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검색결과 613건 처리시간 0.035초

최근국제항공보안대책(最近國際航空保安対策)의 제간제(諸間題) -특히 법적측면(法的測面)을 중심(中心)으로- (Some New Problems of International Aviation Security- Considerations Forcused on its Legal Aspects)

  • 최완식
    • 항공우주정책ㆍ법학회지
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    • 제5권
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    • pp.53-75
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    • 1993
  • This article is concerned with the comment on "Some New Problems of International Aviation Security-Considerations Forcused on its Legal Aspects". Ever since 1970, in addition to the problem of failure to accept the Tokyo, Hague and Montreal Conventions, there has been also the problem of parties to them, failing to comply with their obligations under the respective treaties, in the form especially of nominal penalties or the lack of any effort to prosecute after blank refusals to extradite. There have also been cases of prolonged detention of aircraft, passengers and hostages. In this regard, all three conventions contain identical clauses which submit disputes between two or more contracting States concerning the interpretation or application of the respective conventions to arbitration or failing agreement on the organization of the arbitration, to the International Court of Justice. To the extent to which contracting States have not contracted out of this undertaking, as I fear they are expressly allowed to do, this promision can be used by contracting States to ensure compliance. But to date, this avenue does not appear to have been used. From this point of view, it may be worth mentioning that there appears to be an alarming trend towards the view that the defeat of terrorism is such an overriding imperative that all means of doing so become, in international law, automatically lawful. In addition, in as far as aviation security is concerned, as in fact it has long been suggested, what is required is the "application of the strictest security measures by all concerned."In this regard, mention should be made of Annex 17 to the Chicago Convention on Security-Safeguarding International Civil Aviation against Acts of Unlawful Intereference. ICAO has, moreover, compiled, for restricted distribution, a Security Manual for Safeguarding Civil Aviation Against Acts of Unlawful Interference, which is highly useful. In this regard, it may well be argued that, unless States members of ICAO notify the ICAO Council of their inability to comply with opecific standards in Annex 17 or any of the related Annexes in accordance with Article 38 of the 1944 Chicago Convention on International Civil Aviation, their failure to do so can involve State responsibility and, if damage were to insure, their liability. The same applies to breaches of any other treaty obligation. I hope to demonstrate that although modes of international violence may change, their underlying characteristics remain broadly similar, necessitating not simply the adoption of an adequate body of domestic legislation, firm in its content and fairly administered, but also an international network of communication, of cooperation and of coordination of policies. Afurther legal instrument is now being developed by the Legal Committee of ICAO with respect to unlawful acts at International airports. These instruments, however, are not very effective, because of the absence of universal acceptance and the deficiency I have already pointed out. Therefore, States, airports and international airlines have to concentrate on prevention. If the development of policies is important at the international level, it is equally important in the domestic setting. For example, the recent experiences of France have prompted many changes in the State's legislation and in its policies towards terrorism, with higher penalties for terrorist offences and incentives which encourage accused terrorists to pass informations to the authorities. And our government has to tighten furthermore security measures. Particularly, in the case an unarmed hijacker who boards having no instrument in his possession with which to promote the hoax, a plaintiff-passenger would be hard-pressed to show that the airline was negligent in screening the hijacker prior to boarding. In light of the airline's duty to exercise a high degree of care to provide for the safety of all the passengers on board, an acquiescence to a hijacker's demands on the part of the air carrier could constitute a breach of duty only when it is clearly shown that the carrier's employees knew or plainly should have known that the hijacker was unarmed. The general opinion is that the legal oystem could be sufficient, provided that the political will is there to use and apply it effectively. All agreed that the main responsibility for security has to be borne by the governments. A state that supports aviation terrorism is responsible for violation of International Aviation Law. Generally speaking, terrorism is a violation of international law. It violates the sovereign rights of states, and the human rights of the individuals. We have to contribute more to the creation of a general consensus amongst all states about the need to combat the threat of aviation terrorism. I think that aviation terrorism as becoming an ever more serious issue, has to be solved by internationally agreed and closely co - ordinated measures.

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재발한 간담도암 환자에서 시행 한 high-dose-rate intraluminal brachytherapy의 유용성 및 재현성 평가 (Availability and Reproducibility Evaluation of High-dose-rate Intraluminal Brachytherapy for Unresectable Recurrent Cholangiocarcinoma)

  • 박주경;이승훈;차석용;김양수;이선영
    • 한국방사선학회논문지
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    • 제6권2호
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    • pp.151-157
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    • 2012
  • 간담도암의 일차적 치료법은 수술적 제거이나, 초기 병기로 수술을 하여도 재발이 흔하며, 재발 후에는 근치적 목적이 아닌 주로 증상 완화 목적의 치료를 하고 있다. 이에 본 연구에서는 재발한 환자에서 자체 도입한 특수 관을 이용한 근치적 목적의 high-dose-rate intraluminal brachytherapy의 치료법과 치료 set-up 재현성 유지에 대하여 고찰하고 자 한다. 본 연구는 간담도암으로 수술 후, 6개월 간격으로 복부 자기 공명 영상을 이용한 추적 검사를 시행하여, 수술문합 부위의 재발이 확인된 임상 병기 rcT1N0M0인 환자를 대상으로 하였다. 근접 치료를 위하여 경피적 담도 배액관을 치료 전용관인 Arrow Sheath로 교체 후, intraluminal catheter를 삽입하여, 일회 치료당 3 Gy 씩 총 30 Gy 근접치료를 시행하였다. 협착 된 담도의 distal and proximal 그리고 central axis point로부터 1 cm 떨어진 지점을 선량표준화였으며, 5회에 걸쳐 치료 전 dummy seed 삽입 후, 치료 표적 용적 근위부와 말단부의 기준점에서 흉추 사이의 거리를 측정하여 set-up 재현성을 평가하였다. 매주 치료 전 근위부와 말단부위 치료 표적 용적 기준점에서 흉추 사이의 거리를 5회 측정한 값과 simulation image에서 측정된 거리를 비교한 결과 평균값과 표준편차가 오차율 5% 이내로 유의한 수준으로 측정되어 매회 치료시 재현성이 유지 되었다, 본 연구 환자의 추적 검사 상 1년 이상 무병 생존하고 있으며, 심각한 부작용 또한 관찰되지 않았다. 따라서, 수술이 불가능한 재발한 간담도암 환자에서 본원에서 자체 도입한 관으로 시행한 근접치료는 주변 인접 장기의 심각한 부작용 발생 없이, 매 회 치료 시 재현성이 유의한 수준으로 유지 되는 것으로 평가되었다.

산란계에 있어서 가금티푸스 저항성 계통의 산란성 비교 연구 (Comparison of Egg Production among Crossbreds with Resistance to Fowl Typhoid in Egg Type Chickens)

  • 오봉국;한성욱;김기석;한경택
    • 한국가금학회지
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    • 제30권1호
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    • pp.1-10
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    • 2003
  • 본 시험을 수행하기 위하여 공시 품종으로 국내 산란계 품종중 우수계통으로 ISA 계통 White와 Brown P.S, Hyline 계통 White와 Brown P.S와 Lohman 계통 White와 Brown P.S 등 6개 계통을 선발하여 우량교배조합구를 구성하고 대조구로는 현재 국내에서 가장 널리 사육하는 품종 ISA Brown CC. Hyline Brown CC와 Lohman Brown CC 3계종과 우량교배 조합구 6구를 공시하여 산란성에 대한 시험을 실시한바 성적은 다음과 같다. (1) 생존율에 있어서 육성율(0~l7주) 99.95%, 성계생존율 (18~72주) 91%로 시험구와 대조구간에 차이가 없었다. (2) 시산일령은 평균 147~148일로 시험구, 대조구 간에 차이가 없었다. (3) 18~72주령 산란율에서 시험구는 83.76%, 대조구는 77.82%로 시험구 산란율이 약 6%가 높아서 통계적으로 유의하였다. (4) 산란지수에 있어서도 시험구 평균 산란지수는 18~72주시까지 292.33개이고 대조구는 271.31개로 시험구가 21개 더 생산하였으며 통계적으로 유의하였다. (5) 산란량에서도 18~72주시까지 시험구는 18.83kg, 대조구는 16.48kg으로 시험구가 2.35kg 더 많은 생산을 하였고 유의하였다. (6) 난중에 있어서도 30주령시, 72주령시 모두 시험구 난중이 대조구에 비하여 유의하게 무거웠다. 18~72주시 평균난중에 있어서 시험구는 64.32g이고 대조구는 60.73g로서 시험구가 3.59g 만큼 더 무거웠으며 통계적인 유의차가 있었다. (7) 사료요구율에 있어서 18~72주시 시험구는 2,297인데 대조구는 2,454로서 시험구가 계란 I1kg 생산에 사료 157g 만큼 절약되었으며 유의성이 있었다. (8) 난질조사에 있어서 산란말기인 72주령시 성적을 보면 시험구 H.U는 82.20이고 대조구는 77.82로서 시험구 계란이 4.38 H.U만큼 품질이 우수하였으며 난황색, 난각두께에 있어서는 시험구와 대조구 간에 차이가 없었다. (9) 난각색에 있어서는 시험구 난각색이 백색란과 갈색란의 중간에 속하는 연갈색 난각을 나타내며 소비자 기호도가 낮은 편이었다. (10) 체중에 있어서 육성기 8주령시, 12주령시, 18주령시까지 시험구와 대조구간에는 차이가 없었다. 그리고 산란기 42주령시, 72주령시 체중에 있어서도 두 처리구간에 차이가 없었다.

개에서 불용성 근위축과 골절 치유에 대한 Nandrolone decanoate의 효과 (Effect of Nandrolone Decanoate on Disuse Muscle Atrophy and Bone Beating in Dogs)

  • 윤성진;임지혜;미자누르 라흐만;변예은;김완희;권오경
    • 한국임상수의학회지
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    • 제22권4호
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    • pp.336-341
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    • 2005
  • 개에서 Nandrolone decanoate(ND)의 수술 후 외고정 등에 의한 불용성 근위축과 골절 치유에 미치는 영향을 평가하기 위하여 본 실험을 실시하였다 $3.3\~5.5kg,\;2\~4$세의 건강한 잡종견 20두를 대조군(A군, 4두), 1.5mg/kg ND 투여군(수술 직후 투여 - B군, 8두), 7.5mg/kg ND 투여군(수술 직후 투여 - C군, 8두)으로 나누어 무작위로 실험에 사용하였다. 요골의 골간에 골절을 유발하여 1mm 간격을 유지하며 plate로 고정하였다 ND (Deca-Durabolin 50mg/ml, 한화제약 주식회사)투여 군은 1.5mg/kg혹은 7.5mg/kg용량의 ND를 수술 직후, 일주일에 일회씩 근육 내로 8주간 투여하였다. 수술 후 4주간 로버트 존스 포대법을 실시한 후 제거하였다. 체중과 근육의 변화를 수술 직후, 수술 2, 4, 8주 후에 각각 측정하였다 ND 투여 후 4주와 8주에 조직학적 검사를 실시하였다. 근육량의 변화는 A, B 및 C 각 군에서 수술 8주 후에 수술 전 근육량의 $-2.75\pm0.16\%,\;1.68\pm0.11\%$$1.74\pm0.48\%$의 변화를 보였다. 근육량은 대조군과 비교하여 투여군에서 투여 4주 후부터 유의적으로 증가하였다 (p<0.05). 투여군에서 용량 의존적 차이는 보이지 않았다. 조직학적 평가에서 ND투여 4주 후 투여군에서 골절된 골 사이에 형성된 섬유 결합조직층이 대조군과 비교하여 더 많이 형성되었다. 5주 후 투여군에서 섬유결합 조직층이 더욱 치밀해졌다. 이상의 결과로 보아 ND투여는 수술 후 외고정 등에 의한 불용성 근위축의 예방과 골절 치유에 유용할 것으로 사료된다.

이소플라본 보충이 다른 나이에 난소를 절제한 흰쥐의 골대사에 미치는 영향 (Effect of Isoflavone Supplementation on Bone Metabolism in Ovariectomized Rats at Different Ages)

  • 변재순;노숙령;박종성;박형무
    • 한국식품영양과학회지
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    • 제34권9호
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    • pp.1350-1356
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    • 2005
  • 대두 이소플라본의 보충이 어린 쥐와 성숙기 쥐의 골대사에 미치는 영향을 알아보기 위하여 각각 5주령, 25주령 암컷 쥐를 대상으로 난소를 절제하지 않은 군(SH), 난소를 절제한 군(OVX), 난소를 절제하고 이소플라본 80 mg/kg b.w.을 보충시킨 군(OVX+ISO)으로 각각 분류하고 9주 동안 실험식이를 제공한 후 골대사에 미치는 일반지표 및 생화학적지표를 비교 분석하였으며 그 결과는 다음과 같다. 어린 쥐의 체중 증가량은 난소를 절제하지 않은 군($142.6\pm23.86$)에 비해 난소 절제군($174.8\pm15.36$)에서 유의성(P<0.05) 있게 증가되었고, 난소절제군에 비해 이소플라본 보충군($159.6\pm9.93$)은 다소 감소되었다. 어린 쥐에서 혈청 osteocalcin 농도는 난소를 절제하지 않은 군($24.44\pm4.6$)에 비해 난소절제군($33.27\pm6.7$)에서 유의성 (p<0.05)있게 증가되었고, 난소절제군에 비 해 이소플라본 보충군($25.45\pm5.6$)은 유의성 (p<0.05)있게 감소되었다. 어린 쥐에서 뇨중 crosslinks value농도는 난소를 절제하지 않은 군($154.78\pm14.89$)에 비해 난소절제군 ($203.43\pm20.60$)에서 유의성 (p<0.05)있게 증가되었고, 난소절제군에 비해 이소플라본 보충군($169.43\pm20.69$)은 유의성(p<0.05)있게 감소하여, 난소를 절제하지 않은 군과 유사한 수준으로 나타났다. 어린 쥐에서 혈청 인의 농도는 난소를 절제하지 않은 군($5.46\pm0.98$)에 비해 난소절제군($5.73\pm0.44$), 이소플라본 보충군($6.87\pm1.17$)에서 유의성(p<0.05)있게 증가되었고, 혈중 칼슘농도와 뇨중 칼슘, 인의 배설량은 각 군간 유의적인 차이가 나타나지 않았다. 성숙기 쥐는 혈중 칼슘과 인의 농도, 뇨중 칼슘과 인의 배설량에서 각 군 간 유의적인 차이가 나타나지 않았다. 어린 쥐와 성숙기 쥐에서 대퇴골 골밀도는 난소절제, 이소플라본 보충 유무에 따른 각군간의 유의적인 차이가 나타나지 않았으나, 성숙기 쥐는 난소를 절제하지 않은 군($0.2010\pm0.0013$)에 비해 난소절제군($0.1853\pm0.0012$)은 감소되었고, 난소절제군에 비해 이소플라본 보충군($0.1980\pm0.0014$)은 증가하는 경향을 나타냈다. 이상의 결과를 종합해 보면 어린 쥐에서 난소절제에 의한 에스트로겐 결핍은 골대사에 영향을 주었고, 대두 이소플라본 보충은 골대사 지표인 혈중 osteocalcin과 뇨중 crosslink value 함량을 유의적으로 감소시켜 골흡수를 억제하는 것으로 나타냈다. 따라서 이소플라본 섭취가 어린 쥐의 골대사에 긍정적인 효과는 확인할 수 있었으나, 성숙기 쥐의 골대사지표에는 직접적인 영향을 나타내지 않았다.

X-선(線) 조사(照射)가 Ehrlich 암세포(癌細胞)의 용적(容積), 단백양(蛋白量) 및 수종(數種) Sulfhydryl 기(基)에 미치는 영향(影響)에 관(關)하여 (Effect of X-Irradiation on the Levels of some Sulfhydryl Groups, Protein and Cell Volume of Ehrlich Ascites Tumour Cells)

  • 유춘식;주영은
    • The Korean Journal of Physiology
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    • 제3권2호
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    • pp.9-16
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    • 1969
  • It is well known that a number of -SH and -SS containing substances afford a certain measure of protection against radiation effects in many biological systems, and it is conceivable that inherent -SH levels in Ehrlich ascites tumour (ELD)cells may be of decisive improtance with respect to the development of cellular radiation injury. So far, little effort has been directed to elucidate the changes in levels of different -SH and -SS groups in ELD cells when the tumour-bearing whole animal was subjected to the sublethal dose of X-irradiation. The present study was designed to bring some lights in the possible changes of and relationship between various sulfhydryl levels, such as P-SH, NP-SH and NP-SS, as well as the content of protein and cell volume of ELD cells, after subjecting the ELD mice to 1,200 r of X-irradiation. The animals used in this experiment were all mixed bred mice of $20{\sim}25\;gm$ in body weight (approximately 2 months old) irrespective of sex. 12 mice in one experiment were inoculated intraperitoneally with 0.2 ml of ascites tumour cells $(2{\times}10^6\;cells)$, and on the 7th day of the tumour growth, they were X-irradiated with 1,200 r, using the conventional X-ray machine under the following conditions: 200 Kv at 15 mA, 0.5 mm Cu filter, target-skin distance: 50 cm. Radiation dose was measured with the the Philip integrating dosimeter. At 24, 36, 48 and 60 hours after the X-irradiation, the mice were killed by cervical dislocation, and the tumours were taken out. Freshly withdrawn ascites tumours were placed in ice, and immediately the cell concentration was measured with the Coulter Cell Counter (Model B), and the hematocrit of the tumour cells were also determined. Cell volume was thus calculated by the cell concentration and hematocrit value. P-SH content of ELD cells was measured potentiometrically according to the method of Calcutt & Doxey, and NP-SH and NP-SS contents were measured spectrophotometrically by the method described by Ellman. Protein content of ELD cells was determined with the Folin phenol reagent by Lowry et al. Altogether, 48 experimental mice were used, and 12 mice with the only exception of X-irradiation were used as the control. Results obtained indicate that the contents of all the cellular sulfhydryl groups as well as cell volume and protein content of the ELD cells increase significantly as time progresses after the sub-lethal X-ray dose of 1,200 r was given and that all the increase is in a lineal fashion. The regression lines of the relative values, (i. e., taking each control value as 1) of all the values obtained, and the regression lines of cell volume, protein and NP-SH are identical, whereas those of NP-SS and P-SH appear to be widely seperated. However, the difference of those two lines (NP-SS & P-SH) were found to be not significant statistically (p>0.05). Therefore, it can be concluded from the above results that all the values examined increase in a lineal fashion with no statistically significant difference among them. Also, with the radiation dose of 1,200 r, the ELD cell becomes enlarged and swollen progressively up to 60 hours post-irradiation and it becomes more than two times of the original normal size at 60 hours after the irradiation, and up to this stage, it seems apparent that the cell division has been slow due to the X-irradiation applied in this experiment. It is well understandable that the contents of NP-SH, NP-SS, P-SH and protein of the ELD cells increase in parallel with the increase of the cell volume by the X-ray does used, but it also seems interesting to note that all the cellular substances tested show no appreciable difference in the pattern of increase.

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COATED PARTICLE FUEL FOR HIGH TEMPERATURE GAS COOLED REACTORS

  • Verfondern, Karl;Nabielek, Heinz;Kendall, James M.
    • Nuclear Engineering and Technology
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    • 제39권5호
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    • pp.603-616
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    • 2007
  • Roy Huddle, having invented the coated particle in Harwell 1957, stated in the early 1970s that we know now everything about particles and coatings and should be going over to deal with other problems. This was on the occasion of the Dragon fuel performance information meeting London 1973: How wrong a genius be! It took until 1978 that really good particles were made in Germany, then during the Japanese HTTR production in the 1990s and finally the Chinese 2000-2001 campaign for HTR-10. Here, we present a review of history and present status. Today, good fuel is measured by different standards from the seventies: where $9*10^{-4}$ initial free heavy metal fraction was typical for early AVR carbide fuel and $3*10^{-4}$ initial free heavy metal fraction was acceptable for oxide fuel in THTR, we insist on values more than an order of magnitude below this value today. Half a percent of particle failure at the end-of-irradiation, another ancient standard, is not even acceptable today, even for the most severe accidents. While legislation and licensing has not changed, one of the reasons we insist on these improvements is the preference for passive systems rather than active controls of earlier times. After renewed HTGR interest, we are reporting about the start of new or reactivated coated particle work in several parts of the world, considering the aspects of designs/ traditional and new materials, manufacturing technologies/ quality control quality assurance, irradiation and accident performance, modeling and performance predictions, and fuel cycle aspects and spent fuel treatment. In very general terms, the coated particle should be strong, reliable, retentive, and affordable. These properties have to be quantified and will be eventually optimized for a specific application system. Results obtained so far indicate that the same particle can be used for steam cycle applications with $700-750^{\circ}C$ helium coolant gas exit, for gas turbine applications at $850-900^{\circ}C$ and for process heat/hydrogen generation applications with $950^{\circ}C$ outlet temperatures. There is a clear set of standards for modem high quality fuel in terms of low levels of heavy metal contamination, manufacture-induced particle defects during fuel body and fuel element making, irradiation/accident induced particle failures and limits on fission product release from intact particles. While gas-cooled reactor design is still open-ended with blocks for the prismatic and spherical fuel elements for the pebble-bed design, there is near worldwide agreement on high quality fuel: a $500{\mu}m$ diameter $UO_2$ kernel of 10% enrichment is surrounded by a $100{\mu}m$ thick sacrificial buffer layer to be followed by a dense inner pyrocarbon layer, a high quality silicon carbide layer of $35{\mu}m$ thickness and theoretical density and another outer pyrocarbon layer. Good performance has been demonstrated both under operational and under accident conditions, i.e. to 10% FIMA and maximum $1600^{\circ}C$ afterwards. And it is the wide-ranging demonstration experience that makes this particle superior. Recommendations are made for further work: 1. Generation of data for presently manufactured materials, e.g. SiC strength and strength distribution, PyC creep and shrinkage and many more material data sets. 2. Renewed start of irradiation and accident testing of modem coated particle fuel. 3. Analysis of existing and newly created data with a view to demonstrate satisfactory performance at burnups beyond 10% FIMA and complete fission product retention even in accidents that go beyond $1600^{\circ}C$ for a short period of time. This work should proceed at both national and international level.

간유(肝兪)(BL18)에 대한 자침 및 뜸 요법의 개 간 손상 회복에 미치는 효과 (The Efficacy of Needle-Acupuncture and Moxibustion at BL18 on Hepatic Injury in Dogs)

  • 전형규;이창석;이정연;이상은;송근호;박배근;조성환;김덕환
    • 한국임상수의학회지
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    • 제24권1호
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    • pp.10-14
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    • 2007
  • The present study was performed to elucidate the recovery effect of needle-acupuncture (needle-AP) and moxibustion treatments at Gan Shu (BL18) on $CCl_4$ induced hepatic injury in dogs, Total 9 clinically healthy experimental dogs (1 to 2 years old, 2.3-5.3kg body weight) were divided into control (3 dogs), needle-AP (3 dogs) and moxibustion (3 dogs) groups, respectively. Hepatic iniw was induced by intraperitoneal injection with $CCl_4$ (olive oil : $CCl_4=1:1,\;1ml/kg$, once/day). As far the treatments in each group, control group was not treated at all after induction of the hepatic injury till the end of experiment. Needle-Af group was treated by AP at BL18 (once/day, 20 minutes) from the next day of induction of the hepatic injury for 11 days. Moxibustion group was also treated with commercial moxa at BL18 (once/day, 20minutes) for 11days. The changes of the serum alanine transaminase(ALT), aspartate transaminase(AST) and gamma glutamyl transpeptidase (GGT) activities were investigated on pre, 0, 1, 3, 5, 7 and 11 days after hepatic injury, respectively. Histopathological changes were also investigated in the liver tissues on day 11 in experimental and control groups. The results obtained in the present study were as follows. In needle-AP group, they showed significant lower values on the 1st (p<0.05) and $3^{rd} day (p <0.05)$ in serum ALT activities, and the $11^{th}$ day in serum GGT activities, compared with those of control group, respectively. However, the significances were not detected in serum AST activities of needle-AP group by comparison with those of control group. In moxibustion group, they showed significant low values on the $1^{st}(p<0.05)$, 3rd day (p<0.05) and $5^{th}$ day (p<0.05) in serum ALT activities, compared with those of control group, respectively. However, significances were not detected in serum GGT and AST activities of moxibustion group by comparison with those of control group. Among the experimental groups, the significant low values were found on $1^{st}\;and\;3^{rd}$ day in serum ALT activities (p<0.05), and $3^{rd}\;and\;5^{th}$ day in serum GGT activities (p<0.05) in needle-AP group, compared by those of moxibustion group, respectively. In addition, the marked recovery findings of histopathological changes in experimental groups were found, compared by those of control group: mild vacuolar degeneration and necrosis findings in needle-AP group, and moderate vacuolar degeneration and necrotic findings in moxibustion group were found, in contrast to severe changes such as accumulation of bile juice, vacuolar degeneration and necrotic findings observed in control group. In conclusion, needle-AP and moxibustion treatments at BL-18 were effective for the recovery for $CCl_4$ induced hepatic injury and needle-AP was more effective than that of moxibustion in dogs.

국내 민간병원에서 치료한 다제내성결핵 환자의 치료 결과 및 예후 인자 (Treatment Outcomes and Prognostic Factors in Patients with Multidrug-Resistant Tuberculosis in Korean Private Hospitals)

  • 박진경;고원중;김덕겸;김은경;김유일;김희진;김태형;김재열;박무석;박이내;박재석;이기만;송숙희;이진화;이승헌;이혁표;임재준;임재민;제갈양진;정기환;허진원;최재철;심태선
    • Tuberculosis and Respiratory Diseases
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    • 제69권2호
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    • pp.95-102
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    • 2010
  • Background: The increasing rate of drug-resistant tuberculosis (TB) is a threat to the public health and TB control. In Korea, about 75~80% of TB patients are treated in private hospitals and the rate has been continuously increasing since 2000. Methods: On a retrospective basis, we enrolled 170 newly diagnosed with or retreated for multidrug-resistant TB (MDR-TB) in 2004 from 21 private hospitals. We extracted the following demographics and treatment history from patient medical records: initial treatment outcomes, cumulative survival rates, treatment outcomes, and prognostic factors. Results: Of the 170 patients, the majority were male (64.1%), the mean age was 44.5 years old, and mean body-mass-index was $20.2kg/m^2$. None of the patients tested positive for HIV. Eleven (6.5%) were confirmed to have extensively drug-resistant TB (XDR-TB) at treatment initiation. Treatment success rates were not different between XDR-TB (36.4%, 4/11) and non-XDR MDR-TB (51.6%, 82/159). Default rate was high, 21.8% (37/170). Far advanced disease on X-ray was a significant negative predictor of treatment success; advanced disease and low BMI were risk factors for all-cause mortality. Conclusion: In private hospitals in Korea, the proportion of XDR-TB in MDR-TB was comparable to previous data. The treatment success rate of MDR-/XDR-TB remains poor and the failure rate was quite high. Adequate TB control policies should be strengthened to prevent the further development and spread of MDR-/XDR-TB in Korea.

혈액-뇌장벽 투과성에 대한 히스타민의 영향 (Influences of Histamine on Permeability across Blood-brain Barrier)

  • 김기진;신동훈
    • The Korean Journal of Physiology
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    • 제2권2호
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    • pp.33-43
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    • 1968
  • Histamine, 0.5 mg as histamine base in 4 ml of normal saline solution, was injected into rabbits anesthetized with nembutal and the mean blood pressure was kept in the range of $52{\sim}80\;mmHg$ for over one hour by supplemental additions. Following the injection of the test substances, 300 mg of urea and 200 mg of antipyrine intravenously, serial blood samples were obtained from the femoral artery and the internal jugular vein at $0.5{\sim}3$ minutes interval. The decreasing patterns in the concentrations of arterial and venous blood plasma samples were compared with each other. The ratio of the concentration of brain tissue to that of the final arterial plasma was also studied. By these measures the degrees of penetration of the test substances in the brain in the control and in the histamine treated rabbits were observed. The concentrations of antipyrine and urea in the arterial blood plasma were decreasing exponentially with respect to the time elapsed. The venous concentrations were anticipated to increase initially and to cross the arterial concentration curve in the point of equlibrium between the plasma and the tissue. On the contrary to the expectation venous concentration also revealed the decreasing tendency similar to that of arterial plasma. The similarity between these two curves, arterial and venous, would be atributable to the fact that the cerebral blood flow rate was large enough and the rising phase in the venous concentration curve was instantly over before serial blood samples were taken. Inspite of some similarity in the decreasing tedency in both concentration curves there were appreciable discrepancies between the arterial and venous plasma which would reflect the situation far from the equlibria among several compartments in the brain. Changes in plasma potassium levels caused by the injection of histamine or bleeding were observed, too. Using 8 rabbits as the control and 12 rabbits for the histamine treated group following results were obtained: 1. Both of the concentration curves, arterial and venous, declined rapidly at_first and slowly later on and approached same equilibrium concentration with the passage of time after a single injection. The time at which attained the same concentration was $2.0{\pm}0.54\;min.$ in the control and $4.3{\pm}1.92\;min.$ in the histamine treated group with respect to antipyrine. On the other hand in the case of urea they were $2.4{\pm}0.59\;min.$ in the control and $4.4{\pm}1.31\;min.$ in the histamine group, respectively. In the histamine treated group enlarged spaces for distribution of test substances were postulated. 2. The concentration of antipyrine in the brain tissue water revealed no significant differences between the control and experimental groups, showing $212{\pm}40.2\;mg/l$ in the control and $206{\pm}64.1\;mg/l$ in the histamine treated group. On the other hand urea revealed higher value in the histamine treated group than in the control, showing an enhanced penetration of urea into the tissue after injection of histamine. Urea concentration in the brain water was $32.3{\pm}3.36\;mg%$ in the control and $39.2{\pm}4.25\;mg%$ in the histamine treated group. 3. The distribution ratio of antipyrine in the brain tissue was very close to unity in the histamine treated animals as well as in the control. 4. The average of the distribution ratio of urea in the control animals was 0.77 and it showed the presence of blood-brain barrier with regard to urea. However in the histamine treated animals the distribution ratios climbed up to 0.86 and they were closer to unity than in the control animals. Out of 12 cases 5 were greater than 0.9 and 8 exceeded 0.85. It appeared that histamine enhanced the penetration of urea through the barrier. 5. Histamine injection and or hemorrhage caused an elevation of the concentration of potassium in plasma. In the event that histamine and hemorrhage were applied together the elevation of potassium exceed the elevation seen at the histamine alone. There was no evidence that the leakage of potassium from the brain tissue was dominant in comparison with the general leakage from the whole body.

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