• 대한소아치과학회지
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• 제42권2호
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• pp.197-202
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• 2015

치수괴사가 있는 미성숙 치아를 치료할 때 많은 도전을 받는데, 역사적으로 수산화칼슘을 장기간 적용하여 석회 차단벽의 형성을 유도하는 것이 사용되어 왔다. 2004년 개방성 근첨을 치료할 수 있는 '재혈관화'라는 새로운 방법이 소개되어 널리 인정받게 되었다. 기존의 근첨형성술과 이 방법이 다른 점은 근관을 세 항생제 (ciprofloxacin, metronidazole and minocycline)로 소독하고 인위적으로 근관내 출혈을 유도한 다음, MTA로 밀폐한다. 괴사된 미성숙 영구치를 재생 근관치료를 성공적으로 하였을 경우, 지속적인 치근의 성장과 상아질벽 두께의 증가, 및 치근첨의 폐쇄를 얻을 수 있다. 이는 치수-상아질 복합체의 기능적 회복과 발달이 궁극적으로 자연치의 유지에 기여하는 점이다.

• 대한소아치과학회지
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• 제39권2호
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• pp.192-198
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• 2012

치수 재혈관화 술식은 항생제를 이용하여 근관 내 감염된 조직을 무균 상태로 만들면 치근단에 존재하는 자가 재생 능력과 다분화 능력을 가진 줄기 세포가 미완성 치근을 가진 미성숙 영구치의 치수 재생을 유도한다는 개념이 적용된 것이다. 이 술식은 치근의 길이와 두께가 증가하며 치근단의 폐쇄가 이루어진다. 비정상적으로 근관이 얇거나 만곡이 심해 전통적인 근관 치료시 어려움이 예상되는 경우, 전신 질환 등으로 인해 진정 요법을 시행하기 어려운 경우, 그리고 장애인와 같이 협조를 구하기 어려운 경우에서 치근단 치주염을 가진 미성숙 대구치의 치수 재혈관화 술식을 고려해 볼 수 있다. 본 증례는 우식으로 인해 감염된 미성숙 제1대구치의 근관 내에 ciprofloxacin, metronidazole, minocycline의 3종의 항생제를 적용하여 치수 재혈관화 술식을 시도하여 양호한 결과를 보였기에 이를 보고하고자 한다.

• Restorative Dentistry and Endodontics
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• 제41권2호
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• pp.98-105
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• 2016

Objectives: The biocompatibility of two experimental scaffolds for potential use in revascularization or pulp regeneration was evaluated. Materials and Methods: One resilient lyophilized collagen scaffold (COLL), releasing metronidazole and clindamycin, was compared to an experimental injectable poly(lactic-co-glycolic) acid scaffold (PLGA), releasing clindamycin. Human dental pulp stem cells (hDPSCs) were seeded at densities of $1.0{\times}10^4$, $2.5{\times}10^4$, and $5.0{\times}10^4$. The cells were investigated by light microscopy (cell morphology), MTT assay (cell proliferation) and a cytokine (IL-8) ELISA test (biocompatibility). Results: Under microscope, the morphology of cells coincubated for 7 days with the scaffolds appeared healthy with COLL. Cells in contact with PLGA showed signs of degeneration and apoptosis. MTT assay showed that at $5.0{\times}10^4$ hDPSCs, COLL demonstrated significantly higher cell proliferation rates than cells in media only (control, p < 0.01) or cells co-incubated with PLGA (p < 0.01). In ELISA test, no significant differences were observed between cells with media only and COLL at 1, 3, and 6 days. Cells incubated with PLGA expressed significantly higher IL-8 than the control at all time points (p < 0.01) and compared to COLL after 1 and 3 days (p < 0.01). Conclusions: The COLL showed superior biocompatibility and thus may be suitable for endodontic regeneration purposes.

• Parasites, Hosts and Diseases
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• 제46권3호
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• pp.153-156
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• 2008

One of the most common drugs used against a wide variety of anaerobic protozoan parasites is metronidazole. However, this drug is mutagenic for bacteria and is a potent carcinogen for rodents. Thymus vulgaris is used for cough suppression and relief of dyspepsia. Also it has antibacterial and antifungal properties. The aim of this study was to investigate antiamebic effect of Thymus vulgaris against Entamoeba histolytica in comparison with metronidazole. One hundred gram air-dried T. vulgaris plant was obtained and macerated at $25^{\circ}C$ for 14 days using n-hexane and a mixture of ethanol and water. For essential oil isolation T. vulgaris was subjected to hydrodistillation using a clevenger-type apparatus for 3 hr. E. histolytica, HM-1: IMSS strain was used in all experiments. It was found that the minimal inhibitory concentration (MIC) for T. vulgaris hydroalcoholic, hexanic extracts, and the essential oil after 24 hr was 4 mg/mL, 4 mg/mL, and 0.7 mg/mL, respectively. After 48 hr the MIC for T. vulgaris hydroalcoholic and hexanic extracts was 3 and 3 mg/mL, respectively. Therefore, it can be concluded that the Iranian T. vulgaris is effective against the trophozoites of E. histolytica.

• 대한상부위장관⦁헬리코박터학회지
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• 제18권4호
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• pp.242-246
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• 2018

Background/Aims: Helicobacter pylori eradication rates using first-line treatment have decreased due to clarithromycin resistance. The aim of this study was to investigate optimal eradication regimens for patients with clarithromycin resistance in Korea. Materials and Methods: A total of 72 patients with confirmed clarithromycin resistance were enrolled from August 2015 to July 2017. Patients were randomized to a 7-day bismuth quadruple therapy (BQT) regimen or a 7-day metronidazole triple therapy (MTT) regimen. Eradication was confirmed using the $^{13}C$-urea breath test. Results: There were no differences in baseline characteristics between the groups. Intention-to-treat eradication rates were 77.8% for the BQT group and 66.7% for the MTT group (P=0.293). Per protocol eradication rates were 87.5% for the BQT group and 77.4% for the MTT group (P=0.292). Adverse events were more frequent in the BQT group. Conclusions: Eradication rates using MTT were comparable to those using BQT, and adverse events were less frequent in the MTT group. Thus, MTT may be considered as a first-line regimen for patients with clarithromycin resistance. Since this was a pilot study, a study with a large group is required.

• 한국축산식품학회지
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• 제38권4호
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• pp.759-767
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• 2018

The concern about the possibility of food can be a vehicle for the transmission of Clostridium difficile to humans has been raised recently due to the similarities among the strains isolated from patients, foods and food animals. In this study, therefore, the prevalence of C. difficile was investigated in beef and chicken meat products collected from 57 different butcher shops, markets and fast food restaurants in Sakarya province of Turkey. Two out of 101 samples (1.98%) was positive for C. difficile indicating a very low prevalence. The pathogen was isolated from an uncooked meatball sample and a cooked meat $d{\ddot{o}}ner$ sample, whereas not detected in chicken meat samples. The meatball isolate was resistant to vancomycin and tetracycline, while the cooked meat $d{\ddot{o}}ner$ isolate was resistant to vancomycin and metronidazole. Both isolates were sensitive to moxifloxacin and clindamycin. Toxins A and B were not detected. This study reveals the presence of C. difficile in further processed beef products in Turkey.

• Journal of Radiation Protection and Research
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• 제5권1호
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• pp.32-35
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• 1980

A number of chemical compounds that modify radiation effects are reviewed, with brief report of our own experiments on radioprotective effect of some vasoconstrictive agents and 5-Thio-D-Glucose. Sulfhydryl compounds(-SH group) and some pharmacologic compounds such as CNS depresants, vasoconstrictive agents and autonomic drugs are known to have radioprotective effect in experimental research and in limitted clinical study, whereas oxygen, hallogenated pyrimidines and metronidazole, etc. have radiosensitizing effect. Author experimentally observed some radioprotective effects of angiotensin II, a strong vasoconstrictor, and 5-Thio-D-glucose in mice.

• 한국임상수의학회지
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• 제18권1호
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• pp.65-66
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• 2001

A 900 g seven-month-old female scarlet macaw was referred to Seoul National University Veterinary Medical Teaching Hospital with history of rupture of a crop. Formula leaking from the crop fistula onto the chest feathers was found. According to history taking, and physical examination, the avian was diagnosed as the burns on both right and left surface of the crop. After anesthetizing it with ketamine(50 mg/kg, IV), necrotic tissue of the skin and crop was excised. The crop wall and skin were closed in layer by layer. Metronidazole (50 mg/kg, sid, PO) was administered for 5 days postoperatively. The meal was given frequently with smaller amount. There has not been any digestive problem for 2 months after treatment.

• Journal of Microbiology and Biotechnology
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• 제16권1호
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• pp.158-162
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• 2006

Cyclic dipeptides isolated from Streptomyces sp. have been shown to have antimicrobial activity as well as other potentially useful biological activities. The purpose of this study was to compare the in vitro activity of two cyclic dipeptides combined against anaerobic bacteria with the activity of other antimicrobial agents. Specifically, the in vitro activity of the combination of two cyclic dipeptides was investigated against 140 clinical isolates of anaerobic bacteria by the agar dilution method and was compared with that of erythromycin, cefoxitin, imipenem, clindamycin, and metronidazole. The cyclic dipeptide combination and imipenem were the most active antimicrobial agents tested. In addition, the cyclic dipeptide combination had a radioprotective effect on five normal human lung fibroblast cells, showing survival rates higher $(>90\%)$ than either of the two cyclic dipeptides alone $(<80\%)$.

• 한국임상수의학회지
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• 제18권4호
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• pp.434-437
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• 2001

A female Russian blue cat has invited Animal Hospital because of diarrhea after the mating. The eggs on internal parasite and Giardia sp. were diagnosed in the feces floating test, and treated with metronidazole, pyrantel pamoate and antibiotics. There were no diarrheal sign in the reevaluation, but anorexia, polydipsia, polyuria, and vaginal discharge was newly induced. Streptococcus sp. was inspected by smearing of vaginal discharge, and enlarge-ment of uterus was evaluated by x-ray examination. This case was confirmed as pyometra and recovered by ovariohysterectomy on the basis of that examination. The rate of incidence in feline pyometra is not so high as in the canine.