Aflatoxin B_1 투여가 急性 肝 病變에 미치는 영향에 對한 病理學的 硏究

장선문,이충식,강대영 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.1

In an attempt of elucidate the pathologic and histochemical changes of aflatoxin B_2-induced hepatie lesions, the present study in male Sprague-Dawley rats was undertaken to evalute the relation between pathologic change of the liver and histochemical changes of several enzymes : alkaline phosphatase, acid phosphatase and succinic dehydrogenase at 3. 9. 24. 48. 72, and 144 hours after single administration of aflatoxin B_1 by gastric tube. The aflatoxin B_1 was dissolved in peanut oil(0.5㎎ aflatoxin B_1 to 0.5ml peanut oil). Grouop of male rats received aflatoxin B_1 1㎎ per ㎏ of body weight, respectively. Control animals were given a similar volume of peanut oil alone. The results on morphologic and histochemical changes were as follows: 1. The necrotic change of liver was mainly periportal, and it became most severe at 24 hours and was more prominent in the large dose group than the small dose group. 2. Biliary ductular cell proliferation started to appear within 72 hours and after became regressed later in the small dose group, but it remained approximately 144 hours after exposure in the large dose group. 3. Electron microscopically, all three groups showed irregular nuclear membrane and nucleolar change characterized by segregation of granular and fibrillar elements. All the group showed cytoplasmie changes such as dilatation of rough endoplasmic reticulum with detached ribosome, hyperplasia of smooth endoplasmic reticulum, increased numbers of lipid droplets and mitochondrial alteration. The above change in the large dose group was more severe than those of the small dose group. 4. In the histochemical study of experimental animals, there was a decrease in the intensity of the staining reaction of alkaline phosphatase and succinic dehydrogenase within 24 hours and a progressive decrease in staining intensity was noted at 144 hours. And then the staining intensity of the acid phosphatase was similar to that shown by the control animal. In summary, the data obtained by present experiments indicate aflatoxin B_1 exerts periportal necrosis of hepatic lobules accompanied by bile ductular cell proliferation, and inhibition of protein synthesis, as jedged by elertron microscopic and histochemical changes.

[P509] Lichen planus pigmentosus presenting with flexural area

( Young Bin Shin ),( Jeong Won Jo ),( Hae Bong Jeong ),( Yun Sun Moon ),( Do Seon Jeong ),( Eui Chang Jung ),( Chi Yeon Kim ),( Tae Jin Yoon ) 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.1

Lichen planus pigmentosus (LPP) is an uncommon variant of lichen planus that tends to occur in middle-aged individuals with darker pigmented skin. Clinical findings include hyperpigmented, brown to gray-brown macules and patches on sun-exposed areas and, in the rare inversus variant, on the flexural areas and intertriginous zones. The pattern of pigmentation is generally diffuse, although follicular, reticular, and unilateral linear variants have been described. We recently encountered a rare case of LPP developed in flexural area, not in sun-exposed area. A 58-year-old male patient presented with brown macules on the inguinal area for 6 months. One or two dark brown macules first appeared and spread gradually. A physical examination showed multiple, ill-defined, dark brown macules on inguinal area. The dermoscopic finding showed mottled pattern and elevated margin. The incisional biopsy was performed and a diagnosis of LPP was made. The fact that LPP can develop in non-sun-exposed areas as well as sun-exposed ones requires a new hypothesis for the pathogenesis of LPP.

A case of HPV-16 positive squamous cell carcinoma arose in vulva

( Chang Il Kwon ),( Young Bin Shin ),( Jeong Won Jo ),( Yun Sun Moon ),( Eui Chang Jung ),( Chi Yeon Kim ),( Tae Jin Yoon ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.1

Squamous cell carcinoma (SCC) is the second most common non-melanoma skin cancer. In SCC, ultraviolet radiation is known as typical risk factor and it is mainly found on sun-exposed areas such as face, neck, and arm. SCC that occurs in a female vulva is a rare cancer. It represents 3-5% of gynecological cancers with an incidence of 2 per 100,000 women/year. It can occur at any age, mainly in women of the 6th decade. Clinically, it is represented as an erythematous to whitish colored patch and it may also be nodular or ulcerative appearance. A 76-year-old woman visited our hospital with multiple erythematous erosive patch on labia minora 6 months ago. We performed biopsy and we can confirm the diagnosis as SCC with no other metastasis. In addition, there was HPV-16 positive in HPV genotyping. The prognostic significance of HPV in vulva SCC is not established firmly. Some studies of vulva SCC have shown that HPV-associated SCC have a better prognosis where as others have not. HPV-associated SCC occur typically in younger women and HPV-independent SCC occur more frequently in older women. Herein, we report a case of 76-year-old woman with HPV-associated SCC.

Clinicopathological study on metastatic skin cancer

( Chang Il Kwon ),( Seo Mi Gon Jeong ),( Young Bin Shin ),( Yun Sun Moon ),( Eui Chang Jung ),( Chi Yeon Kim ),( Tae Jin Yoon ) 대한피부과학회 2020 대한피부과학회 학술발표대회집 Vol.72 No.1

Background: Various primary tumors can cause metastatic skin cancer. Metastatic skin lesion should be distinguished from other skin lesion. Objectives: We studied patients with metastatic skin cancer to find out average age, gender distribution, frequency of primary tumor, time interval between manifestation and primary cancer, and their clinical appearance, location and other metastatic sites. Methods: We reviewed the medical records, clinical photographs and histopathologic records of patients who had been diagnosed with metastatic skin cancer. Results: In the comparison according to clinical records, the mean age at the time of diagnosis was 60.6 years. The ratio of men to women was 1.05:1. The most frequent primary tumors were breast cancer (22.0%), lung cancer (17.0%), head and neck cancer (17%), melanoma (17.0%), gastrointestinal cancer (11%), urologic cancer (11%), and gynecologic cancer (6%). Metastatic skin cancers usually presented as discrete, painless, hard nodules, with sudden onset (88%). Conclusion: Based on the results of this study, it is believed that it is important to recognize the metastatic lesion between various skin lesion such as infections and granulomatous changes of other cause due to drugs and reactive changes.

A survey of counseling and behavior regarding skin cancer

( Young Bin Shin ),( Chang Il Kwon ),( Jeong Won Jo ),( Yun Sun Moon ),( Eui Chang Jung ),( Chi Yeon Kim ),( Tae Jin Yoon ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.2

Background: As the incidence of skin cancer increases, more information and education on skin cancer are needed. Although skin cancer is not rare, most patients are little known about general awareness of skin cancer. Objectives: The purpose of this study is to investigate the post-education effects on skin cancer in our hospital outpaitents and carers. Methods: We reviewed a written questionnaire and patients’ self-checked records including patients’ basic medical information and knowledge of skin cancer protective modalities. Results: In total 340 cases, 215 (63.2%) patients were female and 125 (36.8%) patients were male. 6 people in their teens, 56 people in their 20s and 30s, 156 people in their 40s and 50s, 122 people in their 60s or older. Before education, 142 people said sunlight can cause a skin cancer and 178 did not. After education, 246 people said Yes and 94 people did not. When asked how you wanted to get more information on skin cancer, 104 (30.6%) people said that they were printed handout, 142 (41.8%) were visit to dermatologists, 52 (15.3%) were photos of skin symptoms, and 42 (12.3%) were phone calls. Conclusion: This result showed that people are little known about risk factor of skin cancer such as sunlight and artificial tanning. However, we found that through education, people's perceptions could change. The education on behavior for skin cancer prevention should be continued so that the awareness of the risk of skin cancer can be changed.

The Efficacy and Safety of 4-n-butylresorcinol 0.1% Cream for the Treatment of Melasma: A Randomized Controlled Split-face Trial

( Sun Young Huh ),( Jung Won Shin ),( Jung Im Na ),( Chang Hun Huh ),( Sang Woong Youn ),( Kyoung Chan Park ) 대한피부과학회 2010 Annals of Dermatology Vol.22 No.1

Background: Melasma is a common acquired symmetrical hypermelanosis that occurs on sun-exposed areas, and it is frequently observed among women. Various treatment modalities have been tried, but none are completely satisfactory. 4-n-butylresorcinol, which is a resorcinol derivative that has an inhibitory effect on both tyrosinase and tyrosinase-related protein-1, was introduced in 1995 and it has received increasing attention as a new hypopigmenting agent. However, the hypopigmenting effect of 4-n-butylresorcinol in human subjects has only been shown in a few studies. Objective: The aim of this study was to investigate the hypopigmenting efficacy and safety of 4-n-butylresorcinol 0.1% cream for the treatment of melasma. Methods: Twenty patients with melasma were enrolled to this randomized, double-blind, vehicle-controlled, split-face comparative study. The patients were instructed to apply 4-n-butylresorcinol 0.1% cream or vehicle to each side of the face twice daily for 8 weeks. Mexameter measurements were performed along with photography at baseline, 4 weeks and 8 weeks. Adverse events were observed and recorded throughout the study. Results: All the patients completed the study. Mexameter measurements demonstrated that the melanin index of the treated side showed a significant decrease when compared with that of the vehicle-treated side after 4 weeks (p=0.006) and after 8 weeks (p<0.0005). All the adverse reactions were mild and transient. Conclusion: 4-n-butylresorcinol 0.1% cream showed rapid efficacy and it was well tolerated when used for the treatment of melasma. (Ann Dermatol 22(1) 21∼25, 2010)

카드뮴폭로후 고환, 신장 및 간장내 카드뮴축적량과 조직손상의 변화

이영구,박정덕,최병선,홍연표,장임원 大韓産業醫學會 1994 대한직업환경의학회지 Vol.6 No.1

To assess the changes of cadmium deposit and histopathologic finding of testis, liver and kidney, different dose of cadmium (Cd) was administerd into male Sprague-Dawley rat(purchased from KIST, Korea Institute of Science and technology) by single intravenous injection. At 12, 24, 48, 168 and 672 hours after Cd injection, tissue cadmium concentration and histopathological change were examined. Cd exposed group showed lesser weight gain than the control. Renal Cd content tended to increase in time-dependent pattern, while hepatic and testicular Cd content tended to decrease. Mean of renal Cd content to hepatic Cd content (Cd K/Cd L) also progressively increased. These results suggest that Cd might be gradually transported to kidney from other organs. In testis and liver, degenerative changes appeared relatively in acute phase. These changes became more pronounced in testis, while less prominent in liver. In kidney, swelling of proximal tubluar cells and thickening of glomerular basement membrane appeared relatively later and these changes were progressively aggravated.

개 이자의 Somatostatin 양성세포의 발달에 관한 면역조직화학적 연구

장인엽,윤상필,정윤영,김종중,문정석,한길현,김영택,안계훈,선희매 조선대학교 부설 의학연구소 1998 The Medical Journal of Chosun University Vol.23 No.2

Cells immnunoreactive for somatostatin(SOM) and glucagon(GLU) were investigated in postnatal day 0, 7, 14, 28, 90, 180 and adult canine pancreas using light microscopic immunohistochemistry. Pancreatic SOM-immunoreactive cells were found in pancreatic acini, pancreatic duct, and pancreatic islet gradually. Pancreatic SOM-immunoreactive cells were more located in pancreatic parenchyme than pancreatic islet throughout pancreas by postnatal day 28. But there was change by the postnatal 3 months : pancreatic SOM-immunoreactive cells were more located in pancreatic islet than acini and duct. It is suggested that the number of the SOM-immunoreactive cells may not increase with age apparently. A small number of SOM-immunoreactive cells that showed GLU-immunoreactivity were also observed in canine pancreatic islet. The physiologic consequences of these changes remain to be determined. These results sugegest that SOM in the developing pancreas may relate to the secretion of pancreatic hormones.

인삼 투여가 정신지체아의 GPX와 MDA에 미치는 영향

이소영,장석암,김창환,권광선 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.4

The purpose of this study is to investigate the change of antioxidant enzyme(GPX) and lipid peroxide (MDA) by ginseng supplementation for nine weeks. Choosing as objects of test women mental retardation, this study analyzed the blood obtained from the objects who were in a rest, immediately and 30 minutes after maximal exercise. The comclusions obtained from this study were as follow. 1. In the tendency of whole activation of GPX, ginseng supplemintation group showed more GPX activation than placebo group. 2. In the change of GPX activation according to the passage of exercise time, there was no difference between each group before and after supplementation for nine weeks. 3. In the change of GPX activation according to (before and after) supplementation, there was no significant difference between each group at a rest, immediately and 30 minutes after maximal exercise. 4. In the change of MDA concentration according to the passage of exercise time, there was no difference between each group before and after supplemintation for nine weeks. 5. In the change of MDA concentration according to (before and after) supplementation there was o significant difference between each group at a rest, immediately and 30 minutes after maximal exercise.

집단모래놀이치료가 발달장애아동 비장애형제의 자아강도에 미치는 효과

장정순 ( Chang Jeong Soon ),양선영 ( Yang Sun Young ) 명지대학교 아동가족심리치료센터 2019 아동가족치료연구 Vol.17 No.-

본 연구는 발달장애아동 비장애형제에게 집단모래놀이치료를 실시하여 자아강도에 미치는 효과를 검증하고자 하였다. 연구대상은 집단모래놀이치료에 참가하기를 희망하는 서울시내 초등학교 3-4학년 아동 10명을 실험집단 5명, 통제집단 5명으로 구성하여 실험집단에는 집단모래놀이치료를 주 2회, 60분씩, 총 12회기 실시하였다. 연구도구는 자아강도 척도를 사용하여 사전과 사후검사의 변화를 비교하여 분석하였다. 자료분석은 SPSS/WIN 20.0 통계 프로그램을 이용하였으며 분석방법은 다음과 같다. 첫째, 실험집단과 통제집단 간 각 척도별 사전검사 점수의 차이를 알아보기 위하여 비모수 검정인 Mann Whitney U test를 실시하였다. 둘째, 집단모래놀이치료를 실시 전과 후의 실험집단과 통제집단간의 사전·사후검사 점수의 차이를 알아보기 위하여 비모수 통계방법인 윌콕슨 부호 순위 검정(Wilcoxon matched-pairs signed-rank Test)을 실시하였다. 또한 투사기법인 K-HTP검사를 사전과 사후에 실시하여 자아강도의 질적 변화가 있는지 알아보았다. 본 연구 결과는 다음과 같다. 첫째, 집단모래놀이치료가 발달장애아동 비장애형제의 자아강도 향상에 효과가 있었다. 하위영역별로 살펴보면, 유능성, 주도성, 탄력성, 사회성 영역에서 유의미한 변화가 나타났다. 둘째, K-HTP검사를 통해 실험집단의 질적변화를 살펴본 결과, 자신감이 증가하고 자아강도가 향상된 모습으로 나타났다. This study intended to investigate the effect of group sand-play therapy on the Ego-strength in siblings of children with developmental disabilities. This study randomly assigned 10 of elementary school third and fourth grade students in Seoul, those into experimental group of five and control group of five. The program was consisted of total 12sessions, which were 60minutes twice per week. The ego-strength tool was used in this study. For comparison between pre- and post-test data of ego-strength were analyzed by using an SPSS/WIN 20.0 statistical program. First, using Mann Whitney U test to determine differences between -pre and -post data of control and examine group. Second, for non-parametric Wilcoxon (matched-pairs signed-rank test) was performed to determine differences data between before and after group sand-play therapy for siblings of children with developmental disabilities. Also, to determine qualitative changes of self-strength by using K-HTP as a projection tool. The results of this study is as follows. First, group sand-play therapy develops self-strength of siblings of children with developmental disabilities, which those sub-areas of competence, initiative, resilience, and sociality had significantly changed. Second, self confidence and ego-strength of siblings of children with developmental disabilities were improves through the K-HTP test.