• 제목/요약/키워드: M-health system

검색결과 1,226건 처리시간 0.044초

한정된 계측 변위를 이용한 구조물 변형 형상 추정 (Estimation of Structural Deformed Shapes Using Limited Number of Displacement Measurements)

  • 최준호;김승준;한승룡;강영종
    • 대한토목학회논문집
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    • 제33권4호
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    • pp.1295-1302
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    • 2013
  • 구조물의 변형 형상은 구조해석을 위한 중요한 정보이다. 구조물 모니터링 시스템에서도 충분한 변위 계측점이 확보되어 명확하고 합리적인 구조물의 변형 형상이 도출된다면 이를 이용한 구조해석이 가능 할 것이다. 하지만 실제 구조물에서는 한정된 비용으로 인해 충분한 변위 계측점이 확보되지 못하기 때문에 합리적인 구조물 변형 형상의 도출이 어렵다. 본 연구에서는 경제적이고 합리적인 구조물 변형 형상 추정을 위해 최소의 변위 계측 데이터를 이용한 효과적인 구조물의 거동 형상 추정기법인 SFSM-LS알고리즘을 개발하였다. 본 기법은 구조물의 변형 형상을 추정하기 위해 계측 대상 구조물의 사전 유한요소해석을 통해 여러 구조 거동 형상을 기본 구조형상함수로 정의하고, 이들 함수를 추정 변위의 오차를 최소화 시키는 각 함수의 가중치로써 중첩한다. 2경간 연속교 모델의 수치해석을 통해 개발된 알고리즘을 검증하고 매개변수 연구를 수행하였다. 개발된 알고리즘의 매개 변수인 구조형상함수, 변위 계측 위치, 변위 계측 개소에 대한 형상 추정 결과의 특성을 분석하고 Polynomial, Lagrange, Spline 보간법과 형상 추정 정밀도를 비교하여 개발된 기법의 적용성을 검증하였다. 이를 통해 적은 개소의 변위 데이터로 정밀한 형상을 추정하는 결과를 도출하여 제안된 기법의 우월성을 입증하였다.

수술적 방법으로 유도된 3단계 발목염좌에 대한 전침의 진통기전 연구 (The Mechanism for Analgesic Effects of Electroacupuncture on Surgical Ankle Sprain Model Classified as Grade 3 in Rats)

  • 양승범;최석준;이성호;김민수;손인철;김재효
    • Korean Journal of Acupuncture
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    • 제30권4호
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    • pp.220-229
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    • 2013
  • Objectives : Electroacupuncture(EA) has been used effectively in producing analgesia on ankle sprain pain of humans and animals. Currently to examine the underlying mechanisms of the EA-induced analgesia, the effects of EA on weight-bearing forces(WBR) were examined at ankle sprain classified as grade 3 in rats. Methods : The severe ankle sprain classified as grade 3 was induced surgically by ankle ligament injury in the Sprague-Dawley rats. WBR of the affected foot were examined to evaluate effects and mechanism of EA(2 Hz, 1 ms pulse width, 2 mA intensity, for 15 min) which was applied to either SI6, GB34, or GB39 acupoints. The rats were pretreated with naltrexone(10 mg/kg, i.p.) as an opioid receptor antagonist or phentolamine(5 mg/kg, i.p) as an ${\alpha}$-adrenoceptor antagonist at 30 min before EA. Results : The daily repeat EA at either SI6, GB34, or GB39 showed significant analgesic effects on the severe ankle sprain. Particularly, daily EA at GB34 showed more potent analgesic effect than the others. In addition, the naltrexone pretreatment completely blocked the analgesic effect of EA at GB34, indicating the involvement of the endogenous opioid system in mediating the effect of EA at GB34. However, the phentolamine pretreament blocked analgesic effects of EA at either SI6 or GB39, indicating the involvement of ${\alpha}$-adrenoceptors in mediating the effect of EA at either SI6 or GB39. Conclusions : These data suggest that EA-induced analgesia on ankle sprain pain is mediated through either endogenous opioids or ${\alpha}$-adrenoceptors dependant on acupoint specific pattern.

Individualized Chemotherapy for Metastatic Gastric Cancer: Retrospective Data from a University Hospital in Brazil

  • Aguiar, Pedro Nazareth Junior;Ribas, Christian;Forones, Nora Manoukian
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5289-5296
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    • 2015
  • Background: Despite the decreased incidence, gastric cancer is still a frequent cause of cancer related death. The 1st line 2 or 3 drugs regimen is still a debatable issue. HER2 targeted therapy has emerged as the standard of care, but it is unavailable in the Brazilian Public Health System. The end-point of this trial was overall survival (OS) in patients with metastatic gastric cancer treated in a public university hospital in Brazil. The secondary end-points were efficacy and safety of regimens with 2 (F+P) or 3 (EOX) drugs to develop an institutional guideline to facilitate optimal treatments. Materials and Methods: In this retrospective study, 1st line regimens were evaluated for OS and PFS stratified by age and ECOG using Cox regression. Results: 47 patients were treated over the last 3 years. In 1st line, 29 were treated with F+P (mean 59.3 years, 34.5% ECOG 2 and a mean of 5.69 cycles) and 16 with EOX (mean 47 years, 18.8% ECOG 2 and a mean of 5.44 cycles). The median OS was 13.8 months (95%CI 10.7-16.9). Response was evaluated in 40 cases and was 64.3% for EOX and 37.5% for F+P (p=0.25). The median PFS was 9.5 months for EOX and 5.6 months for F+P (HR 0.85, 95%CI 0.41-1.74). However, among patients with ECOG 2 mPFS was 3.70 vs 5.40 months, respectively (p=0.86). Regimens showed similar manageable adverse events. A total of 34 patients suffered progression and 14 received $2^{nd}$ line therapy. Diffuse histology (HR 1.89, 95%CI 1.22-2.88), achieving 2nd line (HR: 0.25, 95%CI 0.11-0.58) and treatment response (HR 0.23, 95%CI 0.12-0.47) were OS prognostic factors. Conclusions: Patients treated in our hospital had outcomes compatible with the literature. The regimen choice should be related to patient features. Second line treatment should be considered.

Deoxynivalenol- and zearalenone-contaminated feeds alter gene expression profiles in the livers of piglets

  • Reddy, Kondreddy Eswar;Jeong, Jin young;Lee, Yookyung;Lee, Hyun-Jeong;Kim, Min Seok;Kim, Dong-Wook;Jung, Hyun Jung;Choe, Changyong;Oh, Young Kyoon;Lee, Sung Dae
    • Asian-Australasian Journal of Animal Sciences
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    • 제31권4호
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    • pp.595-606
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    • 2018
  • Objective: The Fusarium mycotoxins of deoxynivalenol (DON) and zerolenone (ZEN) cause health hazards for both humans and farm animals. Therefore, the main intention of this study was to reveal DON and ZEN effects on the mRNA expression of pro-inflammatory cytokines and other immune related genes in the liver of piglets. Methods: In the present study, 15 six-week-old piglets were randomly assigned to the following three different dietary treatments for 4 weeks: control diet, diet containing 8 mg DON/kg feed, and diet containing 0.8 mg ZEN/kg feed. After 4 weeks, liver samples were collected and sequenced using RNA-Seq to investigate the effects of the mycotoxins on genes and gene networks associated with the immune systems of the piglets. Results: Our analysis identified a total of 249 differentially expressed genes (DEGs), which included 99 upregulated and 150 downregulated genes in both the DON and ZEN dietary treatment groups. After biological pathway analysis, the DEGs were determined to be significantly enriched in gene ontology terms associated with many biological pathways, including immune response and cellular and metabolic processes. Consistent with inflammatory stimulation due to the mycotoxin-contaminated diet, the following Kyoto encyclopedia of genes and genomes pathways, which were related to disease and immune responses, were found to be enriched in the DEGs: allograft rejection pathway, cell adhesion molecules, graft-versus-host disease, autoimmune thyroid disease (AITD), type I diabetes mellitus, human T-cell leukemia lymphoma virus infection, and viral carcinogenesis. Genome-wide expression analysis revealed that DON and ZEN treatments downregulated the expression of the majority of the DEGs that were associated with inflammatory cytokines (interleukin 10 receptor, beta, chemokine [C-X-C motif] ligand 9), proliferation (insulin-like growth factor 1, major facilitator superfamily domain containing 2A, insulin-like growth factor binding protein 2, lipase G, and salt inducible kinase 1), and other immune response networks (paired immunoglobulin-like type 2 receptor beta, Src-like-adaptor-1 [SLA1], SLA3, SLA5, SLA7, claudin 4, nicotinamide N-methyltransferase, thyrotropin-releasing hormone degrading enzyme, ubiquitin D, histone $H_2B$ type 1, and serum amyloid A). Conclusion: In summary, our results demonstrated that high concentrations DON and ZEN disrupt immune-related processes in the liver.

반복유산을 경험한 환자에서 임신중 태반항원과 동종항원에 노출된 모체 림프구면역반응은 언제부터 소실되나? (When Dose Losses of Maternal Lymphocytes Response to Trophoblast Antigen or Alloantigen Occur in Women with a History of Recurrent Spontaneous Abortion?)

  • 최범채
    • Clinical and Experimental Reproductive Medicine
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    • 제25권2호
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    • pp.115-122
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    • 1998
  • The maintenance of a viable pregnancy has long been viewed as an immunological paradox. The deveolping embryo and trophoblast are immunologically foreign to the maternal immune system due to their maternally inherited genes products and tissue-specific differentiation antigens (Hill & Anderson, 1988). Therefore, speculation has arisen that spontaneous abortion may be caused by impaired maternal immune tolerance to the semiallogenic conceptus (Hill, 1990). Loss of recall antigen has been reported in immunosuppressed transplant recipients and is associated with graft survival (Muluk et al., 1991; Schulik et al., 1994). Progesterone $(10^{-5}M)$ has immunosuppressive capabilities (Szekeres-Bartho et al., 1985). Previous study showed that fertile women, but not women with unexplained recurrent abortion (URA), lose their immune response to recall antigens when pregnant (Bermas & Hill, 1997). Therefore, we hypothesized that immunosuppressive doses of progesterone may affect proliferative response of lymphocytes to trophoblast antigen and alloantigen. Proliferative responses using $^3H$-thymidine ($^3H$-TdR) incorporation of peripheral blood mononuclear cells (PBMCs) to the irradiated allogeneic periperal blood mononuclear cells as alloantigen, trophoblast extract and Flu as recall antigen, and PHA as mitogen were serially checked in 9 women who had experienced unexplained recurrent miscarriage. Progesterone vaginal suppositories (100mg b.i.d; Utrogestan, Organon) beginning 3 days after ovulation were given to 9 women with unexplained RSA who had prior evidence of Th1 immunity to trophoblast. We checked proliferation responses to conception cycle before and after progesterone supplementation once a week through the first 7 weeks of pregnancy. All patients of alloantigen and PHA had a positive proliferation response that occmed in the baseline phase. But 4 out of 9 patients (44.4%) of trophoblast antigen and Flu antigen had a positive proliferative response. The suppression of proliferation response to each antigen were started after proliferative phase and during pregnancy cycles. Our data demonstrated that since in vivo progesterone treated PBMCs suppressed more T-lymphocyte activation and $^3H$-TdR incorporation compare to PBMCs, which are not influenced by progesterone. This data suggested that it might be influenced by immunosuppressive effect of progesterone. In conclusion, progesterone may play an important immunological role in regulating local immune response in the fetal-placental unit. Furthermore, in the 9 women given progesterone during a conception cycle, Only two (22%) repeat pregnancy losses occured in these 9 women despite loss of antigen responsiveness (one chemical pregnancy loss and one loss at 8 weeks of growth which was karyotyped as a Trisomy 4). These finding suggested that pregnancy loss due to fetal aneuploidy is not associated with immunological phenomena.

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복부일반촬영시 선원과 검출기간의 거리변화에 따른 영상 화질 및 피폭선량에 관한 연구 (A Study on Patients Dose and Image Quality according to Source to Image receptor Distance in Abdomen Radiography: comparison of ESD measured and DRLs in other countries)

  • 장지성;최원근;정재연;이관섭;하동윤
    • 대한디지털의료영상학회논문지
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    • 제14권2호
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    • pp.39-46
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    • 2012
  • Purpose : The purpose of this study was to reduce Entrance Surface Dose and maintain image quality by changing Source to Image receptor Distance. And we'd like to compare ESD on this study to DRLs in other contries. Materials and Methods : We used indirect DR system(Definium 8000, General Electric, USA)and phantom(ART-200X, Flukebiomedical, USA),glass dosimeters(GD-352M, Asahi Techno Glass, Japan)for this study. The imagies were obtained throuh 80kVp fixed, and different tube currents using AEC mode in $16{\times}16$(inch) field size and changing Source to Image receptor Distance from 100 cm to 130 cm per 10 cm unit. The phantom with attaching 5 glass dosimeters on abdomonal skin was set at supine and erect position as a anterioposterial projection on detector For measuring Entrance Surface Dose. Image analysis was conducted by histograms of Image J(1.46r) which was given from National Institutes of Health(NIH). Results : Due to inverse square law of distance, the tube currents were increasing 42.6 % in supine position and 32.6 % in erect position according to the change of Source to Image receptor Distance. While Entrance Surface Doses were rapidly decreasing 14.2 % in supine position and 29.4 % in erect position according to the change of Source to Image receptor Distance. As the results of histogram using Image J, pixel mean values from 100 cm to 110 cm, 120 cm and 130 cm were decreasing each 1.4%, 2.5%, 2.7%, 4.5%, 2.2 %, 5.8 % in supine, erect position. While standard deviations from 100 cm to 110 cm, 120 cm and 130 cm were increasing each 1.4 %, 2.5 %, 2.5 %, 4.0 %, 2.0 %, 4.9 % Consequently, there are no significant differences in abdomen images taken. Conclusion: As the results described above, we strongly recommend using long Sourceto Image receptor Distance than 100cm that we have been using. So, we should deliver less Entrance Surface Dose to the patients while maintaining image quality in abdomen radiography.

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참모자반 조다당 추출물과 에탄올 추출물의 대식세포 및 비장세포 활성 비교 (Comparison Study of Immunomodulatory Activity of Polysaccharide and Ethanol Extracted from Sargassum fulvellum)

  • 변의홍
    • 한국식품영양과학회지
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    • 제44권11호
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    • pp.1621-1628
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    • 2015
  • 본 연구는 참모자반 조다당 추출물(SFP) 및 에탄올 추출물(SFE)의 면역 활성에 관하여 비교하기 위하여 선천면역계에서 중요한 역할을 수행하는 대표적인 세포인 대식세포와 후천면역계에서 중추적인 역할을 수행하는 비장세포에 각각 SFP와 SFE를 처리하여 각각의 면역세포의 세포 증식률과 사이토카인 분비능에 미치는 영향에 관하여 측정하여 보았다. 대식세포에 SFP 및 SFE를 각각 농도별(12.5, 25, 50, $100{\mu}g/mL$)로 처리하였을 때 두 추출물 모두 대식세포에 대한 세포독성을 유발하지 않았으며, 대식세포의 활성과 밀접한 관련을 가지는 NO, iNOS 및 cytokine의 분비능에 미치는 영향에 관하여 알아본 결과 SFP 처리구에서도 농도 의존적으로 분비능이 증가되는 것으로 관찰되었다. 또한 마우스 비장에서 유리된 비장세포에 SFP 및 SFE를 처리하였을 때 SFP의 처리구에서 비장세포의 증식능 및 면역 활성과 밀접한 관련을 갖는 Th1 type의 cytokine인 IL-2 및 $IFN-{\gamma}$의 분비능이 유의적으로 증가되는 반면, 알레르기를 유도하는 것으로 알려진 Th2 type의 cytokine인 IL-4의 함량에는 영향을 미치지 않는 것으로 관찰되었다. 따라서 참모자반 당류 추출물은 선천면역계와 후천면역계를 담당하는 면역세포인 대식세포 및 비장세포의 활성에 중요한 영향을 미치는 것으로 사료된다.

Bulk tank milk의 품질평가를 위한 퍼지기반 추론 (Fuzzy reasoning for assessing bulk tank milk quality)

  • 김태운;정대유
    • 지능정보연구
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    • 제10권3호
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    • pp.39-57
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    • 2004
  • 우유생산 농가에서는 그들 젖소의 우유를 저장하는 탱크 (bulk tank milk: BTM)로부터 채취된 샘플로부터 분석된 우유에 대한 품질관련 항목들, 즉 체세포 수 (somatic cell count: SCC), 표준 plate count (standard plate count: SPC), 사전 incubation count (preliminary incubation count: PIC) 등에 관한 정보를 정기적으로 제공 받는다. 이러한 정보는 일정기간 쌓이게 되면 우유의 품질을 유지하고 목장을 관리할 수 있는 중요한 지식 베이스가 될 수 있다. 그러나 우유 품질이나 목장의 관리상태를 평가하는 기준은 모호하고 퍼지한 용어로 많이 표현되고 있다. 즉 우유 품질을 최상급, 상급, 중간, 불량으로 표시하거나 목장의 관리상태를 아주 양호, 양호, 미흡 등으로 표시한다. 이러한 서술방식은 퍼지이론에서의 모호한 상태를 표현하는 기준과 많이 부합되고 있다. 본 연구의 목적은 BTM으로부터 추출한 샘플로부터 미생물학적 분석을 통해서 나온 결과를 이용해서 BTM의 품질과 목장의 관리상태에 대하여 추론하는 것을 목표로 하고 있다. 따라서 퍼지추론엔진에 기초하여 퍼지로직 기반의 추론방법을 개발하고 실제 데이터를 이용해서 평가하였다. 입력 데이터로는 Bulk Tank SCC, SPC, PIC, laboratory pasteurization count (LPC), non agalactiae Streptococci, Streptococci like organisms, Staphylococcus aureus등이다. 이러한 입력자료에 근거하여 BTM의 품질상태를 아주 양호, 양호, cooling문제, 청결문제, 환경적 mastitis, 환경적/청결 복합문제로 분류하고, 낙농가로부터 채취한 실제 데이터를 이용하여 추론하였다. 본 퍼지 추론 결과는 낙농생산자, 컨설턴트, 수의사 등 관련 종사자들에게 의사결정을 위한 참고자료로서 활용이 가능하다.

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Effect of Korean pine nut oil on hepatic iron, copper, and zinc status and expression of genes and proteins related to iron absorption in diet-induced obese mice

  • Shin, Sunhye;Lim, Yeseo;Chung, Jayong;Park, Soyoung;Han, Sung Nim
    • Journal of Nutrition and Health
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    • 제54권5호
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    • pp.435-447
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    • 2021
  • Purpose: Body adiposity is negatively correlated with hepatic iron status, and Korean pine nut oil (PNO) has been reported to reduce adiposity. Therefore, we aimed to study the effects of PNO on adiposity, hepatic mineral status, and the expression of genes and proteins involved in iron absorption. Methods: Five-week-old male C57BL/6 mice were fed a control diet containing 10% kcal from PNO (PC) or soybean oil (SBO; SC), or a high-fat diet (HFD) containing 35% kcal from lard and 10% kcal from PNO (PHFD) or SBO (SHFD). Hepatic iron, copper, and zinc content; and expression of genes and proteins related to iron absorption were measured. Results: HFD-fed mice had a higher white fat mass (2-fold; p < 0.001), lower hepatic iron content (25% lower; p < 0.001), and lower hepatic Hamp (p = 0.028) and duodenal Dcytb mRNA levels (p = 0.037) compared to the control diet-fed mice. Hepatic iron status was negatively correlated with body weight (r = -0.607, p < 0.001) and white fat mass (r = -0.745, p < 0.001). Although the PHFD group gained less body weight (18% less; p < 0.05) and white fat mass (18% less; p < 0.05) than the SHFD group, the hepatic iron status impaired by the HFD feeding did not improve. The expression of hepatic and duodenal ferroportin protein was not affected by the fat amount or the oil type. PNO-fed mice had significantly lower Slc11a2 (p = 0.022) and Slc40a1 expression (p = 0.027) compared to SBO-fed mice. However, the PC group had a higher Heph expression than the SC group (p < 0.05). The hepatic copper and zinc content did not differ between the four diet groups, but hepatic copper content adjusted by body weight was significantly lower in the HFD-fed mice compared to the control diet-fed mice. Conclusion: HFD-induced obesity decreased hepatic iron storage by affecting the regulation of genes related to iron absorption; however, the 18% less white fat mass in the PHFD group was not enough to improve the iron status compared to the SHFD group. The hepatic copper and zinc status was not altered by the fat amount or the oil type.

오존(O3) 노출에 의한 조각깔따구(Glyptotendipes tokunagai)의 체색 변화 및 heat shock protein 70 발현 변화 (Expression of Heat Shock Protein 70 Gene and Body Color Changes in Non-biting Midge Larvae (Glyptotendipes tokunagai) Effected by O3 Treatment)

  • 김원석;최보형;김문경;채선하;곽인실
    • 생태와환경
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    • 제53권4호
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    • pp.324-330
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    • 2020
  • 오존은 수돗물 정수장에서 이용되는 소독 물질로 미세오염 물질들을 비롯해서 박테리아나 병원성 미생물체를 효과적으로 제거하는 것으로 많은 연구가 보고되어 있다. 본 연구에서는 실내 사육 중인 붉은 체색을 지닌 Glyptotendipes tokunagai를 대상으로 서로 다른 농도의 오존 노출에 따른 영향을 파악하기 위해 치사율, 체색 변화와 heat shock protein 70 (HSP70) 유전자 발현을 측정하였다. 오존에 노출된 G. tokunagai에서 농도-시간 의존적으로 치사율 증가가 관찰되었다. 또한 체색 변화는 오존 농도에 따라 붉은색의 체색이 체절마다 엷어지며 탈색되고 경직되는 현상이 보였다. HSP70 유전자 발현은 저농도인 0.2~0.5 ppm에서 노출 10분과 20분에 유의한 수준으로 높게 나타났으나(P<0.05), 30분 노출 후에는 발현량이 감소하는 경향을 보였다. 생리적으로 저산소층에 대해 적응능력이 뛰어난 깔따구 경우에도 오존은 매우 강력한 치사 효과를 유발하여 30분 노출 후 경직과 헤모글로빈 파괴로 인한 탈색이 유발되는 것을 보여주었다. 따라서 본 결과는 수돗물 정수장에서 병원성 미생물을 제거하는 데 사용되는 오존이 수생물에 주는 영향성을 파악하는 기초자료로서 활용될 수 있을 것이다.