• 제목/요약/키워드: serum cortisol

검색결과 214건 처리시간 0.027초

ELISA를 이용한 cortisol 측정법의 정립 및 임상적 응용 (Development of ELISA for cortisol and it's application to clinical use)

  • 나기정;이창우
    • 대한수의학회지
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    • 제36권3호
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    • pp.731-741
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    • 1996
  • ELISA kit for cortisol was developed and then evaluated. Polyclonal antihydrocortisone-3-(o-carboxymethyl)oxime BSA rabbit serum was used to coat the 96-well microplates. The minimum detection limit of the kit was 250pg of cortisol per milliliter. The within-run variation and the day to day variation of the ELISA system were 2.0 and 5.9 at maximum, respectively. The kit was used to determine whether salivary cortisol concentration could replace blood cortisol concentration in dexamathasone suppression test of dogs. Changes of cortisol concentration were measured in serum or saliva after intravenous administration of 0.01mg of dexamethasone per kilogram of body weight. Blood alone, saliva alone or both were collected at 0, 30, 60, 120, 240, and 360 minutes after injection of dexamethasone. The change in blood cortisol concentration was found to be suitable in dexamathasone suppression test of dogs, but the change in salivary cortisol concentration was not. The kit was also used to determine whether salivary cortisol concentration could be a stress index as well as blood cortisol concentration in dogs. Two types of trial were performed to estimate the stress either by blood or salivary cortisol concentration. The first trial was stress experiment by intravenous injection of 0.2IU of PZI-insulin per kilogram body weight. Either blood alone or saliva alone was collected at 0, 30, 60, and 90 minutes after insulin administration. Both blood and salivary cortisol concentration were found to be suitable index in estimating stress from hypoglycemia by injection of insulin. The second trial was stress experiment by electrical irritation. The dogs were irritated with anti-bark device for 10 seconds. Blood was collected before and at 2 and 5 minutes after electrical irritation. Saliva was collected before and at 3 and 6 minutes after electrical irritation. The blood cortisol concentration, but not the salivary cortisol concentration was found to be suitable index in estimating stress from electrical irritation. Cushing syndrome in a dog was also successfully diagnosed with this kit.

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패혈증에서 혈중 스테로이드의 의의 및 기타 혈중 지표와의 연관성 (Significance of Corticosteroids and Their Relationship with Other Parameters in Patients with Sepsis)

  • 이규성;백승희;이형노;박주헌;오윤정;신승수;최영화;박광주;황성철
    • Tuberculosis and Respiratory Diseases
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    • 제61권4호
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    • pp.356-365
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    • 2006
  • 연구배경: 패혈증에서 혈중 스테로이드 농도는 유의한 예후인자로서 알려져 있다. 또한 최근에는 이러한 스테로이드의 절대적 및 상대적 결핍 현상이 알려지고 있으며, 이는 스테로이드 보충 치료의 지표로도 이용되고 있다. 본 연구에서는 패혈증 환자에서 혈중 스테로이드 농도, 24시간 뇨 스테로이드 양 및 상대적 부신결핍의 임상적 의의와 기타 패혈증의 혈중 지표와의 연관성에 대하여 알아보고자 하였다. 방 법: 패혈증 환자 26예를 대상으로 초기 혈중 스테로이드와 ACTH, ADH, lactate 등의 농도를 측정하고 24시간 뇨 유리 코티졸 양을 측정하였으며, rapid ACTH stimulation test를 시행하였다. 결 과: 패혈증 환자들에서 사망군은 생존군에 비해 기저 무작위 혈청 코티졸 농도가 유의하게 증가되어 있었다. 중증패혈증 환자들에서 24시간 뇨 유리 코티졸은 경증패혈증 환자군에 비해 유의하게 증가되어 있었다. 혈청 코티졸 농도는 ADH, lactate농도와 유의한 상관관계를 나타내었고, 24시간 뇨 유리 코티졸은 혈청 코티졸, lactate 농도와 유의한 상관관계를 보였다. 상대적 부신결핍의 정도는 혈청 코티졸, ADH, lactate 농도와 상관성이 있었다. 결 론: 패혈증 환자들에서 혈청 코티졸 농도 및 24시간 뇨 유리 코티졸은 유의한 예후평가인자로서 나타났으며, 기타 예후 인자들과 유의한 상관성을 보였다. 상대적 부신 결핍의 정도도 유의한 중증도의 지표로 나타났다.

Measurement of Cortisol in Human Serum by Isotope Dilution Liquid Chromatography/Mass Spectrometry and a Comparison through a Proficiency Testing

  • Lee, Hwa-Shim;Shin, Hye-Sun;Park, Sang-Ryoul;Park, Chang-Joon
    • Bulletin of the Korean Chemical Society
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    • 제31권5호
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    • pp.1149-1154
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    • 2010
  • Liquid chromatography/mass spectrometry using isotope dilution method has been established as a primary method for the measurement of cortisol in human serum. Verification of this method was accomplished by the participation in Consultative Committee for Amount of Substance-Metrology in Chemistry (CCQM) pilot study. Two levels of cortisol certified reference materials were prepared and certified by the established method. They were used as sample materials for the proficiency testing. The expanded uncertainty in the measurement of cortisol in human serum was approximately 1.2% at 95% confidence level. The results of the proficiency testing showed a good precision among the participants, but some bias to the certified values. This means that commercial field laboratories should keep traceability chain to SI unit through available reference measurement procedures and/or available reference materials.

The effect of Oligonol intake on cortisol and related cytokines in healthy young men

  • Lee, Jeong-Beom;Shin, Young-Oh;Min, Young-Ki;Yang, Hun-Mo
    • Nutrition Research and Practice
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    • 제4권3호
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    • pp.203-207
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    • 2010
  • This study investigated the effects of Oligonol intake on cortisol, interleukin (IL)-$1{\beta}$, and IL-6 concentrations in the serum at rest and after physical exercise loading. Nineteen healthy sedentary male volunteers participated in this study. The physical characteristics of the subjects were: a mean height of $174.2{\pm}2.7$ cm, a mean weight of $74.8{\pm}3.6$ kg and a mean age of $22.8{\pm}1.3$ years. Each subject received 0.5 L water with Oligonol (100 mg/day) (n = 10) or a placebo (n = 9) daily for four weeks. The body composition, the white blood cell (WBC) and differential counts as well as the serum cortisol, IL-$1{\beta}$, and IL-6 concentrations were measured before and after Oligonol intake. The cortisol concentration and serum levels of IL-$1{\beta}$ and IL-6 after Oligonol intake were significantly decreased compared to before treatment (P < 0.01, respectively). In addition, the rate of increase of these factors after exercise was decreased compared to the placebo group. There was no change in the WBC and differential cell counts. These results suggest that oral Oligonol intake for four weeks had a significant effect on inhibition of inflammatory markers in healthy young men.

기능성 위장관 장애에서 혈청 IL-$1\beta$, IL-2, IL-6의 변화 : 우울증 및 스트레스와의 상관성 (Serum Levels of IL-$1\beta$, IL-2 and IL-6 in Functional Gastrointestinal Disorders in Relation to Depression and Stressful Life Events)

  • 박시성;이상신;박무인;구자영;박제민;김명정
    • 정신신체의학
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    • 제10권2호
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    • pp.130-141
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    • 2002
  • 스트레스가 위장관 기능을 변화시키며 이에는 interleukin과 시상하부-뇌하수체-부신피질 축이 관여한 다고 알려져 있다. 한편 우울증이 기능성 위장관 장애 및 interleukin과 연관성을 지닌다. 본 연구에서는 IL-$1\beta$, IL-2, IL-6의 혈청 농도를 기능성 위장관 장애 환자에서 측정하고, 혈청 cortisol 및 우울증과 스트레스의 정도를 조사하여 기능성 위장관 장애에 있어서 interleukin의 역할과 우울증 및 스트레스와의 상관성을 살펴보고자 하였다. 방법: 기능성 위장관 장애의 진단을 위한 로마기준 II에 따라 진단된 환자 20명과 건강한 대조군 20명을 대상으로 하였다. 채취한 혈액에서 혈청을 분리한 다음 Enzyme-linked Immunosorbent Assay 방법으로 혈청 IL-$1\beta$, IL-2, IL-6 농도를 측정하고 Fluorescence Polarization Immunoassay 방법으로 혈청 cortisol 농도 를 측정하였다. 우울증상의 정도를 Hamilton Rating Scale for Depression을 이용하여 평가하고, Schedule of Recent Experience를 이용하여 최근 일년간의 스트레스 생활사건의 양을 측정하여 비교하였다. 결과는 다음과 같다. 결과: 1) 기능성 위장관 장애 환자들의 혈청 IL-$1\beta$, IL-2 농도는 대조군에 비해 유의하게 낮았으나 혈청 IL-6 농도는 차이가 없었다. 2) 기능성 위장관 장애 환자군의 혈청 cortisol 농도는 대조군에 비해 유의하게 높았고, 우울증상도 유의하게 더 심하였으며, 스트레스 생활사건의 양 또한 유의하게 더 많았다. 3) 기능성 위장관 장애에서 우울증상의 정도와 혈청 cortisol 간에는 유의한 정상관관계가 있었다. 정도는 IL-$1\beta$와 역상관하는 경향이 있고, IL-2와는 정상관하였다. 스트레스 생활사건의 양파 혈청 cortisol 농도는 IL-6 와 유의하게 정상관하였다 대조군을 포함한 전 집단에서 IL-$1\beta$는 우울 정도, 스트레스 생활사건의 양, 혈청 cortisol 등과 유의하게 역 상관하였다. IL-6와 의하게 정상관하였다. 결론: 기능성 위장관 장애는 우울증 및 스트레스와 연관되며, 우울증, 스트레스가 심할수록 혈청 cortisol이 높았다. 기능성 위장관 장애 환자들에서 IL-$1\beta$, IL-2가 감소되어 있었지만, IL-6는 변화가 없었다. 상대적으로 증가된 혈청 cortisol이 IL의 변화와 관련될 수 있다고 생각된다.

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심상요법이 간호사의 스트레스에 미치는 효과 (The Effect of Imagery on the Stress of Clinical Nurses)

  • 김혜정
    • 한국직업건강간호학회지
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    • 제9권2호
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    • pp.79-85
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    • 2000
  • All clinical nurses are not only faced with the physical and emotional needs of patients but also exposed to the heavy workload. In clinical settings, the nurses' stress becomes more and more critical. Understanding the stress experienced by nurses is essential for planning programs to enhance patient care and to promote nurses health. Many methods to reduce the stress were practiced for patients. In this study, the investigator examined how the imagery influence the reducing the stress of clinical nurses. For this study, the recorded tape for imagery developed in the Society of Rheumatics was applied. In order to evaluate the effect of imagery on the stress of clinical nurse, stress score, serum cortisol, blood pressure, and pulse were measured on 20 clinical nurses for 20 days. The results were as follows: 1. Stress score decreased significantly in the experimental group. And the rate of decrease in stress score was significantly higher in experimental group than in the control group. 2. The level of serum cortisol decreased significantly after the application of imagery. 3. Systolic blood pressure decreased significantly after the application of imagery. These results indicate that after applying the method of imagery on the nurses, stress score, serum cortisol level, and systolic blood pressure were significantly decreased. Therefore, this study proves that imagery is one of the methods to reduce the stress of clinical nurses.

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자침(刺鍼)이 마취(痲醉)에 미치는 작용기전(作用機轉) 연구(硏究) (제(第) 2 보(報)) (A Study on the Effect of Acupuncture on Anesthesia and the Mode of Action (The Second Report))

  • 박희수;박경식
    • Journal of Acupuncture Research
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    • 제19권4호
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    • pp.140-151
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    • 2002
  • This study was carried to identify whether acupuncture at several meridian points can affect the human anesthesia or not through the analysis of serum intermediates, such as, melatonin, serotonin, TSH, cortisol in human serum. We investigated the effect of accupuncture on the change of serum intermediates which have frequently been made a subject of discussion owing to its hyponic and sedative properties in practice. The result obtained were as follow ; 1. Serum melatonin levels was hardly affected at 40 minutes after general acupuncture on Hab-Gog, Nae-Gwan, and the other meridian points as compared with that($5.64{\pm}1.02pg/ml$) of resting control group. But on day 1 after acupuncture, these tend to increase significantly ($7.95{\pm}2.05pg/ml$ to $8.21{\pm}1.57pg/ml$, p <0.05). On the other hand, control group under sleep showed the serum level of $7.39{\pm}1.03pg/ml$. Additional acupuncture at In-Dang induced the increased melatonin level, especially at 40minutes after acupuncture(p <0.05). 2. Serotonin level in resting control serum recorded $51.14{\pm}8.17{\mu}g/ml$. Acupuncture at determined meridian point intend to increase average level of serotonin, but not significant. However observation on day 1 after acupuncture at Hab-Gwan meridian point and under sleeping showed the significantly increased serotonin level, $74.05{\pm}35.83{\mu}g/ml$, $70.44{\pm}13.08{\mu}g/ml$, respectively. 3. TSH level in intact human serum recorded $0.85{\pm}0.24{\mu}IU/ml$. and the serum exposed to acupuncture showed the irregular pattern of TSH level in a mean range of $0.76{\pm}0.44{\mu}IU/ml$ to $1.06{\pm}0.38{\mu}IU/ml$, regardless of meridian point or time after acupuncture. 4. The values of serum cortisol in control group were $11.76{\pm}2.06{\mu}g/dl$ in resting, $7.51{\pm}2.85{\mu}/dl$ under sleep, respectively. The level of serum cortisol in 40minutes after acupuncture was markedly (p <0.05) reduced to the serum levels of $5.65{\pm}2.58{\mu}g/dl$ (Hab-Gog, Nae-Gwan), $7.58{\pm}3.21{\mu}g/dl$ (Gyo-Gam, Sin-Mun besides Hab-Gog, Nae-Gwan), $6.43{\pm}3.54{\mu}g/dl$ (In-Dang besides to Hab-Gog, Nae-Gwan), respectively, as compared with control, intending to increase a little on day 1 after acupuncture. From the above results, the analysis of serum intermediates suggest that acupunctuation at meridian points applied to at this study act upon the phase of light anaesthesia or hypnosis, at the same time affect pituitary-adrenal axis rather than hypothalamus-pituitary axis in the secretary system of hormone and also don't affect dorsal-raphe nucleus according to the observation of change transition in serum intermediates, such as TSH, serotonin, and cortisol.

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Effects of Addition of Electrolyte and Ascorbic Acid in Feed during Heat Stress in Buffaloes

  • Kumar, B.V. Sunil;Singh, G.;Meur, S.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권7호
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    • pp.880-888
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    • 2010
  • The ameliorative effect of salts and ascorbic acid polyphosphate supplementation on heat stress was studied in buffaloes. Adult buffaloes of either sex were randomly divided into 2 groups of 4 animals each. Group I served as control and Group II was supplemented with sodium bicarbonate, potassium carbonate and ascorbic acid polyphosphate. All the animals were exposed to two conditions of temperature and humidity: hot-dry and hot-humid in a psychrometric chamber for 4 h daily for 10 days. Blood was collected on day 1, 5 and 10 of treatment. The activities of catalase and superoxide dismutase (SOD), concentrations of serum glutathione (GSH), cortisol, sodium, potassium, and chloride and lipid peroxidation were estimated in serum. Lymphocyte proliferation was assessed in blood. The activities of catalase and SOD, serum concentration of GSH, sodium, potassium and chloride decreased while lipid peroxidation and serum cortisol increased in both groups when subjected to heat stress. Dietary supplementation resulted in further decreasing of the enzyme activities but increasing of the serum concentrations of GSH, sodium, potassium and chloride. Lipid peroxidation and serum cortisol increased in the supplemented group in both types of stress. Dietary supplementation caused an increase in lymphoproliferative response to con A. Thus, supplementation of ascorbate in addition to electrolytes relieves the animals of oxidative stress and boosts cell mediated immunity.

양신탕(養神湯)의 항(抗)스트레스 효과(效果)에 대(對)한 실험적(實驗的) 연구(硏究) (The Experimental study on the Anti-Stress effect of Yangsintang(YST))

  • 김윤희;윤지연
    • 대한한방소아과학회지
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    • 제18권1호
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    • pp.193-206
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    • 2004
  • Objective: The study aimed to evaluate the anti-stress effect of YST on the cold-stressed Mice. Method: The experimental animals were stressed in cold room ($4{\pm}0.5^{\circ}C$) for 1 hour in a day during 2weeks, and administerd 115mg/100g YST extract for 2weeks before stress. For 2weeks, we conducted a research about the change of weight and content of norepinephrine, epinephrine, dopamine, cortisol and GOT, GPT in the mice serum. Results: YST significantly inhibited the decrease of body weight induced by stress, compared with the control group. YST had no significant decreasing effect on the change of content of the serum GOT But decreased the content of the serum GPT. YST decreased the content of the serum cortisol. YST decreased the content of the serum dopamine a little and decreased the content of the serum epinephrine significantly. Conclusion: According to the above results, it is concluded that YST will be useful as a remedy against stress disease.

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