• Pediatric Infection and Vaccine
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• 제29권1호
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• pp.46-53
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• 2022

뇌실염은 일반적으로 정맥 내 항생제를 통하여 치료하나, 불응성 뇌실염의 치료는 정맥 내 항생제 치료와 뇌실 내 항생제 치료의 병행이 요구되기도 한다. 이론적으로 항생제의 뇌실 내 투여는 정맥 내 단독 투여보다 뇌척수액에서 더 높은 항생제 농도에 도달할 수 있게 한다. 본 증례 보고는 기존의 전신 항생제 치료에 불응하는 폐렴 간균과 메티실린 내성 표피 포도상 구균에 각각 뇌실 내 겐타마이신과 반코마이신 투여를 통하여 뇌실염을 치료한 2례로서 이후에도 주요 합병증 등이 없어 이를 보고하는 바이다.

• 한국컴퓨터정보학회논문지
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• 제28권1호
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• pp.121-127
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• 2023

본 연구에서는 질소화합물을 최적으로 줄일 수 있는 SCR에서 설계 조건과 CFD 해석 결과를 비교해 검토하고자 한다. 이를 위해 보일러의 쉘과 튜브 영역에 대해 설계 기준을 만족하고 있는지 CFD을 이용하여 해석하고 비교하였다. SCR 시스템에서 해석영역은 쉘 측은 가스·공기 열교환기 입구에서 출구까지이고, 튜브 측은 가스·공기 열교환기의 8개 튜브로 설정하였다. CFD 해석을 통해 SCR 시스템의 1차 촉매 면에서 가스의 속도 분포는 2.7%로 설계되었고, NH3/NOx 몰비 분포는 3.7%로 설계 기준을 만족하였다. 또한, 온도 분포의 균일성을 확인하였고 요구 조건인 260℃ 이상을 만족하였다. 촉매에 유입되는 가스의 각도는 2.9도로 설계 조건을 충족하였고, 그리고 발생하는 압력손실도 설계 요구조건을 만족하였다. 이러한 CFD 해석을 통해 각 영역별로 요구되는 설계조건을 만족하여 설계되어 최적으로 운전되고 있음을 확인하였다.

• Clinical Endoscopy
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• 제56권1호
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• pp.38-49
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• 2023

Background/Aims: Patients with Barrett's esophagus are at increased risk of developing esophageal adenocarcinoma. Endoscopic therapies aim to eradicate dysplastic and metaplastic tissues. Hybrid argon plasma coagulation (hybrid-APC) utilizes submucosal fluid injection to create a protective cushion prior to ablation that shields the submucosa from injury. We performed a pooled meta-analysis to evaluate the safety and efficacy of hybrid-APC. Methods: We conducted a systematic search of major electronic databases in April 2022. Studies that included patients with dysplastic and non-dysplastic Barrett's esophagus undergoing treatment with hybrid-APC were eligible for inclusion. Outcome measures included complete remission of intestinal metaplasia (CR-IM), stricture formation, serious adverse events, and number of sessions necessary to achieve CR-IM. Results: Overall pooled CR-IM rate for patients undergoing hybrid-APC was 90.8% (95% confidence interval [CI], 0.872-0.939; I²=0%). Pooled stricture rate was 2.0% (95% CI, 0.005-0.042; I²=0%). Overall serious adverse event rate was 2.7% (95% CI, 0.007-0.055; I²=0%). Conclusions: Results of the current meta-analysis suggest that hybrid-APC is associated with high rates of CR-IM and a favorable safety profile. Interpretation of these results is limited by the inclusion of retrospective cohort and case series data. Randomized controlled trials that standardize treatment and outcome evaluation protocols are necessary to understand how this treatment option is comparable to the current standards of care.

• The Korean Journal of Physiology
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• 제25권2호
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• pp.189-200
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• 1991

During the past few years it has been proposed that lithium clearance can be used as a reliable measure for the outflow of tubular fluid from the proximal tubule. This study was aimed to characterize the inflow dependent reabsorption of Na in renal tubule beyond the proximal tubule. For this purpose, lithium clearance was used as a measure for the inflow from the proximal tubule and the changes in reabsorption fraction of Na and water were determined in rabbits. Rabbits were pretreated with hypotonic saline solutions for an hour (50 mM/L NaCl, 20 ml/hr/kg). And then a hypertonic solution of 500 mM/L NaCl (20 ml/kg) was administered intraperitoneally in conjunction with a bolus of LiCl solution (2 mM/kg, i.v.) for conditioning the $C_{Li}$ and urine flow rate. To rule out the effect of $Li^+$ on tubular functions, a bolus of NaCl solution (2 mM/kg, i.v.) was administered. Fifteen, thirty, and sixty minutes after injection of hypertonic saline arterial blood and urine samples were taken. Urinary and plasma concentrations as well as urinary output of $Li^+,\;Na^+\;and\;K^+$ were measured. From these $C_{Li},\;C_{Na}$ and the reabsorption fraction of Na and water $(Fr_{Na}\;&\;FrH_2O)$ were calculated. These results were compared with those from control groups in which the same amount of isotonic saline (145 mM/L NaCl) and of 15% dextran solution were administered in the same way as that in experimental group. Followings are the results obtained. 1) The plasma concentration of $Na^+$ in rabbits injected with hypertonic saline reached the peak value after 15 min and thereafter no significant change was observed. Hematocrit values did not show any change, while urinary excretion of $Na^+$ increased markedly during the first 15 min and decreased thereafter. These results were not affected by an injection of a small amount of LiCl. 2) The clearances of $Li^+,\;Na^+\;and\;K^+$ in rabbits injected with hypertonic saline and LiCl solution decreased. 3) In spite of the variation in $C_{Li},\;Fr_{Na}$ did not show any significant change while $FrH_2O$ increased gradually. 4) $C_{Li}$ decreased also in rabbits received isotonic saline. $Fr_{Na}$ tended to be higher than that in hypertonic saline group, while $FrH_2O\;and\;Fr_{Na}$ did not associated with the decrease in $C_{Li}$. 5) $C_{Li}$ of the rabbits received dextran solution fluctuated persistently and $Fr_{Na}\;and\;FrH_2O$ did not change in along with $C_{Li}$ although $Fr_{Na}$ had a tendency to be higher than that in hypertonic saline group. 6) From the above results it was concluded that: (a) In rabbits with normal body store of $Na^+$, the $Fr_{Na}$ of renal tubule beyond proximal tubule. calculated from $C_{Li}$ as a measure of inflow from proximal tubule is constant in spite of variations in $C_{Li}$. (b) The $FrH_2O$ calculated from $C_{Li}$ is dependent largely upon ADH rather than inflow from proximal tubule. (c) When there is a decrease in plasma $Na^+$ concentration or ineffective body fluid. $Li^+$ reabsorption may occur in the thick segnent of Henle's loop and hence the determination of $Fr_{Na}$ and $FrH_2O$ will not be easy one, but $Fr_{Na}$ is constant under the same experimental conditions.

• Tuberculosis and Respiratory Diseases
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• 제39권2호
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• pp.120-130
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• 1992

연구배경 : 급성 폐손상의 기전에 관한 연구는 많이 진행되어 있으나 아직 확실한 결론을 내리기에는 미흡한 실정이다. 최근에 산소기의 병인론적 역할에 관한 관심이 고조되고 있으나 이것도 아직 확실히 규명되지 못한 실정이고 내독소에 의한 백서의 급성 폐손상에 관해서는 경험이 일천한 상태이다. 이에 저자들은 백서에서 내독소투여 후 시간경과에 따른 폐포내 호중구 침윤과 폐포-모세혈관 투과성의 변화를 관찰하고 hydroxyl radical 탐식제인 DMTU와 hydroxyl radical 형성에 중요한 역할을 하는 철분제거제인 DFX 전처치가 이에 미치는 영향을 관찰하여 hydroxyl radical이 내독소에 의한 백서의 급성 폐손상에서 호중구의 이동과 폐포-모세혈관 투과성의 증가에 마치는 영향을 평가하고자 본 연구를 시행하였다. 방법 : 50마리의 백서를 대조군 (n=5, 6hrs; n=5, 24hrs), 내독소 투여군 (n=10, 6hrs; n=10 24hrs), DMTU 전처치군 (n=10, 6hrs) 과 DFX 전처치군 (n=10, 6hrs) 으로 나누어 희생하기 30분전에 $^{125}I$을 붙인 bovine serum albwnin을 꼬리 정맥에 주사하였다. 내독소를 투여하고 6시간과 24시간이 경과한 후 백서를 희생시켜서 폐조직과 말초혈액 1 ml의 방사능을 측정하여 이 둘의 비를 폐포-모세혈관 투과성의 지표로 사용하였다. 다른 52마리의 백서를 위와 같이 4개의 군으로 나누어 [대조군 (n=5, 6hrs; n=5, 24hrs), 내독소투여군 (n=7, 6hrs; n=8, 24hrs), DMTU 전처치군 (n=6, 6hrs; n=9, 24hrs)과 DFX 전처치군 (n=5, 6hrs; n=7, 24hrs)] 내독소를 투여하고 6시간과 24시간이 경과한 후 희생시켜 말초혈액과 기관지폐포세척액의 구성세포와 폐의 병리조직학적 소견을 관찰하였다. 결과 : 내독소를 투여하고 6시간이 경과한 후 폐포-모세혈관 투과성이 증가되었다가 24시간이 경과한 후 정상대조군 수준으로 회복되는 양상을 보였는데 6시간만에 DMTU와 DFX 전처치로 유의하게 완화되었다. 폐조직으로의 호중구 침윤은 내독소를 투여하고 24시간이 경과한 후 관찰되었는데 이는 DMTU와 DFX 전처치로 완화되지 않았다. 결론 : 이상의 결과로 내독소에 의한 백서의 급성 폐손상에서 hydroxyl radical은 호중구의 이동에는 관여하지 않을 것으로 생각되며 주로 폐포-모세혈관 투과성 증가에 관여할 것으로 생각된다.

• 지구물리와물리탐사
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• 제9권1호
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• pp.67-72
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• 2006

지하 염수층의 $CO_2$ 주입은 큰 저장 능력으로 인하여 대기 중으로의 $CO_2$ 방출을 감소시키기 위한 가장 유망한 방법일 것이다. $CO_2$ 저장은 적어도 수 천년 간 $CO_2$가 지층 안에 안전하게 남아있도록 주의깊게 계획되고 모니터링되어야 한다. 특히 해양 저류층에 대한 탄성파 탐사 방법들은 알맞은 저류층특성이 제공된다면 $CO_2$의 주인공정과 분산을 모니터링하기 위한 일차적인 수단이다. 탄성파탐사 방법은 잠재적인 트랩, 저류층 특성, 저류층 저장능력의 규명에 또한 필수적이다. 따라서 $CO_2$ 저장에 대한 탄성파 반응의 변화에 대한 평가는 매우 초기 단계에 이루어져야 한다. 이것은 모암과 $CO_2$ 사이의 화학적 작용에 의해 일어날 수 있는 유체의 특성이나 광물 조성의 변화에 따른 탄성파 반응에서의 잠재적 변화를 평가하기 위해 나중 단계에 다시 고려될 필요가 있다. 따라서 저류층에 일정시간 이상의 $CO_2$ 주입에 의한 탄성파 반응 변화에 대해 섬세히 구축된 모형은 장기간의 모니터링 프로그램 설계에 도움을 준다. 그러한 목적으로 주입된 $CO_2$에 대한 단기간과 장기간의 4차원 탄성파 반응을 모델링하도록 설계된, 그래픽 사용자 인터페이스((GUI)를 채택한 암석물리학 모의실험장치를 개발했다. 적용분야는 $CO_2$ 위상 변화, 국부적인 압력과 온도 변화, 화학 반응 및 광물의 침전을 포함한다. 이방성 가스만(Gassmann) 식을 모의실험장치에 고려시킴으로써 단층과 파쇄대를 재활성화 시키는 $CO_2$의 탄성파 반응 또한 예측될 수 있다. 이 논문에서는 암석물리학 모의실험장치를 적용했던 현장(해상과 육상의 잠재적 $CO_2$ 격리 지역)의 사례를 보여주고 있다. 4차원 탄성파 반응들이 모니터링 프로그램의 설계를 돕기 위하여 만들어 졌다.

• 한국가축번식학회지
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• 제21권3호
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• pp.255-264
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• 1997

The purpose of this study was attempted to investigate the number changes of the growing and mature follicles in ovary following repeats of pregnant mare serum gonadotropin(PMSG) treatments for superovulation in nulliparous rats. Thirty two rats(Sprague-Dawely, about 200~250 gm) were randomized into 4 groups. Control group rats were sacrified at estrus phase confirmed by vaginal smear. PMSG-treated group 1 rats, PMSG-treated group 2 rats and PMSG-treated group 3 rats were sacrified at 48 hrs after injection once with PMSG 25 IU, after 2 repeated injection by a week interval, and 3 repeated injection, respectively. The uteri and ovaries of rats were removed and weighed and then were observed grossly and serial sections of all ovaries and some sections of uteri by paraffin embedding were stained with H-E. Number of ovarian follicles about 3 grades of small, middle and large follicles from seondary and follicles were investigated by LM photographies of ovary preparations. The criteria of the small, middle, and large follicles were based as small follicle with preantral follicles with 2~4 layers of granulosa cells surrounding the oocyte, as secondary follicles with more than 5 layers of granulosa cells and early signs of antral cavity or with small clefts on either side of the oocytes, and as tirtiary follicles with a single medium sized antral cavity or large well-formed antral cavity, respectively. In gross findings, the wall of the uteri in control group were thin, and those in 3 PMS-treated group were markedly thickened and some uterine lumen of those filled with fluid. In histological findings, the walls of the uteri from 3 PMSG-treated groups were hypertrophied and their blood and lymph vessels were dilated than those of control group. The ovaries fo 3 PMSG-treated groups were more increased in size and the cortexes were more developed and increased in width but there are no difference of development and changes in 3 PMSG-treated groups. The weight of the uteri and ovaries per rat in PMSG -treated group 1, 2 and 3 were a, pp.ared to be significantly increased 171.4$\pm$47.6%, 162.3$\pm$43.9%, 206.9$\pm$30.4%, respectively than those of control groups. The mean number of follicle per ovary in control group were a, pp.ared to be 17.1$\pm$3.5, 46.2$\pm$14.5, and 74.3$\pm$22.7 at large, middle and small follicles, respectively and total number of these 3 grade follicles per ovary were a, pp.ared to be 137.7$\pm$31.7. The mean number of follicle per ovary in PMSG-treated group 1 were a, pp.ared to be 25.6$\pm$7.3, 78.1$\pm$29.9, and 83.2$\pm$34.0, at large, middle and small follicles, respectively and total number of these 3 grade follicles were a, pp.ared to be 187.5$\pm$58.8. The mean number of follicle per ovary in PMS-treated group 2 were a, pp.ared to be 21.9$\pm$5.2, 67.8$\pm$16.8, and 68.0$\pm$14.9 at large, middle and small follicles, respectively and total number of these 3 grade follicles were a, pp.ared to be 157.7$\pm$26.2. The mean number of follicle per ovary in PMS-treated group 3 were a, pp.ared to be 21.7$\pm$4.8, 61.5$\pm$17.0, and 59.7$\pm$16.2 at large, middle and small follicles, respectively and total number of these 3 grade follicles were a, pp.ared to be 143.5$\pm$29.6. The number of follicles in PMSG-treated group 1 a, pp.ared to be more number than other 2 PMSG-treated gruops and tended to be decreased by frequency of PMSG-treatment.

• Clinical and Experimental Reproductive Medicine
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• 제24권3호
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• pp.311-318
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• 1997

Bypassing acrosome reaction and fusion process in intracytoplasmic sperm injection(ICSI), most of injected spermatozoa still contain intact acrosome contents and plasma membrane. It Is not known yet what acrosome contents and plasma membrane of spermatozoa have effect on the development of embryo. For further understanding of fertilization process after ICSI, we studied the time of pronucleus formation, disappearance and first cleavage in human zygote, and pregnancy rate in relation to acrosome reaction rate of spermatozoa after ICSI. Seventy cycles undergoing ICSI program were randomly selected. Sperm suspension from 38 cycles were treated 50% human follicular fluid(hFF) for 3 hours in order to induce acrosome reaction, others were not treated as control. Acrosome reaction in hFF treated and non-treated group was assessed by fluorescein isothiocyanate(FITC)-conjugated Arachis hypogea(PNA) and Pisum sativum agglutinin(PSA). Oocytes were classified into 'good' and 'poor' according to their morphology. After ICSI, fertilization of oocytes were assessed by detection of two pronuclei at 16 hours. The pronuclei disappearance and first cleavage of zygotes were observed at 24 hours, and then embryos were transferred to uterus after culture for 72 hours. The rate of acrosome reaction of spermatozoa in hFF treated group was significantly higher than that in control(p<0.01). Fertilization rates of good oocytes were not different both control and hFF treated group(81.3%(174/206) vs. 72.1%(102/130)). But, in poor oocytes, the fertilization rates in hFF treated group(72.1%(149/183)) were increased compared than those of control group (63.6%(98/140), p<0.01). In either good or poor oocytes, the rates of pronuclei disappearance in hFF treated-spermatozoa injected oocytes were higher than control (59.1%(103/174), 56.4%(84/149) vs. 32.4%(33/102), 37.8%(37/98), p<0.01). Also, the rates of thirst cleavage were increased in hFF treated group (31%(54/174), 24.1%(36/149)) compared than those of control group (10.8%(11/102), 13.2%(13/98), p<0.01). The pregnancy rates of hFF treated group (42.1%(16/38)) were slightly higher than control group (28.1%(9/32), p>0.05). But, the pregnancy rate of group which possessed more than one cleavaged zygote at 24 hours was higher than group which did not (45.2%(19/42) vs. 21.4%(6/28), p<0.05). From these results, the development of zygotes were faster in higher acrosome reacted sperm group than lower acrosome reacted sperm group after ICSI. Our results may be explained that acrosomal membrane and plasma membrane are easily detached from spermatozoa in acrosome reacted spermatozoa compared with acrosome intact sperm in the cytoplasm of oocyte during pronuclear formation. We conclude that the injection of acrosome reacted spermatozoa will increase the pregnancy rate as they can induce fast embryonic development in ICSI.

• 자원환경지질
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• 제54권1호
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• pp.105-115
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• 2021

대규모로 포집된 이산화탄소를 고갈된 석유·가스 저류층, 대염수층과 같은 심부 지질구조에 주입하는 이산화탄소 지중저장은 대기중 CO2 배출을 저감하기 위한 가장 유망한 기술 중 하나로 연구되고 있다. 이산화탄소 지중저장은 공극수로 포화된 다공성 지질 구조 내부로 초임계상 이산화탄소를 주입함으로써 그 흐름이 공극수와 비혼성 대체를 일으키며 진행된다. 따라서, 공극 구조 내에서 초임계상 이산화탄소와 공극수의 거동과 분포, 그리고 그 결과로 나타나는 대체효율은 두 유체의 상호작용에 의해 좌우되는데, 특히, 점성력과 모세관력은 지질 구조 내부의 환경 조건과 주입 조건에 의해 결정된다. 본 연구에서는 상온상압조건에서 대체유체를 수적법에 적용하여 고온고압조건에서 계면활성제가 초임계상 이산화탄소와 공극수 간 계면장력에 미치는 영향을 산정하였다. 또한, 다공성 매체 내에서의 비혼성 유체의 거동과 분포 양상을 관찰함으로써 계면활성제 농도가 초임계상 이산화탄소의 대체율에 미치는 영향을 분석하였다. 이를 위하여 초임계상 이산화탄소와 공극수의 대체 유체로서 헥산과 탈이온수를 적용하는 마이크로모델 실험을 수행하였으며, 공극 구조 내로의 헥산 주입에 의한 탈이온수의 대체 과정을 정량적으로 분석하기 위하여 이미징 시스템을 통해 두 유체의 비혼성 대체 양상에 관한 이미지를 확득하여 분석하였다. 실험의 결과는 계면활성제의 첨가는 낮은 농도에서도 헥산과 탈이온수 간 계면장력을 급격하게 감소시키며 이후 농도가 증가함에 따라 일정한 값에 접근하는 양상을 보여주었으며, 이러한 변화는 다공성 매체 내부의 공극 규모에서 진입 유체의 흐름 경로에 직접적인 영향을 미침으로써 평형 상태에서 헥산의 대체율에도 동일한 효과를 나타내는 것으로 나타났다. 본 연구의 결과는 다공성 매체 내에서 일어나는 비혼성 유체의 대체에 관한 중요한 정보를 제공하며, 계면활성제의 적용이 이산화탄소 지중저장의 효율을 향상시킬 수 있는 가능성을 보여주었다.

• 대한본초학회지
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• 제22권2호
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• pp.25-33
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• 2007

Objectives : Oriental pear was used as treatment of asthma, control of blood pressure, diabetes in oriental medicine. The aim of this study was to observe the effects of Phenolic compound extracted from pear and herbal drugs to treat asthma. Methods : In order to study the effect of oral administration of phenolic compound extracted from pear and herbal drugs(Platycodon grandiflorum, Prunus armeniaca) on allergic asthma, mice were pre-treated by oral administration of the solution before antigen sensitization four times for 8 days. 2 days later, mice were actively sensitized with a subcutaneous injection of ovalbumin and 13 days later, they were provoked with ovalbumin aerosols. The animals were divided into four groups; Saline, orally administered saline. PC-A, orally administered Phenolic compound extracted from pear peel 10mg/kg/ml. PC-B, orally administered Phenolic compound extracted from pear peel and flesh 10mg/kg/ml. PC-C, orally administered pear 10m/kg/ml, Platycodon grandiflorum 24.4 mg/kg/ml and Prunus armeniaca 33.3 mg/kg/ml. Serum level of IgE, IL-4, cell numbers in the bronchoalveolar lavage fluid(BALF), and in vitro isometric contractile responses of the isolated tracheal smooth muscle(TSM) to acetylcholine(ACh, $0.1-1000{\mu}M$), KCl were measured. Results : Contractile responses of TSM to ACh were decreased in PC-A group at Ach 0.1, 0.3, 1 ${\mu}M$, decreased in PC-B at 0.1 ${\mu}M$ and decreased in PC-C at 0.1, 0.3, 1, 10, 30 ${\mu}M$. The maximal contractile response of TSM to KCl was decreased in PC-C group, The cell numbers of eosinophil in BALF were decreased in PC-C group, and those of macrophages in BALF were decreased in PC-A and PC-C group. Interleukin-4 in BALF was decreased in PC-A, PC-B, PC-C group. Conclusion : Based on the above results it is assumed that oral administration of phenolic compound extracted from pear and herbal drugs can help the treatment of deficiency allergic Asthma.