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      • SCOPUSKCI등재

        장이간 이뇨제 남용중인 특발성 또는 자가획득 부종간의 병태생리의 차이

        민경환(Kyung Hwan Min),김호중(Ho Jung Kim),유준호(Jun Ho Ryu),한상웅(Sang Woong Han),강석우(Seok Woo Kang),문중돈(Jung Don Mun) 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.1

        N/A Patients suffering from idiopathic or self-induced edema are uniformly characterized by chronic use of furosemide, which leads to vicious cycle of edema. Among chronic furosemide users who don't have any other specific edema forming diseases, 9 patients from the outpatient clinic(OC) and 6 patients examined at the emergency room(ER) used it mainly for weight reduction and for cyclical edema, respectively. All of the ER group patients were presented with severe hypokalemia(2.04±0.2mEq/L; range 1.3 to 2.7 mEq/L) and alkalosis(748±0.01; range 7.44 to 7.51) but none from the OC group showed such results. Other baseline parameters including Plasma renin activity(PRA) and aldosterone level on recumbency, and FEn₂were similar in both groups. In contrast, daily working hours(6.1±0.5 vs 10±0.6hr, p<0.01), average body weight gain between AM and PM(0.4±0.1 vs 0.9±0.lkg, p<0.01), peak weight gain interval(9±0.8 vs 5±0.1day, p<0.05), PRA(7.6±1.5 vs 23.5±7.2ng/ml/h, p<0.05) and aldosterone level(22.1±4.2 vs 64.8±10.4 ng/dl, p<0.01) on ambulation, and FEk. on normokalemia(ll±2A vs 36±7.7%, p<0.01) were statistically different between the two groups. In comparison to the OC group, both the amout of urine(617±39 vs 358±26ml, p<0.01) and the percent change of PRA(-14±4 vs -3±2%, p<0.05) and al-dosterone level(-17±5 vs -4±3%, p<0.05) after saline loading(lL over 1hr, IV) following ambulation were smaller in the Elt group. Moat of the ER group patients(5/6) required aldosterone antagonist (spironolactone) added to K(+) supplement, but all of the OC group patients were managed to maintain an edema-free status with conservative treatment. In conclusion, patients with idiopathic edema seem to have more fluid transudation out of intravascular space during orthostasis with a prominent degree of deranged renin-aldosterone axis and K(+) metabolism than those with self-induced edema.

      • KCI등재후보

        유기용제 취급근로자들의 요중대사물질과 말초임파구 자매염색분체교환 발현빈도에 관한 조사연구

        김돈균,황인경,류철인,이수일,정갑열,이용환,이충렬,현원일,김석봉,전용덕 大韓産業醫學會 1990 대한직업환경의학회지 Vol.2 No.1

        저자들은 유기용제 취급여성근로자 90명을 대상으로 1988년 7월부터 1989년 8월까지 말초혈액임파구에서의 자매염색분체교환의 발현빈도를 조사하고 이들의 업종, 근속연수, 요중마뇨산 농도등이 자매염색분체교환의 발현빈도에 미치는 영향을 조사하였으며 그 결과를 요약하면 다음과 같다. 1. 유기용제 취급근로자들의 말초혈액임파구에서의 자매염색분체교환의 발현빈도는 대조군에 비하여 유의하게 증가되었다. 2. 말초혈액임파구에서의 자매염색분체교환의 발현빈도가 가장 높은 업종은 프라스틱제품 제조업이었다. 3. 근속연수가 말초혈액임파구에서의 자매염색분체교환의 발현빈도에 미치는 영향은 현저하지 않았다. 4. 요중마뇨산농도와 말초혈액임파구에서의 자매염색분체교환의 발현빈도간에는 유의한 상관관계가 있었다. In order to know the possibility of utilizing the sister chromatid exchanges as an index which could evaluate the effect of organic solvents on the health in industrial workers, the authors studied the effects of the inductivity of sister chromatid exchanges in peripheral lymphocytes from 90 female workers expoxed to organic solvents and 20 non-exposed female workers. The results obtained were as follows : 1. The frequency of sister chromatid exchanges in peripheral lymphocytes from 90 female workers exposed to organic solvents was significantly increased in comparison with 20 control subject. 2. The frequency of sister chromatid exchanges was significantly increased in the workers who were employed in the manufacture of plastic materials than the other manufactures. 3. There were no significant differences in the frequency of sister chromatid exchanges by carriers of the exposed workers.

      • 자성선숙어(protogynous fish)의 성전환

        이영돈,고환봉,김형배,박인석,이정재 제주대학교 해양연구소 1993 해양자원연구소연구보고 Vol.17 No.-

        Studies and reviews have been based on sex reversal diagnosis of histological change and body color change by sexual dimorphism on protogynous hermaphrodite fish, Labridae, Serranidae inhabited at the costal area of Chejudo. Korea Halichorens poecilopterus, Pleragoguw flagellifera and H. teruispinis were summer season, spawing species which mainly spawn in Jun and July, but Pseudolobrus japonicus was autumn season spawing species which mainly spawn in October and November, The standard length range of sex reversal were 13.0-15.0cm H. poecilopterus 9.5-15.0cm P. flagellifer, 11.5-16.0 cm P. japonicus and 10.0-13.0cm (total length) H. teraispinis respectively. Sex reversal mainly appeared before and after spawing season. H. Poecilogterus, H. terusispirus and P. japonicus were composed of monandry and diantry, but P.flagellifera was diandry. By sex reversal, the body colors of H. poecilopterus, P.flagellifera and P. japoricus change from pale red or yellow lines to brilliant green or dark yellow lines. The body colors of H. tenurisspirnis change slight, but containe lateral stripe pattern and blue spot in body center. In P. flagellifera, 1st, 2nd spine process of dosal fin were grown with body colour change. In sex reversal process, histological change of Labridae of inner gonad showed development of various interstitial cells and blood vessel by degeneration of oocyte. Thereafter, spermatogonia and spermatocyte begin to appear at the inner edge regions of the ovarian lamellae and then converted from ovary to functional testis. Epinephelus moara of 30.0~92.3cm in TL, E. Septemfasciatus of 23.4~38.7cm in TL were female with contained oocyte of perinucleolus stage. E akaara of 22.0~33.0cm in TL appeared individuals of ovotestis.

      • 신장장해 가토에서 Vancomycin의 약물동태

        최준식,이돈일,이진환 朝鮮大學校 1996 藥學硏究誌 Vol.18 No.1

        The Pharmacokinetics of vancomycin(10㎎/㎏ i.v) was investigated in rabbits with folate(75㎎/㎏, 150㎎/㎏, 300㎎/㎏ i.v)induced renal disorder. The plasma concentration of vancomycin was increased significantly compared with those of normal rabbits. βand k_21, k_10, V_d were decreased, t1/2 and AUC were increased significantly. Correlation of serum creatinine concentration and elimination rate constant, dosage regimen have linear relationship respectively. Dosage regimen of vancomycin is considered to be adjusted in the dose size and the dose interval by degree of serum creatinine concentration or elimination rate constant.

      • 자성선숙어(protogynous fish)의 성전환

        이정재,김형배,박인석,고환봉,이영돈 濟州大學校海洋硏究所 1993 해양과환경연구소 연구논문집 Vol.17 No.-

        제주 연근해에 서식하는 자성선숙형 자웅동체어인 놀래기류와 능성이류를 대상으로 성전환에 따른 생식소의 조직학적 변화와 체색의 변화 등의 성적이형 현상을 토대로 하여 성전환 특성을 고찰하였다. 1. 용치놀래기, 어렝놀래기, 놀래기는 6월과 7월에 주산란을 하는 하계산란종인 반면에 황놀래기는 10월과 11월에 산란하는 추계산란종이였다. 2. 성전환 체장범위는 용치놀리기 13. 0-15. 0㎝, 황놀래기는 11.5-16.0㎝, 그리고 놀래기 전장 10.0-13.0㎝였다. 3. 성전환은 주로 산란기 전후로 하여 나타나고 있다. 용치놀래기, 어렝놀래기, 놀래기는 1차웅과 2차웅이 혼재하고 잇으나 어렝놀래기는 2차웅만이 출현하였다. 4. 성전환에 따른 용치놀래기, 어렝놀래기, 황놀래기 체색변화는 선홍색 또는 선황색 계통에서 색조가 다양한 녹색이나 황색계통으로 전환되고 있다. 놀래기의 경우 전반적의 체색의 변화는 미미하나 몸 가운데에 파란반점과 가로줄무늬를 띠고 있다. 어렝놀래기 경우 체색의 변화와 함께 등지느러미 제1, 2극의 돌기가 신장되고 있다. 5. 성전환 과정에 따른 놀래기류의 생식소내 조직학적 변화는 난모세포의 퇴행변성에 따라 다양한 간질세포와 혈관의 발달을 보였다. 이후 난소의 박판주위에서 정원세포와 정모세포들이 출현하기 시작하여 기능적 정소로 전환되고 있다. 6. 자바리는 전장 30.0-92.3㎝, 능성어는 전장 23.4-38.7㎝에서 생식소내 주변인기 난모세포를 갖는 암컷이었고, 붉바리는 전장 22.0-33.0㎝에서 양성생식소를 갖는 개들도이 출현하고 있다. Studies and reviews have been based on sex reversal diagnosis of histological change and body color change by sexual dimorphism on protogynous hermaphrodite fish, Labridae, Serranidae inhabited at the costal area of Cheju-do, Korea. Halichoreres poealopterus, Pteragogus flagellifera and H, tenuispinis were summer season, spawing species which mainly spawn in Jun and July, but Pseudolabrus japonicus was autumn season spawing species which mainly spawn in October and November. The standard length range of sex reversal were 13. 0-15. 0㎝ H, poecuilopterus, 9. 5-15.0㎝ P,flagellifer, 11. 5-16 0㎝ P, japonicus, and 10. 0-13 0㎝ (total length) H, tenuispinis respectively. Sex reversal mainly appeared before and after spawing season. H. Poecilopterus, H. tenuispinis and P. japonicus were composed of monandry and diantry, but P. flagellifera was diandry. By sex reversal, the body colors of Ho poecilopterus, P. flagellifera and P. japonicus change from pale red or yellow lines to brilliant green or dark yellow lines. The body colors of H. tenuispinis change slight, but containe lateral stripe pattern and blue spot in body center. In P.flagellifera, 1st, 2nd spine process of dosal fin were grown with body colour change. In sex reversal process, histological change of Labridae of inner gonad showed development of various interstitial cells and blood vessel by degeneration of oocyte. Thereafter, spermatogonia and spermatocyte begin to appear at the inner edge regions of the ovarian lamellae and then converted from ovary to functional testis. Epinephelus moara of 30. 0-92.3㎝ in TL, E.Septenfasciatus of 23. 4-38.7㎝ in TL were female with contained oocyte of perinucleolus stage. E. akaara of 22.0-33.0㎝ in TL appeared individuals of ovotestis.

      • KCI등재

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