피부화상에 의한 피부 및 간의 조직학적 변화에 관한 연구

김한수,김상수,김용권,Kim, Han-Soo,Kim, Sang-Soo,Kim, Yong-Kwon 대한물리치료과학회 2001 대한물리치료과학회지 Vol.8 No.1

In order to investigate a pathogenesis of liver damage induced by skin burn, thermal injury was induced by scald burn on entirely dorsal surface in rats (total body surface area 30%) except for inhalated injury. At 5 and 24 h after scald bum, biochemical assay and morphological changes in skin tissue, serum and liver tissue were examined. The effects of bum injury on the levels of glutathione, lipid peroxide and on the activities of oxygen free radical generating and scavenging enzymes have been determined in association with observing of histologic and ultrastructural changes, measuring the protein concentration in plasma, and counting the number of intravascular polymorphonuclear leukocytes. The activity of xanthine oxidase, an enzyme of oxygen free radical generating system. was elevated (p<0.01) in serum, but not in skin and in liver tissue. Futhermore, thermal injury decreased not only the protein concentration in plasma but also the number of leukocytes, that indicates induction of edema formation with protein exudation and inflammation by neutrophil infiltration into the internal organs. These data suggest that acute dermal scald burn injury leads to liver damage, that is related to elevation of xanthine oxidase activity in serum. Xanthine oxidase may be a key role in the pathogenesis of liver damage induced by skin burn.

위식도접합부선암의 임상병리학적 특성

김한수,정오,박영규,김동의,류성엽,김영진,Kim, Han-Su,Jeong, Oh,Park, Young-Kyu,Kim, Dong-Yi,Ryu, Seong-Yeop,Kim, Young-Jin 대한위암학회 2008 대한위암학회지 Vol.8 No.4

목적: 위식도접합부선암의 임상병리학적 특성은 서구와 아시아 간의 많은 차이를 보인다고 알려져 있다. 그러나, 한국의 경우 위식도접합부선암의 유병율이 매우 낮고 이에 대한 연구 또한 부족하다. 따라서 저자들은 우식도접합부선암의 Siewert 분류에 따른 임상병리학적 특성을 조사하여 서구와 다른 국내 위식도접합부선암의 특성을 연구하고자 하였다. 대상 및 방법: 2004년 5월부터 2008년 2월까지 본원에서 위암으로 수술을 시행 받은 환자들을 대상으로 수술소견 및 병리 사진을 토대로 Siewert 분류법에 따라 위식도접합부선암을 분류하고, 의무기록을 바탕으로 환자들의 임상병리학적 특성들을 조사하였다. 결과: 위식도접합부선암은 전체 1,778예 중 70예(3.9%)였다. Siewert 1형은 3예(4.3%)로 매우 드물었으며, 2형과 3형이 각각 30예(42.8%) 37예(52.8%)였다. 2형이 3형에 비하여 평균연령이 높았으나(64세 vs 59세, P=0.049), 남녀비에는 차이가 없었다. 2형과 3형간에 Barrett 식도의 발현 정도나 Lauren 분류의 차이는 없었으나, 저분화암의 빈도는 3형에서 유의하게 높았다(P=0.045). 68예(97.1%)에서 근치적 절제가 시행되었으며, 각 아형간에 TNM 병기의 차이는 없었다. 결론: 국내의 위식도접합부선암은 매우 드물며 특히 1형의 유병율이 매우 낮다. 본 연구에서 서구의 보고와 부분적으로 일치하지 않는 병리학적 특성을 보였다. 향후 보다 많은 환자들을 대상으로 한국인의 위식도접합부선암의 특성을 연구할 필요가 있다. Purpose: Siewert's classification of adenocarcinoma of the esophagogastric junction (AEG) has been widely adopted, but there is a wide discrepancy of the clinicopathological features of AEG of the Asian patients as compared to that of the Western patients. The aim of this study was to investigate the clinicopathological characteristics of AEG according to the Siewert classification. Materials and Methods: Among the patients who underwent surgery for gastric carcinoma in our institution between May 2004 and February 2008, the AEG patients were selected based on their operation records and the photographs according to Siewert's classification. Results: There were 70 AEG patients (3.9%) among the total of 1,778 patients. There were 3 patients (4.3%) with type I, 30 patients (42.8%) with type II and 37 patients (52.8%) with type III. Curative resection (R0) was achieved in 68 cases (97.1%). No significant differences in gender, stage, Barrett's esophagus and the proximal margin were found between the patients with type II and type III AEG. The patients with type III were younger than the patients with type II (59 vs 64 years, respectively, P=0.049). Well differentiated histology (P=0.045) and the intestinal type (P=0.055) were significantly more frequent in the patients with type II as compared with that in the patients with type III. Conclusion: There was a striking difference of the Asian patients from the Western patients for the incidence of AEG (and especially type I). Some of the differences between type II and type III patients were similar to those of the previous Western studies. A large study is needed to investigate whether these features are typical in the Korean population.

몰로키아 분말을 첨가한 밀·보리 혼합 식빵의 제조 및 생리활성 평가

김한수,김영호,김애정,Kim, Han soo,Kim, Young Ho,Kim, Ae Jung 한국식품영양학회 2015 韓國食品營養學會誌 Vol.28 No.4

This study was performed to produce WBM (wheat and barley mixture) bread containing molokhia powder with quality characteristics and antioxidant activities. Analysis of the chromaticity of WBM prepared with molokhia powder showed that; the lightness and redness were decreased, but yellowness was increased. In mechanical properties, hardness, gumminess, and chewiness were significantly increased as the amount of molokhia powder was increased. However, cohesiveness was significantly decreased. In sensory evaluation, WBM bread containing 1.5% of molokhia powder (MB1.5) showed an overall high preference level. The total polyphenol content of molokhia powder EtOH extract and MB1.5 were 29.19 and 58.18 mg TAE/g, respectively. The total flavonoid contents of molokhia powder EtOH extract and MB1.5 were 20.62 mg and 33.25 mg RE/g, respectively. The radical scavenging ability ($IC_{50}$) of DPPH ($IC_{50}$) for molokhia powder EtOH extract and MB1.5 was 31.04 and $58.18{\mu}g/mL$, respectively while that of ABTS was 33.25 and $54.15{\mu}g/mL$, respectively. The ${\alpha}-glucosidase$ inhibitory effects of molokhia powder EtOH extract and MB1.5 were 494.88 and $814.88{\mu}g/mL$, respectively. MB bread containing 1.5% molokhia powder showed antioxidative effects and ${\alpha}-glucosidase$ inhibitory activity, meaning that not only molokhia but also MB1.5 bread has the potential to prevent chronic degenerative diseases such as diabetes.

동중국해와 기니만에서 저염분수로 인한 표층음파채널과 중주파수 음향 특성 분석

김한수,김주호,팽동국,Kim, Hansoo,Kim, Juho,Paeng, Dong-Guk 한국음향학회 2015 韓國音響學會誌 Vol.34 No.1

양쯔강이나 나이저강과 같은 큰 강의 하구를 통해서 많은 담수가 흘러 들어오는 연안에서는 표층염분이 급격히 낮아져서 음속 변화에 영향을 끼친다. 본 논문에서는 우기의 동중국해 해역과 기니만에서 저염분수로 인해 생성되는 표층음파채널(SSC) 현상을 분석하였다. 동중국해는 KODC(Korea Oceanographic Data Center)의 자료를, 적도 부근의 기니만은 ARGO(Array for Real-time Geostrophic Oceanography) 자료를 사용하였다. 수집된 자료를 토대로 표층음파채널 발생동향을 살펴본 결과 동중국해에서는 10년 동안(2000 ~ 2009) 9개 정점에서 측정된 90회 자료중 표층음파채널은 32회 나타났고 그 중 염분채널은 14회 나타난 반면 기니만에서는 3년 동안(2006 ~ 2009) 20개 정점에서 측정된 20회 자료 중 모든 경우에서 표층음파채널이 발생하였으며 염분채널은 18회 나타났다. 음속구배에 영향을 주는 수온-염분의 기울기를 분석한 결과 동중국해에서는 염분과 수온 변화량 모두 크게 나타나 염분, 수온의 조합에 의한 표층음파채널이 형성되었다. 반면 기니만에서는 혼합층이 잘 발달하여 수온 변화가 적고 염분 변화량이 크게 나타나 주로 염분에 의한 표층음파채널이 형성되었다. 음향 특성 분석 결과 동중국해 정점은 채널두께가 6.5 m, 임계각은 $1.5^{\circ}$, 표층과 수온약층에서 전달손실 차는 11.5 dB로 나타났고, 기니만 정점은 채널두께가 18 ~ 24 m, 임계각은 $4.0{\sim}5.4^{\circ}$, 전달손실 차이는 21.5 ~ 27.9 dB로 나타났다. 따라서 본 연구는 큰 강의 하구나 강수량이 많은 해역에서 저염분수로 인한 음파전달 변화를 이해하기 위한 기초 자료로 활용될 수 있을 것으로 판단된다. Salinity affects sound speed in the low salinity environment, in the seas where freshwater from large rivers and flows into the marginal sea area near the Yangtze River and the Niger River. In this paper, SSC (Surface Sound Channel) formed by low salinity water was investigated in the East China Sea and the Gulf of Guinea of rainy season. The data from KODC (Korea Oceanographic Data Center) in the East China Sea and from ARGO (Array for Real-time Geostrophic Oceanography) in the Gulf of Guinea of the tropical area were used for analysis. SSC haline channel was formed 14 times among 32 SSC occurrences when the 90 data from 9 points were analyzed during a decade (2000 ~ 2009) in the East China Sea. In the Gulf of Guinea, haline channel was formed 18 times among 20 SSC occurrences during 3 years (2006 ~ 2009). When the sound speed gradient was analyzed from temperature-salinity gradient diagram, the gradients of both salinity and temperature affect SSC formation in the East China Sea. In contrast, the salinity gradient mostly affects SSC formation due to the least change of temperature in the well-developed mixed layer in the Gulf of Guinea. Their acoustic characteristics show that channel depth is 6.5 m, critical angle is $1.5^{\circ}$ and difference of transmission loss between surface and thermocline is 11.5 dB in the East China Sea, while channel depth is 18 ~ 24 m, critical angle is $4.0{\sim}5.4^{\circ}$ and difference of transmission loss is 21.5 ~ 27.9 dB in the Gulf of Guinea. These results are expected to be used as a basic understanding of the acoustic transmission changes due to low salinity water at the estuaries and the ocean with heavy precipitation.

기능성 음성 장애 치료의 고려사항

김한수,Kim, Han Su 대한후두음성언어의학회 2014 대한후두음성언어의학회지 Vol.25 No.2

Functional dysphonia (FD) is a voice disorder in the absence of structural or neurologic laryngeal pathology. FD is not a single disease but a disease entity. Therefore several voice disorders, which have completely different pathogenesis, are included in this category. The first step of treatment of FD is differentiating patient's voice symptoms from other organic voice disorders and other functional voice problems. Several different treatment modalities are included in the managements of FD. Voice therapy is in charge of the main role in treatment of FD. Medical treatment is also necessary when patient has general problems which would affect voice production. Vocal folds mucosal lesions can cause FD even the lesion is minor. In this case proper surgical intervention helps to improve the symptom of FD. Psychiatric consultation should be considered when the patient has psychological problems.

초고층빌딩 개산견적 코스트 모델 및 시스템 개발

김한수,김영석,권순욱,조은석,Kim, Han-Su,Kim, Yeong-Seok,Gwon, Sun-Uk,Jo, Eun-Seok 한국건설관리학회 2013 한국건설관리학회 논문집 Vol.14 No.4

Streptozotocin 유도 당뇨성 흰쥐의 혈당, 전해질 및 지질대사에 삼백초 추출액이 미치는 영향

김한수,Kim, Han-Soo 한국생명과학회 2006 생명과학회지 Vol.16 No.6

Streptozotocin(STZ 55 mg/kg BW., I.P. injection)으로 유발된 당뇨성 Sprague Dawley계 수컷 흰쥐에 있어서, 삼백초 생리활성물질 추출액(3.5 g% extract)의 섭취에 의한 혈당, 전해질, 혈청 지질개선효과 및 당질대사 이상 등에 관여하는 효소의 활성 변동을 생리생화학적 측면에서 검토하기 위하여 본 실험을 수행하였다. 기본식이만을 급여한 대조군인 Normal군을 비롯한 STZ 당뇨 유발군(NSW군), 당뇨 유발에 삼백초 잎 추출액을 섭취시킨 군(NSSL군) 및 당뇨 유발에 삼백초 뿌리 추출액을 섭취시킨 군(NSSR군)을 5주간 실험 사육하였다. 혈당 농도는 당뇨 유발군에 삼백초 추출액을 급여하므로서 유의적으로 저하됨을 관찰할 수가 있었다. 또한 혈청 총 콜레스테롤, 동맥경화지수, LDL, LDL- 콜레스테롤, 유리 콜레스테롤, 콜레스테롤 에스테르 비, 중성지방 및 인지질 농도 등은 삼백초 추출액을 섭취시킨 군(NSSL군, NSSR군)에서 농도가 유의성 있게 감소되는 것으로 나타났다. 한편, HDL-콜레스테롤 및 총 콜레스테롤에 대한 HDL-콜레스테롤 비 등은 삼백초 추출액 섭취(NSSL군, NSSR군)에 의해서 유의성 있게 증가 되는 것으로 나타났다. 혈청 중의 전해질(Na, K, Cl) 및 creatinine 농도는 STZ으로 당뇨 유발군에 삼백초 추출액을 섭취시킴으로서 유의성 있는 농도 저하 효과를 보였다. 또한, 혈청 중 aminotransferase(AST, ALT), creatine phosphokinase(CPK), lactate dehydrogenase(LDH) 및 alkaline phosphatase(ALP)의 활성은 STZ으로 당뇨 유발 시킨 후 삼백초 추출액을 섭취시킴으로서 저하되는 것으로 나타났다. 한편, 삼백초 잎(NSSL군)과 뿌리(NSSR군) 추출액 섭취에 따른 혈당, 각 종 지질 성분 및 효소 활성치의 두 군 간의 비교는 삼백초 잎이 뿌리 추출액에 비하여 다소 효과적인 차이를 보였으나 유의성 있는 변화는 보이지 않았다. 이상과 같은 결과들을 미루어 볼 때, 삼백초 중의 생리활성물질이 STZ으로 유발된 당뇨성 흰쥐의 혈당 조절 기능이상 및 혈청 지질대사 이상 등에서 오는 각종 질환의 예방 및 개선 작용에 효과가 있을 것으로 생각된다. The purpose of this study was to observe the effects of the feeding physiological activity substance in Saururus chinensis Baill extract on the improvement of the blood glucose, electrolyte (Na, K, CI) concentration and lipid metabolism in the serum of streptozotocin (STZ, 55 mg/kg B.W., I.P. injection)-induced hyperglycemic rats fed the experimental diets for 5 weeks. Concentrations of blood glucose, total cholesterol, atherosclerotic index, LDL, LDL-cholesterol, free cholesterol, cholesteryl ester ratio, triglyceride (TG) and phospholipid (PL) in serum were significantly higher in the hyperglycemic group (group NSW), STZ (I.P.)+Saururus chinensis Baill leaf 3.5 g% extract group (group NSSL) and STZ (I.P.)+Saururus chinensis Baill root 3.5 g% extract group (group NSSR) than those in the control group (group Normal, basal diet+water). But the concentrations of blood glucose, total cholesterol, atherosclerotic index, LDL, LDL-cholesterol, free cholesterol, cholesteryl ester ratio, TG and PL in serum were remarkably lower in the groups NSSL and NSSR than those in the NSW, whereas the ratio of HDL-cholesterol concentration to total cholesterol and HDL-cholesterol concentration in the groups NSSL and NSSR were significantly higher than in the group NSW. Electrolyte and creatinine concentrations in serum were significantly lower in the groups NSSL and NSSR than those in the group NSW. The activities of aminotransferase (AST, ALT), creatine phosphokinase (CPK), lactate dehydrogenase (LDH) and alkaline phosphatase (ALP) in serum were remarkably lower in the groups NSSL and NSSR than in the hyperglycemic group NSW. However, no significance was found in the comperative effect of the groups NSSL and NSSR. From the above results, it was suggested that Saururus chinensis Baill was effective in the improvement of the blood glucose, electrolyte, glucide and lipid metabolism in serum of STZ-induced hyperglycemic rats.

야생 돌복숭아 씨와 과육의 아미노산 및 지방산 조성에 관한 연구

김한수,Kim, Han-Soo 한국생명과학회 2007 생명과학회지 Vol.17 No.1

우리나라 전역에서 자생하는 야생 돌복숭아(Prunus persica Batsch var, davidiana Max.)의 씨와 과육 중의 각종 생리활성 물질을 규명하여 바이오헬스 기능성 소재 등의 자원으로서 이용 가능성을 검토하기 위한 자료로, 돌복숭아 씨와 과육 중의 일반성분, 구성 총 아미노산, 유리 아미노산 및 지질 구성 지방산 조성을 분석한 결과는 다음과 같다. 돌복숭아 씨 및 과육 중의 일반성분 함량은 탄수화물이 63.92% 와 75.11%로 대부분을 차지하였으며, 조단백질 27.85%, 12.77%, 수분 3.61%, 4.69%, 조지 방이 1.21%, 4.80% 그리고 조회분이 3.41%와 2.63% 함유되어 있는 것으로 나타났다. 돌복숭아 씨 중의 구성 총 아미노산의 함량은 3,444.35 mg%로 이 중 aspartic acid가 681.10 mg%, glutamic acid 495.48 mg%, alanine 283.66 mg%, serine 251.36 mg%, proline 229.80 mg%, lysine 192.31 mg% 및 leucine이 191.34 mg%의 순으로 조성되어 있었으며, 특히 aspartic acid 및 glutamic acid가 대부분을 차지하였다. 돌복숭아 과육의 단백질 구성 아미노산 조성의 총 함량은 1,064.02 mg%로, aspartic acid 250.15 mg%, glutamic acid는 129.63 mg%로 과육의 주요 총 아미노산이었고 lysine, proline, leucine, alanine, serine 등의 순으로 함유되어 있었다. 돌복숭아 씨 중 유리 아미노산 조성의 총 함량은 6,215.34 mg%로, 이 중 glutamic acid가 827.25 mg%로 가장 많았으며, threonine, valine, $\beta-aminobutyric$ acid 등의 순으로 함유되어 있었다. 과육 중의 유리 아미노산 조성의 총 함량은 683.82 mg%로, glutamic acid(339.49 mg%)가 대부분 이었으며, serine, proline, alanine, $\gamma-amino-n-butyric$ acid의 순으로 함유되어 있었다. 지질 구성 지방산 조성은 포화지방산이 12.49%, 단불포화지방산 13.11% 및 다불포화지방산이 74.36%의 함유비율을 보였으며, 필수지방산인 n-6계 linoleic acid$(C_{18:2})$와 n-3계 linolenic acid$(C_{18:3})$가 대부분을 차지하였다. 야생 돌복숭아 과육 중의 지방산 조성은 포화지방산이 16.74%, 단불포화지방산 17.51% 및 다불포화지방산이 65.73%의 함유 비율을 보였는데, 이 중 다불포화지방산인 n-6계 linoleic acid$(C_{18:2})$와 n-3계 linolenic acid$(C_{18:3})$가 지질 구성 총 지방산의 대부분을 차지하는 함유 비율을 나타내었다. Amino acid and fatty acid compositions of the physiological activity substance in the seed and pulpy substance of feral peach (Prunus persica Batsch var. davidiana Max.) were analyzed for the use as an biohealth functional processed products. The proximate compositions in the vacuum freeze dried seed and pulpy substance of feral peach were carbohydrate 63.92% and 75.11%, crude protein 27.85% and 12.77%, moisture 3.61% and 4.69%, crude fat 1.21% and 4.80%, crude ash 3.41% and 2.63%, respectively. Total amino acid contents in the protein of feral peach seed were 3,444.35 mg%, and the major amino acids were aspartic acid(681.10 mg%), glutamic acid(495.48 mg%), alanine(283.66 mg%), serine(251.36 mg%), proline(229.80 mg%), lysine(192.31 mg%) and leucine(191.34 mg%), respectively. Total amino acid contents in the protein of feral peach pulpy substance were 1,064.02 mg%, and the major amino acids followed aspartic acid(250.15 mg%), glutamic acid(129. 63 mg%), lysine, proline, leucine, alanine and serine, in a decreasing order. The richest total amino acid content contained in feral peach seed and pulpy substance was aspartic acid, followed by glutamic acid. The amount of free amino acids of feral peach seed were 6,215.34 ms%, and the major free amino acids were glutamic acid(827.25 mg%), threonine, valine and $\beta-aminobutyric$ acid, respectively. Free amino acid contents of pulpy substance were 683.82 mg%, and the major free amino acids were glutamic acid(339.49 mg%), serine proline, alanine and $\gamma-amino-n-butyric$ acid. Especially, in the case of glutamic acid, it was highest. The compositions of major total fatty acid in the lipid feral peach (Prunus persica Batsch var. davidiana Max.) seed and pulpy sabstance were linoleic acid($C_{18:2}$, n-6) and linolenic acid($C_{18:3}$, n-3), particularly.

족부 및 족관절의 악성 종양

김한수,오주한,황창주,이한구,이상훈,Kim, Han-Soo,Oh, Joo-Han,Hwang, Chang-Joo,Lee, Han-Koo,Lee, Sang-Hoon 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.1

Purpose: We analyzed 35 patients of malignant tumors of the foot and ankle to evaluate clinical manifestation. result of treatment and prognosis. Materials and Methods: Thirty five patients who were histologically confirmed for malignant tumors of the foot and ankle from September 1984 to May 1999 were investigated. Results: There were 16 males and 19 females. with an average age 38.3 years. Ten tumors were originated from bone and 25 from soft tissue; osteosarcoma (8) was the most common bone tumor and synovial sarcoma (8) and malignant melanoma (6) were common in soft tissue tumors. Surgical procedures included; marginal resection (2), limb salvage procedure after wide resection (5) for bone tumors, and amputation (12), wide resection (4), marginal resection (5) for soft tissue tumors. In some cases, perioperative chemotherapy and radiotherapy were given. There were 2 local recurrences and 11 metastases; 5 metastases were found at the time of initial diagnosis. Average follow-up was 3.5 years. Conclusion: We conclude that suspicion and early diagnosis are important in malignant tumors of the foot and ankle, and the resection margin must be obtained more thoroughly during surgery with perioperative adjuvant therapy, if necessary.

P-M 상관곡선을 이용한 철근콘크리트 기둥의 폭발 저항 성능 평가

김한수,이재용,Kim, Han-Soo,Lee, Jae-Yong 대한건축학회 2011 대한건축학회논문집 Vol.27 No.10

The alternative load path method based on a column removal scenario has been commonly used to protect building structures from being progressively collapsed due to probable blast loading. However, the method is not appropriate for predicting the progressive collapse when a column still has load-bearing capacity remained after blast. So, the method must be modified to evaluate the capacity of blast resistance. When we evaluate the blast resistance performance of a column, initial bending moment as well as axial force should be considered. That is because the column in a tall building are subjected to eccentric axial force and the initial stress conditions significantly affect the structural behavior of the columns during blast. In this paper, the blast resistance performance of RC columns was evaluated by using the proposed method. The results showed that the blast resistance performance of RC columns according to the various initial stress conditions could be related to the P-M interaction diagram of the columns.