• Tuberculosis and Respiratory Diseases
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• 제46권2호
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• pp.175-184
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• 1999

연구배경: 알레르기성 기관지 천식은 가역적인 기도폐색과 기관지의 과민성을 동반하는 기도의 만성적인 호산구성 염증성 질환으로서 기도의 염증발현에 관여하는 세포는 여러가지가 있지만 Th 림프구는 cytokine을 분비하여 염증반응을 조절하는 중요한 역할을 하고 있다. Th 림프구는 cytokine의 분비양상에 따라 Th1 림프구와 Th2 림프구로 나뉘어지며 Th1 림프구는 지연형 과민반응과 결핵균이나 바이러스 감염등에 대한 방어작용 그리고 종양에 대한 숙주반응에 관여하고 Th2 림프구는 즉시형 과민반응과 알레르기성 천식과 같은 알레르기성 질환 그리고 기생충 감염등에 대한 방어작용에 관여한다. Th1 림프구와 Th2 림프구는 서로 길항작용을 하는 것으로 알려지고 있어 대표적인 Th1 림프구 매개 질환인 결핵과 Th2 림프구 매개질환인 알레르기성 기관지 천식은 서로의 발생을 억제할 것으로 추정되며 알레르기성 기관지 천식환자에서는 Th2 림프구의 기능이 항진되어 Th1 림프구의 기능이 억제되고 반대로 Th1 림프구의 기능이 정상인 집단에서는 알레르기성 천식환자에 비해 Th2 림프구의 기능이 저하되어 있을 것으로 추정된다. 방 법: 정상 대조군과 알레르기성 천식환자군, 그리고 내인성 천식환자군에서 투베르쿨린 피부반응의 양상을 실시하여 지연형 과민반응의 양상을 관찰하고 혈청 IgE의 농도와 말초혈액 호산구 수를 조사하였다. 그리고 Th1 림프구에서 주로 생산되는 cytokine인 IFN-$\gamma$와 IL-12, Th2 림프구에서 주로 생산되는 IL-4, IL-5, IL-10의 혈청 농도를 측정하였다. 결 과: 투베르쿨린 피부반응의 양성율은 알레르기성 천식환자군이 내인성 천식환자군에 비해 투베르쿨린 피부반응에 대한 양성율이 유의하게 낮았으며(p<0.05), 투베르쿨린 피부반응의 정도는 내인성 천식환자군에 비하여 알레르기성 천식환자에서 유의하게 감소되어 있었다 (p<0.05). IL-4와 IL-10은 알레르기성 천식환자군에서 다른 두 군에 비하여 통계적으로 유의하지 않았으나 증가되어 있었고 IL-5는 알레르기성 천식환자군에서 다른 두 군에 비하여 유의하게 증가되어 있었다 (p<0.01). IL-12와 IFN-$\gamma$는 알레르기성 천식환자군과 내인성 천식환자군에서 정상 대조군에 비하여 유의하게 감소되어 있었다(p<0.05). 알레르기성 천식환자군에서 말초 혈액 호산구 수와 혈청 IgE 농도는 정상 대조군에 비하여 유의하게 증가하여 있었다(p<0.05). 알레르기성 천식환자에서 말초혈액 호산구 수는 혈청 IgE(r=0.737, p=0.003), IL-5(r=0.352, p=0.038), IL-10(r=0.827, p=0.001)과 서로 유의한 상관관계를 보이면서 증가하고 있었다. 전체적으로 Th2 cytokine인 IL-5와 IL-10의 혈청 농도는 서로 유의한 상관관계를 나타내고 있었고(r=0.340, p=0.046), IL-12와 IFN-$\gamma$ 혈청 농도도 서로 유의한 상관관계를 나타내고 있었다(r=0.593, p=0.001). 결 론: 알레르기성 기관지 천식환자는 정상 대조군에 비하여 Th1 림프구의 기능이 저하되어 있었고 Th2 림프구의 기능은 항진되어 있었으며, 이러한 Th2 림프구의 기능 항진은 말초혈액 호산구 수와 혈청 IgE와 유의한 상관관계를 보이고 있어 Th2 림프구 기능 항진이 알레르기성 기관지 천식의 병인에 중요한 역할을 할 가능성이 있음을 알 수 있다.

• Korean Journal of Radiology
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• 제23권6호
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• pp.664-673
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• 2022

Objective: To evaluate the performance of baseline clinical characteristics and pretherapeutic histogram parameters derived from T2 mapping of the extraocular muscles (EOMs) in the prediction of treatment response to intravenous glucocorticoid (IVGC) therapy for active and moderate-to-severe thyroid-associated ophthalmopathy (TAO) and to investigate the effect of fat-suppression (FS) in T2 mapping in this prediction. Materials and Methods: A total of 79 patients clinically diagnosed with active, moderate-to-severe TAO (47 female, 32 male; mean age ± standard deviation, 46.1 ± 10 years), including 43 patients with a total of 86 orbits in the responsive group and 36 patients with a total of 72 orbits in the unresponsive group, were enrolled. Baseline clinical characteristics and pretherapeutic histogram parameters derived from T2 mapping with FS (i.e., FS T2 mapping) or without FS (i.e., conventional T2 mapping) of EOMs were compared between the two groups. Independent predictors of treatment response to IVGC were identified using multivariable analysis. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the predictive performance of the prediction models. Differences between the models were examined using the DeLong test. Results: Compared to the unresponsive group, the responsive group had a shorter disease duration, lower kurtosis (FS-kurtosis), lower standard deviation, larger 75th, 90th, and 95th (FS-95th) T2 relaxation times in FS mapping and lower kurtosis in conventional T2 mapping. Multivariable analysis revealed that disease duration, FS-95th percentile, and FS-kurtosis were independent predictors of treatment response. The combined model, integrating all identified predictors, had an optimized area under the ROC curve of 0.797, 88.4% sensitivity, and 62.5% specificity, which were significantly superior to those of the imaging model (p = 0.013). Conclusion: An integrated combination of disease duration, FS-95th percentile, and FS-kurtosis was a potential predictor of treatment response to IVGC in patients with active and moderate-to-severe TAO. FS T2 mapping was superior to conventional T2 mapping in terms of prediction.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제11권1호
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• pp.101-116
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• 1989

Proplast and Porous Polyethylene which have porous structures as low-modulus polymers have been recently used in maxillofacial plastic and reconstructive surgery. The purpose of this study was to compare the response of adajacent tissue, new bone formation and stability after augmentation by differen methods of subperiosteal graft using proplast and purous polythylene in rabbit mandible. The augmentation procedure was carried out by dividing into two groups, A and B. A group consisted of subperiosteal graft on the cortex, and the other B group was made up only graft following artificial decortication in the mandibular body of rabbit. The experimental animals were sacrificed on the 1st, 2nd, 4th and 8th week after grafting for macroscopic and light microscopic examination. The samples extracted at the 6th postgrafting week were also used for biometric testing and scanning electron microscopic examination. The results obtained from this study were as follows : 1. Macroscopically, infection of graft site, deformation and migration of graft material were not observed in all experimental groups. 2. B group showed more rapid and increased bone formation and the greater stability than A group, and tissue response was similar to each other. 3. In the tissue response, macrophages and cellular infiltrations were observed in Proplast group, but few in PHDPE group. 4. In bone formation of A group, Proplast group showed no bone formation until the 8th week, but PHDPE group showed small quantity of osteoid tissue from the 2nd week and appositional bone growth with new bone formation at the 8th week. 5. In bone formation of B group, both Proplast and PHDPE group showed bone formation, but PHDPE group showed more rapid and larger bone formation. 6. In pattern of bone formation, Proplast group mainly showed appositional bone growth pattern connected with graft site. On the other hand, PHDPE group showed mixed pattern of new bone formation in the pore connective tissue with appositional bone growth from graff site. 7. The maximum mean values of shear stress were serially $111.3gf/mm^{2}$ in PHDPE of B group, $84.8gf/mm^{2}$ in PHDPE of A group, $32.9gf/mm^{2}$ in Proplast B group, and $15.7gf/mm^{2}$ in Proplast of A group. From above results, It was suggested that the capacity of bone formation and stability between bone and graft material were dependent on the pore size and structure of graft material itself, the state of graft site and tissue response.

• 한국응용곤충학회지
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• 제33권2호
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• pp.66-73
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• 1994

본 연구에서는 조명나방 성충의 우화시간대, 나이에 따른 암컷의 유인해동양상과 교미능역, 1일부터 5일된 암컷이 분비한 성페로몬에 대한 3일된 수컷의 반응 그리고 성페로몬샘의 구조와 위치를 조사하였다. 광주기를 16L/8d로 햇을 때 성충운 일잔벅으로 암시간대 시작 한시간 이전부터 1~2시간이후까지 우화 하였다. 그리고 2일과 3일된 암컷ㅇ에서 6시부터 7시 사이에 가장 황성한 유인행동을 보였으며, 3일된 암컷에 대한 수컷의 반응이 암시간대 5~8 시간에서 가장 높게 나타났다. 교미쌍은 암시간대 4~7시간에서 가장 많이 관찰되었다. 1일부터 4일된 암컷중 성페로몬샘을 돌출시킨 개체들은 65%이상의 교미율을 보여주었다. 그리고, 성페로몬샘을 돌출한 2~3일된 암컷은 1~5일된 각각의 수컷과 60%이상의 교미율을 보여주었다. 암컷의 성페로몬샘으로 추측되는 두꺼운 세포층들은 복부 8번째, 9번째, 그리고 9번째와 10번째 사이의 막질성 표피층에 위치하고 있었다.

• 동의생리병리학회지
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• 제23권1호
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• pp.150-157
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• 2009

This research was performed in order to investigate the anti-inflammatory effects of Bupleuri Radix(BR) on the Immune response in vitro. Cellular proliferation and cytokine production were measured in mast cells or mouse B cells or CD4 Th cells. BR water extract inhibited the secretions of TNF-$\alpha$ and IL-6 in PMA/A23187 stimulated HMC-1 cells. It increased proliferation but did not affect the expressions of CD69 or CD23 in rIL-4/anti-CD40 activated S cells. BR reduced surface IgE expression and secreted IgE but increased the production of IL-4, IFN-$\gamma$ and IgG1 in the same cells. BR caused an increase in proliferation in anti-CD3/anti-CD28 stimulated CD4 Th cells but it did not affect the differentiation of Th1 or Th2 cells. However, IL-2 was increased in BR treated Th2 cells. Considering the above-mentioned results, BR can be applied to a broad range of anti-inflammatory reactions, but our data suggest that it will not be likely to exert any effects on type 1 allergic response.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제15권2호
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• pp.129-136
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• 1993

The purpose of this study is to evaluate whether the ashed tooth powder is utilized as an alternative material of the implant. For this purpose the author performed the experimental study to investigate the tissue response of sintered toothash and its histocompatibility. Bony defects to expose the body of marrow, $1{\times}1cm$ in size, were created in the right and left mandibular body of mature dog, and then the ashed tooth powders were filled in right side and the blood clot was filled in the left side as an control. The dogs were sacrificed at 4th, 7th, and 16th week after implantation and histologic examination was performed. The results of this study were obtained as follows : 1. Any inflammatory response was not noted after implanting of the ashed tooth powder during the whole experimental period. 2. At 4th week, ashed tooth powders were surrounded by mature connective tissue. And we could observe hydroxyapatite crystal structure within the ashed tooth powder. 3. At 7th week, we could observe that macrophage phagocyted the small granules of ashed tooth powders. 4. At 16th week, the union with host bone by growth of new trabeculae was observed. And there were remnants of ashed tooth power within some of new trabeculae.

• 동의생리병리학회지
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• 제19권1호
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• pp.262-269
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• 2005

Kamiinsamyangyoung-tang(KIT) has been widely used to treat amenorrhea and bradymenorrea caused from vital energy and blood deficit. KIT was composed of Insamyangyoung-tang, Cervi Cornu Pantotrichum and Hominis Placenta. The aim of this study is to investigate effect of KIT on Immune response and Blood formation. We investigated thymocytes, splenocytes population, ${\gamma}$-interferon, IL-2, IL-4, NO and phagocytic activity. We found that KIT had no effect on the Th and Tc cell population of thymocytes, Th cell population of splenocytes and ${\gamma}$-interferon quantity was decreased. KIT decreased the formation of Nitric Oxide from abdominal macrophage, on the other hand, it had no influence on the quantity of IL-2, IL-4.

• Food Science and Biotechnology
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• 제17권3호
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• pp.631-636
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• 2008

Acanthopanax divaricatus var. albeofructus (ADA) have been shown to have various levels of activity such as antioxidant, anticancer, antivirus, and immunostimulatory effects. However, little is known about its mechanism related to the modulation of immune activities. In this study, a water extract of ADA leaves were used to treat human peripheral blood mononuclear cells (hPBMC) to determine the underlying mechanisms for the immunostimulatory effects. To characterize its immunomodulatory activity, the secretion level of various cytokines including IL-2, IL-4, IL-6, IL-10, IL-12, IFN-$\gamma$, and TNF-$\alpha$ were measured using enzyme-linked immunosorbent assay (ELISA). Treatment of hPBMC with ADA leaf extract in an in vitro experiment induced various Th1 cytokines in a dose-dependent manner. A significant increase of IL-2, IL-12, IFN-$\gamma$, and TNF-$\alpha$ secretion was observed in the presence of ADA leaf extract. In contrast, Th2 cytokines including IL-4 and IL-6 were suppressed. There was no significant change in IL-10 release. Our results showed an increase in Th1 and a decrease in Th2 cytokine secretion which suggests that ADA may influence the immune response towards a predominance of Th1 cytokines in the immune system.

• 보건행정학회지
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• 제28권1호
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• pp.1-2
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• 2018

The Korean Academy of Health Policy and Management (KAHPM) is on its 30th anniversary in 2018. The KAHPM is the first academic society in the field of health policy and management, and it has maintained its significance for 30 years as a representative academic society of health policy and management in Korea. During 30 years, the KAHPM has sought to establish and develop academic field of health policy and management, conducted academic discussions on the agenda of health policy and management in response to the needs of the times and on the health policy issues of the presidential elections, and discussed the healthcare policy of the Government. The 30th anniversary of the KAHPM is scheduled to hold a 30th anniversary academic conference and to prepare the 30th history book of the KAHPM. The offical journal of KAHPM, Health Policy and Management (HPM) will be publishing a special issue with important topics with health policy and management in commemoration of its 30th anniversary. Based on 30 years' experiences, the KAHPM and HPM will be committed to furthering the next 30 years and endeavoring to contribute to improve the quality of life for the people by establishing and practicing desirable health policy and management.

• 한국식품영양과학회지
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• 제35권10호
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• pp.1329-1335
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• 2006

AIDS로의 진행과정은 단순히 몇몇 기작에 의한 것이 아니라 여러 경로를 거쳐 발생하며 그 진행속도도 개개인에 따라 다양하게 나타나고 있다. 본 연구에서는 쥐 AIDS 모델을 이용하여 항산화호르몬으로 알려진 DHEAS의 면역조절 효과를 확인하고자 하였다. DHEAS의 투여는 LP-BM5 retrovirus 감염으로 인한 T와 B 임파구의 mitogenesis를 증가시켰으며 Th1/Th2 type cytokines의 발현에도 영향을 미쳤는데 주로 전사수준에서 작용한 것으로 생각된다/ 또한 retrovirus 감염으로 인한 간조직의 지질과산화 유발을 억제하여 조직 내의 항산화제인 vitamin E의 함량을 유지시킴으로 NF-kB의 활성화를 통한 retrovirus의 복제를 억제시켜 Th1/Th2 type cytokines의 불균형적인 발현을 저해하였을 것으로 여겨진다. 따라서 쥐 AIDS모델에 있어서 DHEAS의 면역조절 효과를 확인한 본 연구는 향후 HIV감염 이후 AIDS로의 진행 과정 시 항산화제의 역할과 기작 규명에 대한 가능성을 제시할 수 있을 것으로 생각된다.