• 제목/요약/키워드: all cause survival

검색결과 173건 처리시간 0.025초

Studies on establishment rate of direct seeded rice in relay intercropping system

  • Maki, Natsumi;Yasumoto, Satoko;Kojima, Makoto;Ohshita, Yasuo
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.186-186
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    • 2017
  • Relay intercropping system of direct seeded rice and winter cereal is labor saving cultivation and has high land use efficiency in Japan. In this system, rice seeds are direct seeded into inter-row space of winter cereals (wheat or barley) in March or April. If the direct seeding of rice is conducted before stem elongation phase or using suitable seeder, these are little effect to yield of winter cereals. Though the seeds are generally thiuram treated, it's a matter that seedling establishment rate (SER) of direct seeded rice is low and unstable. The cause of low SER has not been revealed. In present study, with the aim to reveal causes of low SER, we conducted experiments and investigated the SER, and analyzed some factors that might affect SER. Experiment1: In 2015, 2016, we buried rice seeds underground, and investigated the transition of the seed survival rates (SSR). Seeds were thiuram-treated or non-treated. In 2 periods, SSR of thiuram-treated seeds were significantly higher than non-treated seeds. In 2016, thiuram-treated seeds were high in SSR (almost 75%) at April 30th, but low SER (10~27%) after harvest of winter cereals. Therefore, almost all of seed death might have been happen after germination. Analysis 1: We investigated the SER and cultivation conditions in Ibaraki pref. for several years. Meteorological factors were referred from the nearest point of AMeDAS. From mean temperature (MT) among 5days after and before the day, we divided the period of seeding ~June 20 to phase1~4. We defined each phase as below; Phase1: $MT{\leq}10^{\circ}C$, Phase2: $10^{\circ}C<MT{\leq}15^{\circ}C$, Phase3:$15^{\circ}C<MT{\leq}20^{\circ}C$, Phase4: $MT>20^{\circ}C$. We analyzed the correlation of SER and meteorological factors by each phase. Total number of days in phase 1~4 was significantly negative correlated with SER. In phase1, total rain fall and number of soil wetting days were significantly negative correlated with SER. In phase2~4, only MT was significantly positive correlated with SER. This result suggested that rainfalls in phase1 declined seed vigor to emergence from soil surface, by repeated water absorption and re-dry. From these present studies, it was suggested that one of factors of low SER of direct seeded rice in relay intercropping system is changing of water condition by rainfalls in phase1 ($MT{\leq}10^{\circ}C$). To improve SER, it's necessary to consider something seed treatments such as prevent water absorption during phase1. However, 58~60% of seeds seemed to die during May. It's suggested that, if seeds are thiuram treated, almost all of seeds can germinate underground, but the seed vigor to emergence from soil surface are insufficient. Further studies are needed to reveal the rest causes that is happening during emergence from soil surface.

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Effect of trauma center operation on emergency care and clinical outcomes in patients with traumatic brain injury

  • Han Kyeol Kim;Yoon Suk Lee;Woo Jin Jung;Yong Sung Cha;Kyoung-Chul Cha;Hyun Kim;Kang Hyun Lee;Sung Oh Hwang;Oh Hyun Kim
    • Journal of Trauma and Injury
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    • 제36권1호
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    • pp.22-31
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    • 2023
  • Purpose: Traumatic brain injury (TBI) directly affects the survival of patients and can cause long-term sequelae. The purpose of our study was to investigate whether the operation of a trauma center in a single tertiary general hospital has improved emergency care and clinical outcomes for patients with TBI. Methods: The participants of this study were all TBI patients, patients with isolated TBI, and patients with TBI who underwent surgery within 24 hours, who visited our level 1 trauma center from March 1, 2012 to February 28, 2020. Patients were divided into two groups: patients who visited before and after the operation of the trauma center. A comparative analysis was conducted. Differences in detailed emergency care time, hospital stay, and clinical outcomes were investigated in this study. Results: On comparing the entire TBI patient population via dividing them into the aforementioned two groups, the following results were found in the group of patients who visited the hospital after the operation of the trauma center: an increased number of patients with a good functional prognosis (P<0.001 and P=0.002, respectively), an increased number of surviving discharges (P<0.001 and P<0.001, respectively), and a reduction in overall emergency care time (P<0.05, for all item values). However, no significant differences existed in the length of intensive care unit stay, ventilator days, and total length of stay for TBI patients who visited the hospital before and after the operation of the trauma center. Conclusions: The findings confirmed that overall TBI patients and patients with isolated brain injury had improved treatment results and emergency care through the operation of a trauma center in a tertiary general hospital.

승모판막 치환술 (Mitral valve Replacement)

  • 신동근;김민호;조중구
    • Journal of Chest Surgery
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    • 제30권2호
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    • pp.137-145
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    • 1997
  • 1983련 7월부터 1993년 12월까지 승모판막 질환을 가진 107명의 환자에게 112예의 승모판막 치환술을 시행하였다. 승모판막 치환술과 관련된 수술 위험 인자를 평가하기 위하여 환자의 수술 전후 기록들 을 분석하였다. 107명의 환자들 중 대동맥판을 함께 치환한 20명과수술 전후의 기록이 불완전한 2명을 제외한 환자 85명을 대상으로 하였다. 나이는 평균 $37.3\pm$ 13.1세로 13세에서 72세까지의 분포를 보였으며 성 별 분포는 남자가 37예, 여자 48예였다. 평균 추적관찰기간은 51.1 $\pm33.8$ 개월로 6개월에서 11년까지 였다. 수술후 6개월에 환자들은 NYHA 기능분류가 술전 평균 $3.02\pm0.73에서$ 1.78 $\pm0.55로,$ 심흉곽비 또한 술전 평균 0.61 $\pm0.09에서$ $0.58\pm0.08로$ 개선되었다. 수술후 합병증은 23예(27.1%)에서 발생하였고 부정 맥 7예,호흡기 합병증 6예와 저심박출증 6예 등이 있었다. 수술사망은 9예(10.6%)에서 발생하였는데 가장 흔한 사망의 원인은 저심박출증으로 인한 울혈성 심부전이었다. 본 연구의 수술사망이 비교적 높았던 주된 요인으로는 초기 수술에서의 수술사망이 많았던 점을 지적할 수 있다( 1983년 7월부터 1985년 12월까지의 수술 19\ulcorner 중 5예의 수술사망이 있었다 ). 수술사망을 포함한 생존을(Actuarial survival)은 5년에 80.8%, 11년에 71.8%였고 항응고제와 관계된 출혈 자유율은 5년에 85.3% 11년에 78.3%였으며 혈전색전증의 자유율은 5년에 95.1% 11년에 88.8%, 재수술로부터의 5년과 11년 자유율도 각각 97.5%와 75.1%였다. 술전심흉곽비와 수술 당시의 환자의 연령이 통계적으로 의의 있는 수술 위험 인자로 분석되 었다.

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감각신경모세포종의 20년에 걸친 치료와 예후 분석: 치료 시기에 따른 차이 (Treatment and Prognosis for an Esthesioneuroblastoma over a 20-Year Period: Impact of Treatment Era)

  • 송창훈;김일한;우홍균;김동완;이재서
    • Radiation Oncology Journal
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    • 제27권4호
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    • pp.189-193
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    • 2009
  • 목 적: 감각신경모세포종의 시대에 따른 치료방침과 생존율의 변화를 보고하고자 하였다. 대상 및 방법: 1989년 3월부터 2007년 6월 사이에 감각신경모세포종으로 진단을 받고 처음으로 치료를 받은 42명의 환자를 후향적으로 분석하였다. Kadish 병기에 따르면, 3명(7%)의 환자가 A병기, 6명(14%)의 환자가 B병기, 33명(79%)의 환자가 C병기였다. 33명의 C병기 환자 중, 19명은 1989년부터 2000년에, 14명은 2001년부터 2007년까지 치료 받았다. 치료는 수술, 방사선치료, 항앙화학요법 및 이들의 조합이었다. 1989년부터 2000년까지 치료를 받은 19명 중 8명(42%)이 항암화학요법을 받은 것에 비해, 2001년부터 2007년까지 치료를 받은 환자 14명은 모두 항암화학요법을 받았다(p<0.001). 삼차원입체조형방사선치료는 1989년부터 2000년에는 아무도 받지 않았으나 2001년부터 2007년도에 치료를 받은 14명 중 8명이 받았다(p<0.001). 생존환자에 대한 중앙 추적기간은 6.5년(범위, 2.2~15.8년)이었다. 결 과: 전체 환자에 대한 5년 생존율과 무진행생존율은 각각 53%와 39%였다. Kadish A혹은 B 환자의 5년 생존율은 100%이고 Kadish C병기의 5년 생존율은 39%였다(p=0.007). C병기 환자 중 1989년부터 2000년까지 치료받은 환자와 2001년부터 2007년까지 치료받은 환자의 5년 생존율은 각각 26%와 59%였다(p=0.029). 상응하는 5년 무진행생존율은 각각 16%와 46%였다(p=0.001). 다변량분석에서 안와내침범과 치료시대(1989~2000 vs. 2001~2007)가 생존율과 무진행생존율에 영향을 주는 독립인자로 확인되었다. 결 론: 본 연구의 결과 C병기 환자에서 삼차원입체조형방사선치료의 도입과 같은 치료방법과 기술의 진화를 반영하는 치료시기가 향상된 생존율과 무진행생존율의 원인이 될 수도 있음을 제시 하였다. C병기 환자에서 더 나은 결과를 얻기 위해서는 수술에 더하여 항암화학요법과 방사선치료 병용요법, 특히 삼차원입체조형방사선치료가 추천된다.

재난과 미술적 대응: 헤르만 조셉 하크(Hermann Josef Hack)의 기후난민 프로젝트 (Disaster and Artistic Measures: Hermann Josef Hack's Project of World Climate Refugee Camp)

  • 김향숙
    • 미술이론과 현장
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    • 제14호
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    • pp.53-83
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    • 2012
  • This thesis is a study of artistic measures and climate refugees, based on Hack's World Climate Refugee Camp project. According to Hack, climate refugees appeared with the process of globalization. Hack claimed that the people who put climate refugees in danger are the industrialized nations, and therefore, their rejection of refugees is nonsense. He also stated that the fundamental solution would be the active participation of such nations. Thus, he travels around the world, encouraging participants and globalizing his project. Interestingly, the practical participation method of his climate calamity project is divided into four methods, which are all related to realizing the danger and presenting various solutions. First, the aesthetic of survival: the reason Hack focused on the warming trend and claimed that we have to accept the climate refugees as refugees comes from the thought that we are all potential refugees, and the anxiety that climate refugees may cause war in the end. The solution Hack found for surviving in such a world is to create "refugee camps" to notify people about the seriousness of climate change, and to put the "aesthetic for survival" in action. Second, a relation-oriented relationship: communication between Hack and the participants was done in various ways. They are experiencing a bond and emotions of an interrelationship through their actions in the experimental field, experiencing a new form of art, which they were not able to experience in a museum. Third, a utopian measure: Hack's utopian measure started from the fear of dystopia but Hack still believes that it is not only a dream, but that it can be realized. He claims that even though the start may be feeble, it is possible to rescue children from starvation and to treat climate refugees as proper human in the end, when communication and cooperation is done the right way and properly. Fourth, the aesthetic of global relation, the internet: the new solution Hack is trying on the internet is to make more people participate in his project. It is fate that "human are the wrongdoer and the victim at the same time", but according to Hack's opinion, social disaster can be avoided through effort and it is optimistic that we can give form to the culture revolution we are experiencing now. Hack's project illustrated the importance of daily life, compared to art inside a museum, through active participation of the people and opened up a new method of art through realistic responses to disasters. This is distinctive from the past exhibitions, where artists gave shape and form to ideals and an imaginary world, in that it shows that the artist and audience aim for creating a community-like structure, just like Bourriaud's art method. Hack's project of climate calamity illustrates that installation and action art is not only an art genre which shows installation and activities, but that it can include social and political issues and that it can be completed with the help of participants, consequently becoming a genre of modern art. Hack raises a question about art's identity through various descriptions. Artists as planners, who base their artworks on their subjectivity or the characteristics of a specific period, the people as participants, the duet of art work and play, human and human, and further, human and nature. The practical participation method, as a measure for "disaster", reveals the new art of the 21st century within Hack's artworks. Even though there are several problems with Hack's usage of art as a measure for disaster, it will actively open up a new page for the 21st century's art with the theme of disaster.

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소아 만성 신부전증의 전국적인 조사연구 (Chronic Renal Failure in Children: A Nationwide Survey in Korea)

  • 김교순;전정식;이익준;고대균;이경일;윤희상;구자훈;고철우;조병수;김준식;손창성;유기환;안영호
    • Childhood Kidney Diseases
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    • 제4권2호
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    • pp.92-101
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    • 2000
  • 목 적 : 우리나라 소아 만성신부전 환자의 빈도와 원인, 결과, 현재까지의 치료실태 등 임상양상을 전국적으로 파악하여 소아 만성신부전증에 대한 이해를 돕고 이에 대한 앞으로의 치료방침을 세우는데 있다. 방 법 : 전국 소아과 수련병원을 대상으로 1990년 1월부터 1999년 12월까지 만 10년간 만성신부전 환자에 대한 자료를 설문지를 통해 수집하여 원인질환, 만성신부전시의 연령 및 혈청크레아티닌치, 말기신부전시의 연령 및 혈청크레아티닌치, 치료실태 등을 분석하였다. 결 과 : 최근 10년간의 소아 만성신부전 환자는 401명으로 남아 254명, 여아 147명이었으며 1년에 소아인구 백만명 당 3.68 명의 만성신부전 환자가 발생하였다. 만성신부전시의 연령은 5세 미만은 22$\%$, 5세에서 10세는 28$\%$, 10세에서 15세는 50$\%$ 이었다. 원인질환으로는 사구체신염 (36$\%$), 만성 신우신염 (21$\%$), 신이형성 및 신형성부전 (9$\%$) 순이었고 단일 신질환으로는 역류성 신병증 (16$\%$), 소상 분절성 사구체경화증 (11$\%$) 등이 흔하였다. 말기신부전에 이른 284명중 282예에서 신대체요법이 시행되었다. 일차적으로 선택된 신대체요법은 혈액투석이 42$\%$. 복막투석이 35$\%$, 신이식이 23$\%$ 이었고 말기신부전 환아 중 159명 (56$\%$)에서 신이식이 시행되었다(1차 신이식 159명, 2차 신이식 2명). 평균 신대체요법의 기간은 $3년\;1개월{\pm}2년\;8개월$이었고 신대체요법을 받은 환아의 생존률은 88.7$\%$ 이었다. 결 론 : 우리나라 소아 만성신부전의 가장 흔한 단일 신질환은 역류성 신병증으로 조기 진단 및 치료로 만성신부전으로의 진행을 예방할 수 있는 질환이었다. 소아 말기신부전 환자에서 일차적으로 선택한 신대체요법은 혈액투석, 복막투석 및 신이식이 각각 $42\%,\;35\%,\;23\%$ 이었고 궁극적으로 신이식을 시행받았던 환아는 전체환자의 56$\%$로써 투식 및 신이식이 우리나라 소아 말기신부전 환아의 주된 치료법으로 자리잡았음을 알 수 있었다.

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투자 행태를 통한 엑셀러레이터와 벤처캐피탈의 비교 연구 (A Comparative Study of the Accelerator and Venture Capital through Investment Behavior)

  • 최윤수;김도현
    • 벤처창업연구
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    • 제11권4호
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    • pp.27-36
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    • 2016
  • 최근 다양하고 새로운 아이디어를 사업화하여, 부가가치를 창출 할 수 있는 벤처기업에 대한 관심이 증대되고 있다. 초기 벤처기업의 경우 필요 자금을 내부에서 충분히 조달할 수 없는 경우가 대부분이며, 외부에서의 투자가 생존에 중요한 역할을 한다. 하지만 전형적인 High-risk, High-return의 형태를 가지고 있는 벤처기업은 초기 외부 자본 조달에 많은 어려움을 겪고 있다. 또한 경우에 따라서는 어렵게 외부의 투자를 받는 경우에도 이해관계자와의 다양한 문제(투자 형태, 경영에의 간섭 등)로 인한 역효과가 발생하기도 한다. 이처럼 이미 벤처캐피탈, 엔젤 등을 통한 투자가 이뤄지고 있고, 정부의 다양한 지원 정책이 존재하지만 여전히 '초기' 벤처기업에 대한 적절한 투자나 지원이 부족한 실정이다. 2000년대 중반 미국 실리콘밸리를 중심으로 시작된 엑셀러레이터는 초기 벤처기업을 위한 새로운 투자 유형으로 주목받고 있다. 엑셀러레이터는 기존 투자 유형과 달리 멘토링, 교육, 네트워킹 등을 추가로 지원하며 초기 벤처기업의 성장을 지원하고 있지만, 기존 투자 기관과의 차이, 엑셀러레이터 프로그램 성과에 대한 논쟁이 존재한다. 이에 본 연구에서는 엑셀러레이터와 벤처캐피탈의 투자 행태를 비교하여, 두 유형 간 차이가 실제로 존재하는지 검증해 보았다. 그리고 그 결과로 엑셀러레이터와 벤처캐피탈의 투자 행태에 일부 차이가 있음을 발견하였다.

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전통시장 상권 활성화에 대한 상인들의 의식구조 고찰 : S상권을 중심으로 (Consideration of Traditional Markets' Impact on the Self-Consciousness of Retailers: A Focus on the S Marketing Area)

  • 김민수;전진호;임진
    • 유통과학연구
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    • 제12권2호
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    • pp.17-25
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    • 2014
  • Purpose - This study used empirical methods to investigate the consciousness structure of vendors in the S marketing area, which is a commercial revitalization district in the country, and examined its effect on their business activities. Based on the results derived through the performance of an actual proof analysis, this study aims to facilitate the promotion of changes in the consciousness structures of traditional market vendors, with a view to allowing them to adapt to the current economic realities in the country. Further, this study aims to provide suggestions that would improve the efficiency of the commercial revitalization program of the government. Research design, data, and methodology - This study examined all the stores in the S marketing area using a questionnaire survey conducted over three weeks beginning on July 4, 2012, and involved the performance of a data analysis on 1,859 samples. The questionnaire consisted of two parts. The first part addressed the market revitalization and the second part addressed the store management strategies. Questionnaire responses were calibrated based on a Likert scale. Statistical analysis was conducted using PASW version 18.0. Results - The results of the analysis of the consciousness structure of merchants in the S marketing area have led to the discovery that they have a medium level of satisfaction with market revitalization. There was a difference in the perceptions of the concept of store management between merchants and customers. Merchants have poor strategies for store management, which do not go much beyond an imitation of the practices of large domestic discount stores. Conclusions - The appearance of big discount stores and the accompanying changes in people's consumption patterns have led to a decline in local market areas. The government has sought new ways to secure autogenic power for local markets. To create regional economies, the government enacted a revised "Law for creating traditional markets and shopping streets" in 2010 and introduced a commercial district revitalization program. This program, which originally supported only the S marketing area, has subsequently expanded into neighboring shopping districts so that the whole of the regional market can be revitalized. However, since the revitalization of the traditional market and the government support required for it were mostly limited to facilities, the result has not proved to be effective. Although there are several reasons why the government investment was characterized by poor efficiency, traditional market vendors' consciousness structure, which did not adapt well to the vagaries of time and its consequent changes, was a major cause. Only when vendors have a true merchant spirit can they have a real service focus that will enable them to clearly understand the distribution organization. This will have the effect of bring about complete customer satisfaction and will ensure the survival and development of traditional markets.

암환자와 배우자의 부부적응에 대한 부부의사소통의 영향 - 자기효과와 상대방효과를 중심으로 - (The Effect of Communication on Marital Adjustment of Cancer Patients and their Spouses - Focusing on the Actor Effect and Partner Effect -)

  • 이인정
    • 한국사회복지학
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    • 제63권2호
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    • pp.179-205
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    • 2011
  • 암환자에게 부부적응은 심리적인 안녕 뿐만 아니라 치료경과 및 생존율에 영향을 미치는 것으로 보고되고 있어 이들의 부부적응을 도모하기 위한 사회복지 노력과 관심이 절실히 필요하다 하겠다. 이에 본 연구는 암환자와 배우자의 커플자료를 수집하여 이들의 부부적응에 대해 조사하였으며, 기초자료가 미비한 실정에서 부부관계의 지표로 부부적응에의 필수고려 요인으로 지목되고 있는 부부의사소통의 영향을 조사하였다. 또한 암환자와 배우자의 상호의존성을 고려하여 부부의사소통이 부부적응에 미치는 영향을 자기 자신에게 미치는 영향(자기효과), 상대방에게 미치는 영향(상대방효과)을 고찰하였다. 이를 통해 부부적응에 긍정적 부부의사소통의 중요성을 제시하였으며, 부정적 의사소통 유형인 요구-철회의사소통에서 환자의 배우자에 대한 상대방효과가 유의한 것으로 나타나 환자에 대한 의사소통 교육에의 필요성을 제시하였다. 이러한 연구결과를 바탕으로 실천적 함의 및 후속연구에 대한 제언을 제시하였다.

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죽염의 약리작용 평가 (Pharmacological Evaluation of Bamboo Salt)

  • 양지선;김옥희;정수연;유태무;노용남;이숙영;정면우;안미령;최현진
    • Biomolecules & Therapeutics
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    • 제7권2호
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    • pp.178-184
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    • 1999
  • Bamboo salt has been used for the purpose of precaution and treatment of certain diseases including cancer. Therefore, present study was carried out to ascertain the effects of bamboo salt upon anti-cancer, anti-hypertensive, and anti-diabetic activities as well. To examine the anti-cancer activity of bamboo salt, ICR mice implanted with 1$\times$l0$^{6}$ cells of sarcoma 180 intraperitoneally had been treated daily with bamboo salt A, crude salt, and reagent-grade NaCl (0.2, 1.0, and 2.0 g/kg, p.o.) for 60 days using adriamycin (2 mg/kg) as a positive control. Neither survival rate nor body weight had been significantly influenced by all the treatments indicating that bamboo salt A did not exert the anti-cancer effect on ICR mice. Anti-hypertensive activity was examined in spontaneously hypertensive rats (SHR) which had been administered with bamboo salt A, crude salt, and reagent-grade NaCl (0.1, 0.5, and 1.0% in drinking water) for 28 days using hydralazin (2 mg/kg) as a positive control. Blood pressure and heart rate were measured at 1, 3, and 4 weeks after the starting date. Significant anti-hypertensive activity was not observed in any treated group compared to the positive control group. In order to determine if bamboo salt had anti-diabetic activity, rats in which diabetes had been induced by streptozotocin (45 mg/kg, i.m.) were treated daily with bamboo salt A, crude salt, and reagent-grade NaCl (0.2, 1.0, and 2.0 g/kg, p.o.) for 28 days using insulin (50 U/kg, s.c..) as a positive control. Blood samples were taken and analyzed at 1,2, and 4 weeks after the starting date. Bamboo salt did not cause any decreasing effect on the blood glucose levels. These results clearly demonstrated that bamboo salt A did not exert anti-cancer, anti-hypertensive, or anti-diabetic activities in the present experimental animals.

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