절하고 선택하는 기능을 동시에 갖추고 있는 것으로 생각된다.

• 대한한의학회지
• /
• 제28권4호
• /
• pp.104-113
• /
• 2007

Background : Amygdalin is abundant in Armeniacae semen, and it is recently reported to treat cancers and relieve pain. But modus operandi of amygdalin at the level of neuron has not been reported, yet. Objective : This study aimed to find out the effect of amygdalin on glycine- and glutamate-induced ion currents in periaqueductal gray (PAG) neurons. And it was investigated that amygdalin participates in the regulation of the descending pain control system in the level of PAG neurons. Method : We investigated that the changes of glycine- and glutamate-induced ion currents in PAG neurons through application of lipopolysaccharides (LPS) and application of amygdalin with LPS by using the nystatin-perforated patch clamp method. Result : Application of LPS on PAG neurons resulted in increased glycine-induced ion current, and in decreased glutamate-induced ion current. In contrast, application of amygdalin with LPS resulted in decreased glycine-induced ion current increased by LPS, and increased glutamate-induced ion current decreased by LPS. Conclusion : Amygdalin from Armeniacae semen controls glycine- and glutamate-induced ion current by LPS in PAG neurons, and it is suggested that amygdalin participates in the regulation of the descending pain control system in the level of PAG neurons.

• 환경영향평가
• /
• 제21권1호
• /
• pp.133-142
• /
• 2012

Convection Current Circulation System(CCCS) in stratified reservoir controls development of anaerobic condition and algal bloom during summer. In order to increase the CCCS effectiveness, we analyze diverse design parameters to make optimize the flow pattern in reservoir. In this study, we interpret the internal flow with installation and operation condition of CCCS based on CFD in reservoir. Design variables of CCCS is reservoir depth, stratification strength, distance of between CCCS and so on. Since reservoir depth and stratification strength in variables is depending on natural phenomenon, we evaluated current circulation effect by distance of CCCS and proposed the optimal design condition using CFD simulation. Flow and diffusion changes in water body was assessed by temperature and dye test. Changes in water floor temperature at 40m intervals was slowly descending over 37 hours. Dye diffusion simulation at 60m intervals, the radius of the spread between two devices were overlapped after 12 hours.

• 대한미생물학회지
• /
• 제22권2호
• /
• pp.155-162
• /
• 1987

To determine the prevalence of antibiotic resistance in fecal E. coli and to investigate possible associations between antibiotic resistance and other plasmid-mediated virulence properties, antibiotic disk susceptibility tests for nine antibiotics were done on 141 strains of E. coli isolated from diarrheal children and well controls. Eighty two percent of the test strains were resistant to one or more antibiotics. Antibiotics to which the test strains were most resistant in descending order were ampicillin (85%), trimethoprim/sulfamethoxazol (60%), and cephalothin (55%). Seventy nine percent of these resistant strains were resistant to two or more antibiotics. All 141 test strains were sorted into enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), enteroadherent E. coli (EAEC) and non-pathogenic E. coli and the percentages of strains resistant to multiple antibiotics were compared. Among ETEC regardless of its source, multiple drug resistance was more frequent in strains producing heatstable enterotoxin (ST) only than in strains producing only heat-labile enterotoxin (LT) or both. In EAEC, multiple resistance was more frequently associated with strains isolated from diarrheal patients than with those from well controls. The major antibiotic resistance patterns possessed by multiple resistant enteropathogenic strains were $SXT^R$ $AM^R$, $CR^R$, and $SXT^R$ $AM^R$ $CR^R$. Of 28 ST- producing $SXT^R$ ETEC, 26(96%) were also resistant to ampicillin and 17 (61%) were resistant to cephalothin. The similar pattern was observed in EAEC and EPEC as well. This study has important implications for the treatment of E. coli diarrhea with antibiotics because it is possible that dissemination of virulence could occur under the force of selective antibiotic pressure. In addition, this study suggests that the in vivo efficacy of SXT in treating diarrheal illness be reevaluated.

• Journal of Neurogastroenterology and Motility
• /
• 제24권4호
• /
• pp.614-627
• /
• 2018

Background/Aims Although functional abdominal pain disorders (FAPDs) are common in children, the accurate pathogenesis of FAPDs is not known yet. Micro-inflammation, particularly tissue eosinophilia of gastrointestinal (GI) tract, has been suggested as the pathophysiology observed in several GI disorders. We aimed to evaluate eosinophilic infiltration throughout the entire GI tract in children with FAPDs, compared to those with inflammatory bowel diseases (IBD) and to normal reference values. Methods We included 56 children with FAPDs, 52 children with Crohn's disease, and 23 children with ulcerative colitis. All subjects underwent esophagogastroduodenoscopic and colonoscopic examination with biopsies. Tissue eosinophil counts were assessed in 10 regions throughout the GI tract. Results Eosinophil counts of the gastric antrum, duodenum, terminal ileum, cecum, and ascending colon were significantly higher in children with FAPDs compared to normal reference values. Eosinophil counts of the stomach and the entire colon were observed to be significantly higher in children with IBD than in those with FAPDs. Even after selecting macroscopically uninvolved GI segments on endoscopy in children with IBD, eosinophil counts of the gastric body, cecum, descending colon, sigmoid colon, and the rectum were also significantly higher in children with IBD than those with FAPDs. Conclusions Significantly high eosinophil counts of the stomach and colon were observed in the order of IBD, followed by FAPDs, and normal controls, regardless of endoscopically detected macroscopic IBD lesions in children. This suggests some contribution of GI tract eosinophils in the intrinsic pathogenesis of FAPDs in children.

• 대한약리학회지
• /
• 제1권1호
• /
• pp.37-46
• /
• 1965

1. In the tortoise, Amyda japonica, a cold-blooded animal readily available in this country, the role of catecholamines in the regulation of free fatty acids(FFA) metabolism was investigated in both in vivo and in vitro studies. 2. Norepinephrine elevated both FFA and glucose levels in plasma. 3. When $50{\mu}g/kg$ of Epinephrine, Norepinephrine and Isopropylarterenol were administered intravenously, the relative effectiveness of mobilizing FFA was in the descending order of potency-Epinephrine, Norepinephrine and Isopropylarterenol. 4. In order to exclude the 'tonic influence of the endogenous catecholamines', reserpine was given to some animals. Two days after the reserpine-treatment, glucose showed a significant increase over the solely vehicle treated controls, FFA but an insignificant one. Excised auricles from those animals showed a diminished response to tyramine. Seven days after the treatment, however, when the depletion of catecholamines from the tissue stores seemed to be complete, judged from the absence of the response of isolated auricles to tyramine, both FFA and glucose levels were definitely lowered. 5. In in vitro experiments Epinephrine enhanced the FFA-release from the adipose tissue. The effect increased proportionately with the concentration until a maximal effect was attained at a concentration of 1x $10^5$ g/ml. 6. The order of potency in releasing FFA from adipose tissue in vitro was the same as in vitro, i.e., Epinephrine, Norepinephrine and Isopropylarterenol, but the differences were much less marked. 7. Ergotamine exerted no lipolytic action, but inhibited the lipolytic effect ef Epinephrine significantly. 8. Nethalide showed a slight lipolytic effect per se but inhibited the Epinephrine-induced lipolysis significantly. 9. Catecholamines play an important role in regulating FFA metabolism in the cold-blooded animal, just as in the warm-blooded animals, and the tortoise, Amyda japonica, may be used in the studies of fat metabolism as well as the rat.

• Clinical and Experimental Pediatrics
• /
• 제60권7호
• /
• pp.208-215
• /
• 2017

Purpose: Activation of Toll-like receptor 2 (TLR2) present on circulating monocytes in patients with Kawasaki disease (KD) can lead to the production of proinflammatory cytokines and interleukin-10 (IL-10). We aimed to determine the association of the frequency of circulating TLR2+/ CD14+ monocytes (FTLR2%) with the outcomes of KD, as well as to compare FTLR2% to the usefulness of sIL-10. Methods: The FTLR2% in patients with KD was measured by flow cytometry. Serum levels of IL-10 (sIL-10) were determined in 31 patients with KD before the initial treatment with intravenous immunoglobulin (IVIG) and in 21 febrile controls by using enzyme-linked immunosorbent assay. Patients were classified as having coronary artery lesions (CALs) based on the maximal internal diameters of the proximal right coronary artery and proximal left anterior descending coronary artery one month after the initial diagnosis. Results: We found that FTLR2% greater than 92.62% predicted CALs with 80% sensitivity and 68.4% specificity, whereas FTLR2% more than 94.61% predicted IVIG resistance with 66.7% sensitivity and 71.4% specificity. Moreover, sIL-10 more than 15.52 pg/mL predicted CALs and IVIG resistance with 40% and 66.7% sensitivity, respectively, and 73.7% and 76.2% specificity, respectively. Conclusion: We showed that measuring FTLR2% before the initial treatment could be useful in predicting CAL development with better sensitivity than sIL-10 and with results comparable to sIL-10 results for the prediction of IVIG resistance in patients with KD. However, further studies are necessary to validate FTLR2% as a marker of prognosis and severity of KD.

• 한국의학물리학회:학술대회논문집
• /
• 한국의학물리학회 2005년도 제30회 춘계학술대회
• /
• pp.32-34
• /
• 2005

Purpose: To investigate the metabolic changes in the motor and motor association cortices following axonal injury in the internal capsule that was caused by deep intracerebral hematoma. Materials and Methods: Using proton magnetic resonance spectroscopy (1H MRS), the authors studied the primary motor cortices (M-1) and supplementary motor areas (SMA) of 9 hemiparetic patients with documentable hemiparesis of varying severity, and we studied 10 normal volunteers as controls. To measure the M-1 and SMA biochemical changes, 4 separate single volumes of interest (VOIs) were located bilaterally in the affected and unaffected hemisphere (AH and UH). Results: 1H MRS provided a neuronal and axonal viability index by measuring levels of N-acetylaspartate (NAA) and creatine/phosphocreatine (Cr). The M-1/SMA NAA/Cr ratios of the AH and UH in patients, and the AH and normal volunteers were compared. The NAA/Cr ratios of the M-1 and SMA in AH, and the SMA in UH were significantly lower than those of normal volunteers. Conclusion: These 1H MRS findings indicate that axonal injury in the descending motor pathway at the level of internal capsule could induce metabolic changes in the higher centers of the motor pathway.

• Journal of Chest Surgery
• /
• 제30권3호
• /
• pp.275-281
• /
• 1997

요골동맥을 이용한 관상동맥 우회 술은 1970년대초 처음 도입되었으나 요골동맥 연축(spasm)에 의한 이식편의 부전으로 사용이 중지되었으나, 1980년대 후반 칼슘 길항제등 새로운 연축 방지제의 개발과 요골동맥 채취방법(harvesting technique)의 개선으로 다시 사용하게 되었다. 저자들은 1994년 10월부터 1995년 7월까지 총 36례에서 요골동맥 자유이식 편을 이용하륵 관상동맥우 회술을 시행하였다. 이들중 34례에서 좌측 내흉동맥을 동시에 사용하였으며 15례(42%)에서는 모든 이 식편을 동맥이식 편으로 사용하였다. 총 123개의 원위부 문합중(환자당 평균 3.4개) 좌측 내흉동맥을 사용한 문합이 36개,복재정맥을 이용한 문합이 23개였으며 나머지 64개의 윈위부 문합은 요골동맥을 사 용하였고(환자당 평균 1.8개), 요골동맥을 이용한 문합이 전체문합수의 52%를 차지하였다. 요골동맥이 식편의 원위부 문합장소는 좌측회선지(circunflex artery)가 38개, 사선지(diagonal artery)가 18개, 우측 관상동맥이 6개, 좌전하행 지(left anterior descending artery)가 2개로 분포하였다. 요골동맥을 하나의 이 식편으로 사용한 경우가 10례, 순차적문합으로 사용 \ulcorner경우가25례 및 두개의 이식 편으로 나누어 사용 한 경우가 1례였다. 관상동맥 우회 술과 동반된 수술로는 관상동맥 내막절제술이 14례, 관상동맥 포편성 형술(patch angioplasy)이 4례, 승모판막 재건술이 1례, 심근경색후 심실중격파열 봉합술이 1례였다. 수 술후 합병증으로는 요골동맥을 채취한 측의 엄지손가락 감각이상이 2례, 술후 출혈이 1례,저심박출증 으로 좌심실보조장치 1례등이 있었으며 이중 좌심실보조장치를 시행한 1례에서 사망하였다. 조기추적 관상동맥 조영술은 생존한 35례중 11례(31%)에서 수술후 79일에서 210일(평균 126일)에 시행하여 좌측 내흉동맥 및 복재정맥은 100%, 요골동맥은 95%의 개방률을 보였다. 생존한 환자 모두에서 협심증의 재 발은 없었다. 결론적으로 본 연구에서는 아직 증례의 부족과 짧은 추적기간으로 요골동맥 이식편의 우 월성은 입증할 수 없으나 단기적으로 만족할만한 것으로 향후 더 많은 경험의 축적과 장기적 인 추적이 요할 것으로 사료된다.

• 한국식품영양과학회지
• /
• 제31권4호
• /
• pp.578-582
• /
• 2002

감과실의 효율적 활용을 위하여 알콜발효과정에서 pectinase 처리에 따른 성분 변화를 조사하였다. pH 및 총산의 변화는 모든 구간에서 크게 나타나지 않았으며 pectinase 처리에 따른 영향은 없었다. 환원당 함량의 변화는 실험구간 모두 발효시간 12시간 이후 급격히 감소하여 60시간부터는 변화가 없었으며 72시간에서는 pectinase처리 구간이 약간 높게 나타났다 알콜 함량의 변화는 무처리구보다 pectinase 처리구들이 높게 나타나는 경향이었으나 농도에 따른 차이는 크게 나타나지 않았다. 알콜발효수율은 200, 500 ppm 처리구가 96%로 가장 높았으며 다음은 300, 400 ppm 및 무처리구 순서로 높게 나타났다. 알콜발효과정에서 주요 알콜성분은 acetaldehyde, mothanol, ethanol, n-propylalcohol, iso-butylalcohol 및 iso-amylalcohol 5종이 분석되었다. Acetaldehyde 및 methanol 함량은 무처리구가 가장 낮았으며 methanol의 함량은 200 ppm처리구가 가장 높았으나 pectinase 처리 및 농도에 따른 차이는 크게 나타나지 않았다. 이상의 결과 감과실 알콜발효과정에서 pectinase 처리는 알콜수율 증가 등에는 효과적이었으나 methanol 함량은 증가시키는 것으로 나타났다.