• 한국패류학회지
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• 제20권2호
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• pp.111-120
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• 2004

2003년 1월부터 12월까지 일본재첩의 생식소 발달단계에 따른 생식주기를 조직학적 관찰에 의해 조사하였고, 폐각근과 내장낭 및 족부 근육의 생화학적 성분의 계절적 변화를 조사하였다. 본 종의 생식주기는 초기활성기 (2-4월), 후기활성기 (4-7월), 완숙기 (6-8월), 부분산란기 (7-9월), 퇴화 및 비활성기 (9-3월) 의 연속적인 5 단계로 구분할 수 있었다. ANOVA test 결과, 내장낭 조직과 폐각근 및 족부 근육 모두에서 월 중 총단백질, 총 지질 및 글리코겐 함량들 사이에는 유의한 차이가 있었음을 나타내었다(p < 0.05). 총 단백질 함량은 폐각근 내에서 최대였으나 내장낭에서는 최소로 나타났다. 내장낭과 폐각근의 총단백질 함량은 아무런 상관관계를 보이지 않았으나 (p = 0.208), 폐각근과 족부 근육 사이에서는 강한 양의 상관관계 (r = 0.769, p < 0.001) 를 보였다. 총 지질 함량은 내장낭 내에서 가장 높았다. 그 함량은 폐각근 또는 족부 근육의 함량 보다 2, 3배 더 높았으며, 월별 변화도 내장낭 내에서 가장 크게 변하였다. 총지질 함량은 1월부터 3월까지 감소되었으나 4월에 증가 되어 최대를 이루었으며, 그 후 5월부터 8월까지 점차 감소된 다음 10월까지 다시 증가되었다. 다중비교 결과, 인접하고 있는 두 달 모두에서 내장낭 내 총지질 함량들 사이에는 유의한 차이를 보였다(p < 0.05). 내장낭과 폐각근 사이의 총지질 함량 간에는 강한 음의 상관관계 ( r = 0.678, p < 0.001) 를 나타내었고, 내장낭과 족부 근육 사이에도 음의 상관관계 (r = 0.473, p < 0.008) 를 보였다. 글리코겐 함량 변화는 4월을 제외하고, 내장낭, 폐각근 및 족부 근육 사이에 다소 유사하게 나타났다. 4월에 내장낭 내 글리코겐 함량은 폐각근이나 족부 근육내 함량들 보다 4배나 더 높았다. 폐각근과 족부 근육내의 글리코겐 함량 사이에는 양의 상관관계 (r = 0.686, p < 0.001) 를 보였다. 특히, 총 지질 함량은 폐각근과 내장낭 사이에 음의 상관관계를 보였다. 따라서 이들 결과는 폐각근과 내장낭의 영양물질 함량이 생식소의 에너지 요구에 반응하여 변하고 있음을 시사한다.

• 한국패류학회지
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• 제20권1호
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• pp.85-92
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• 2004

We investigated the reproductive cycle with gonadal development of the female Cyclina sinensis by histological observations and seasonal changes in biochemical components of the adductor muscle and visceral mass tissues were studied by biochemical analysis, from January to December, 2001. The reproductive cycle of this species can be classified into five successive stages: early active stage (February to April), late active stage (March to June), ripe stage (May to August), partially spawned stage (July to October) and spent/inactive stage (September to February). Total protein contents in the adductor muscle tissues reached the maximum in February (early active stage) and appeared the minimum in June (ripe stage), while their contents in the visceral mass tissues reached the maximum in the late active and ripe stages (June) and gradually decreased from July (partially spawned stage) to November (spent/inactive stage). Changes in total protein contents showed a negative correlationship between the adductor muscle and visceral mass tissues (r = -0.499, p = 0.099). Total lipid contents in the adductor muscle tissues reached the maximum in January (the inactive stages) and their contents gradually decreased from February. Their contents in the visceral mass tissues, however, reached the maximum in June (late active and ripe stage) and gradually decreased from July (the partially spawned stage). On the whole, total lipid contents showed a negative correlationship between the adductor muscle and visceral mass tissues (r = -0.631, p < 0.05). Therefore, These results indicate that the nutrient contents of the adductor muscle and visceral muscle tissues change in response to gonadal energy needs. Glycogen contents in the adductor muscle tissue reached the maximum in March (early and late active stages) and decreased from July to September (partially spawned stage). while their contents in the visceral mass tissues reached the maximum in June (late active and ripe stages) and gradually decreased from July (partially spawned stage). Thereafter, their levels gradually increased in November (spent/inactive stage). On the whole, changes in glycogen contents appeared negative correlationship between the adductor muscle and visceral mass tissues. However, they showed no significant different (r = -0.307, p = 0.331).

• Journal of Gastric Cancer
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• 제18권4호
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• pp.379-391
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• 2018

Purpose: Gastric cancer (GC) patients with peritoneal metastasis (PM) have poor prognosis. Pressurized intraperitoneal aerosol chemotherapy (PIPAC) in combination with systemic chemotherapy is a novel treatment option for patients in stage IV of the disease. Materials and Methods: Between November 2015 and June 2018, prospective data collection was performed in 24 patients with GC and PM (median age, 57; range, 44-75 years). These patients underwent 46 PIPAC procedures with a median number of 2 interventions per patient (range, 1-6). A laparoscopic access was used and a combined therapy of cisplatin and doxorubicin aerosol was administered. Results: The median peritoneal carcinomatosis index before the 1st PIPAC was 14 (range, 2-36), and the median ascites volume in patients before the 1st PIPAC was 100 mL (range, 0-6 mL, 300 mL). Eleven patients, who received 2 or more PIPAC procedures, had decreased and stable volumes of ascites, while only 3 patients displayed increasing volume of ascites. The median overall survival was 121 days (range, 66-625 days) after the 1st PIPAC procedure, while 8 patients who received more than 3 PIPAC procedures had a median survival of 450 days (range, 206-481 days) (P=0.0376). Conclusions: Our data show that PIPAC is safe and well tolerated, and that the production of ascites can be controlled by PIPAC in GC patients. Patients, who received 2 or more PIPAC procedures, reported a stable overall quality of life. Further studies are required to document the significance of PIPAC as a palliative multimodal therapy.

• Advances in pediatric surgery
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• 제10권1호
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• pp.35-38
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• 2004

Visceral leishmaniasis is a life-threatening systemic infection caused by a protozoa of the genus leishmania and transmitted by sandfly. We report the first case of visceral leishmanaisis in Korea. The patient was a one-year-old girl admitted with the symptoms of fever, abdominal distension. pancytopenia, and purpura. She traveled to Argentina 5 months ago, and has had symptoms such as fever and pale appearance. Laboratory findings were: WBC, 12.680/$mm^3$; Hg, 3.7g/dL; platelet, 100K; total bilirubin, 1.2mg/dL; AST/ALT, 48/10 U/L. CT scan and MRI showed hepato-splenomegaly. On laparotomy, excision of an accessory spleen and splenic hilar lymph nodes were performed. Many amastigotes were microscopically identified in histiocytes from the biopsy tissues. Sodium stibogluconate was administrated for 2 weeks, which did not relieve the symptoms. After administration of the additional Amphotericin B for 3 weeks, symptoms were improved.

• Parasites, Hosts and Diseases
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• 제52권2호
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• pp.189-191
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• 2014

Visceral leishmaniasis or kala-azar is an endemic parasitic disease in some parts of the world which is characterized by fever, splenomegaly, and pancytopenia in most of the cases. Herein we report an 11 month-old male infant with diagnosis of kala-azar who presented with pallor, hepatosplenomegaly, failure to gain weight, and no history of fever. Surprisingly, fever started after beginning of meglumine antimoniate treatment in this patient. As far as we are aware of, this is a rare presentation of visceral leishmaniasis. Therefore, clinicians especially in endemic areas are highly recommended to include kala-azar among differential diagnosis of unexplained anemia without fever to prevent misdiagnosis of this potentially fatal, but treatable condition.

• 대한기관식도과학회지
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• 제11권2호
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• pp.5-9
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• 2005

종격동내의 림프계는 해부학적으로 크게 3구역 즉, anterior compartment, visceral compartment, 그리고 paravertebral sulci 로 나눌 수 있으며, 이 중 식도와 폐로부터 유입되는 visceral compartment가 종양외과학적으로 중요한 의미를 가지고 있다. 두경부 암종에서도 경부의 림프계를 거쳐 종격동의 visceral compartment의 림프계로 전이가 일어날 수 있는데, 본 연제에서는 종격동의 visceral compartment와 관련이 깊은 식도 림프계의 해부학적인 특성과 종격 림프계의 해부, 그리고 두경부 암종의 수술에서 종격 림프절 적출에 대하여 기술하였다. 선천성과 악성 질환에 의한 경우는 비악성 질환에 의한 경우와 치료방침에 많은 차이가 있어 비악성 질환에 의한 기관식도루에 초점을 두고 논하고자 한다.

• Asian-Australasian Journal of Animal Sciences
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• 제22권12호
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• pp.1633-1639
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• 2009

This study investigated the effect of maternal undernutrition during late pregnancy on the growth and development of ovine fetal visceral organs. One hundred Mongolian ewes were mated at a synchronized oestrus and divided into three groups and offered 0.175 MJ ME $kgw^{-0.75}\;d^{-1}$ (Restricted Group1; RG1), 0.33 MJ ME $kgw^{-0.75}\;d^{-1}$ (Restricted Group2; RG2) and ad libitum access to feed (Control Group; CG) during late pregnancy (90 days). Selected animals in each group were slaughtered immediately at d 90 of pregnancy and after parturition (neonatal lambs), and major visceral organs were removed and weighed separately. The results indicated that the weights of lung (p<0.01), spleen (p<0.01), heart (p<0.05), liver (p<0.05) and abomasum (p<0.01) in RG1 were significantly lighter than those of CG. For RG2, only the weights of the lung (p<0.05) and spleen (p<0.01) were significantly lighter than those of CG; when expressed as a percentage of body weight, significance was retained in the spleen (p<0.01) for both restricted groups, but the percentage of brain in RG1 was significantly higher than that in CG (p<0.01). For lung and spleen, the amount of DNA was significantly lower (p<0.01) in both groups of restricted neonatal lambs compared to CG; however, there was a significant difference only between RG1 and CG for protein: DNA ratio (p<0.01). The DNA content of kidney, abomasum and jejunum were decreased (p<0.05) in RG1 neonatal lambs, but protein: DNA ratio in the liver was decreased compared with that of CG (p<0.05). The plane of maternal undernutrition during late pregnancy had a significant effect on the growth and development of fetal visceral organs, which altered ontogeny of fetal organ growth and development. These perturbations in fetal visceral development may have significant implications on postnatal growth and adult health.

• Fisheries and Aquatic Sciences
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• 제4권1호
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• pp.18-24
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• 2001

Seasonal content changes of the three key nutrients for organisms, protein, lipid and glycogen, were analyzed for a whole year to delineate the seasonal energy strategy in pen shells, Atrina pectinata. Two metabolically important organs, the visceral mass and the posterior adductor muscle, were examined. Protein in the visceral mass rose in April and stayed at the level until June followed by the constant minimum value between August and November. The protein contents in the posterior adductor muscle increased sharply in April and again in July, followed by a gradual decline thereafter. Total lipid contents in the visceral mass gradually increased between January and May, and then slowly decreased until September since which a new weak increase was noticed. Lipid levels in the adductor muscle rapidly dropped in June and July. Glycogen contents in the visceral mass rapidly increased between February and June, followed by a drastic drop in July. This reduced visceral glycogen level was maintained up to September, and a gradual reduction ensued. Glycogen contents in the adductor muscle steadily but markedly increased from April reaching the maximum in August, and then slowly declined thereafter. These results suggest that an accelerated protein and lipid synthesis occurs in the gonad when the pen shell undergoes the ripe stage of gametogenesis, but the levels of these two nutrients decrease on spawning. With this gonadal process, regular protein synthesis and lipid storage in the posterior adductor muscle are temporarily arrested. The most important nutrient reserves that support gonad developmental cycles in a long term seem to be glycogen of the posterior adductor muscle.

• Korean Journal of Acupuncture
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• 제36권1호
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• pp.19-35
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• 2019

Objectives : The purpose of this study is to review which acupoints and meridians are selected to treat visceral pain in articles published in international journals and to investigate quality of reporting acupuncture intervention according to the STRICTA guidelines. Methods : Electrical and hand search were conducted in PubMed, EMBASE, MEDLINE, and Cochrane Library for acupuncture studies on visceral pain in human and animals. Reporting quality of intervention was evaluated using the revised STRICTA guidelines. Results : We included 51 articles (7 clinical studies and 44 animal studies) in this study. The most frequently adopted meridians and acupoints were Stomach meridian, Spleen meridian, Conception Vessel meridian, and ST36, CV4, SP6, LI4, PC6, SP9, ST25, ST37 in clinical studies. In animal studies, Stomach meridian, Conception Vessel meridian, Pericardium meridian and ST36, ST37, CV12, PC6 were most frequently used. Animal studies showed significantly lower quality of reporting compared to clinical studies. According to the analysis on the effect of year of publication of articles, announcement of STRICTA guidelines did not improve the quality of reporting for studies on visceral pain. Conclusions : These results suggest that both proximal and distal acupoints based on meridian theory were used to study the underlying mechanisms of visceral pain both in human and animal studies. Guidelines of acupuncture intervention reporting for animal study is necessary to improve the quality of evidence, and it will also allow us the integrative understanding of the mechanisms and clinical effects of acupuncture treatment in human and animal.

• 대한방사선기술학회지:방사선기술과학
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• 제31권3호
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• pp.249-258
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• 2008

목적 : 복부비만 특히 내장지방의 과잉축적은 대사증후군 발생에 밀접한 관련이 있는 것으로 알려져 있다. 따라서 내장지방의 정확한 평가는 중요하며, 초음파 측정법은 간편하고, 안전하게 내장지방을 평가할 수 있는 방법으로 보고되고 있다. 본 연구는 초음파에 의해 측정된 복부 내장지방두께와 신체계측지표 및 대사증후군 관련인자와의 연관성을 확인하고, 대사증후군 예측을 위한 내장지방두께 기준을 알아보고자 하였다. 대상 및 방법 : 2008년 1월부터 4월까지 대전 D 건강검진센터에 내원한 건강검진자 중 400명(남자 200명, 여자 200명)을 대상으로 하였다. 초음파 검사로 제대 바로 위에서 내장지방 및 피하지방두께를 측정하였고, 신체계 측지표로 체질량지수, 허리둘레, 허리둘레/키 비를 측정하였으며, 대사증후군 관련인자로 혈압, 고밀도콜레스테롤(HDL-C), 중성지방(TG), 공복혈당(FBS)을 측정하였다. 초음파 측정지표와 신체계측지표 및 대사증후군 관련인자와의 상관관계를 분석하였으며, ROC곡선을 이용하여 대사증후군 예측을 위한 내장지방두께를 산출하였다. 결과 : 내장지방두께는 허리둘레(r=0.683/남, r=0.604/여), 허리둘레/키 비(r=0.633/남, r=0.595/여) 및 체질량지수(r=0.621/남, r=0.534/여)와 남녀 모두에서 유의한 상관관계가 있었으며, 수축기혈압(r=0.229/남, r=0.232/여), 이완기혈압(r=0.285/남, r=0.254/여), 고밀도콜레스테롤(r=-0.254/남, r=-0.326/여), 중성지방(r=0.475/남, r=0.411/여), 공복혈당(r=0.158/남, r=0.234/여)과 남녀 모두에서 유의한 상관관계가 있었다. 대사증후군 예측을 위한 내장지방두께의 cut-off value는 남자 4.58cm (민감도 89.2%, 특이도 71.2%), 여자 3.50cm (민감도 61.2%, 특이도 80.8%)이었으며, 내장지방두께가 남자에서 6cm, 여자에서 5cm 이상부터 대사중후군 위험성이 급격히 증가하였다. 결론 : 초음파로 측정된 내장지방두께는 신체계측지표 및 대사증후군 관련인자와 남녀 모두에서 유의한 상관 관계가 있었으며, 대사증후군 예측을 위한 내장지방두께 기준은 남자 4.58cm, 여자 3.50cm 이었다. 초음파로 측정된 내장지방두께는 복부비만의 유의한 지표가 될 수 있을 것으로 생각된다. 다만 임상에서 복부 비만 지표로 활용되기 위해서는 측정방법의 표준화가 이루어져야 할 것으로 사료된다.