급성 중독 환자에 대한 역학적 고찰 : 서울과 지방의 비교

김성중,김인병,최성욱,김경수,이영수,Choi, Jong Moo 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

Study objective: To compare patients with acute poisoning between urban and rural areas Design: Retrospective chart review of 217 patients with acute poisoning Setting: Two University Hospital EDs Methods: patients were divided into two groups according to hospital. The group A was 109 patients who came to ED of Asan Medical Center and the group B was patients who came to ED of Ajou University Hospital from June 1994 to February 1995. We analysed the age and sex distributions, poisoning substances. causes of poisoning and the past history of psychiatric problems in patients of the two groups. Results: Total number of patients with acute poisoning were 109 in the group A and 108 in the group B. Female was more prevalent than male in the group A and male was more than female in the group B. There was a significant difference in sex distribution between two groups. The mean age of the group A was 27.7 years which was significantly different from the mean age of the group B, 33.7 years. The age incidences in both group were highest in 2nd decade. The accidental poisoning cases were 37% in the group A and 31% in the group B. The rates of committed suicide were 7% in the group A and 22% in the group B. The most common agent of poisoning was therapeutic drug in the group A and agricultural or industrial chemical in the group B. The overall mortality was 5% in the group A and 15% in the group B. Conclusion: There were significant differences in age and sex distributions. poisoning substances, causes of poisoning and the past history of psychiatric problems between two groups.

분진의 개수농도 및 질량농도에 입각한 서울시 지하철 역사내 오염원의 기여도 결정

최형욱,황인조,김신도,김동술 한국대기환경학회 2004 한국대기환경학회지 Vol.20 No.1

The subway play an important part in serious traffic problems. However, because subway system is a closed environment, many serious air pollution problems occurred in subway stations and injured passenger's health. Therefore, it is a necessary to identify sources and to estimate pollutant sources in order to protect passenger's health and to keep clean subway environment. The purpose of this study was to analyze a air quality in the subway stations and to apply a new receptor methodology for quantitatively estimate of PM 10 sources. In this study, the size distributions of particulate matters has been measured by using Aerosizer LD (U.S.A., API, Inc.). It's realtime measurement capability of time-of-flight technique offers a significant advantage of user convenience and air pollution management. Also, the mass concentrations of PM 10 has been measured by using mini-vol portable sampler (U.S.A., Airmetrics Co.). The sampling performed in Seoul subway stations during the period of February 2000 and April 2000. The number distribution data used in this study consisted of 26 raw data sets in the Jongno-sam-ga station. Correlation Analysis can be used in subway stations for source separation and identification. Then, number contribution from each source is determined by the particle number balance (PNB). The mass concentration data used in this study consisted of 31 raw data in the 8 different stations. The mass contributions of PM 10 sources in the concourse by using PMF/CMB model.

Enhanced Antitumor Effect of the Combination of Bacille Calmette-Guérin and an Immune Checkpoint Inhibitor in Bladder Cancer-On-a-Chip

Choi Se Young,Kim Mirinae,Kang Su Jeong,Choi Young Wook,맹세정,Kim Sung-Hwan,Chang In Ho 한국바이오칩학회 2023 BioChip Journal Vol.17 No.4

We upgraded preexisting bladder cancer-on-a-chip (BCOC) by adding T cells and evaluated the antitumor eff ect of a combina- tion of intravesical Bacille Calmette-Guérin (BCG) and pembrolizumab. We fabricated bioprinted BCOC with microfl uids, incorporating HT1376, MRC-5, HUVEC, THP-1 and Jurkat cells. We evaluated the eff ector-to-target cytotoxicity, cytokine, and cell viability in 2D culture, live/dead assay, migration assay, and cytokine assay in BCOC. Additionally, we evaluated the antitumor effi cacy of the combination of BCG and pembrolizumab in an orthotopic mouse model. The combination group showed the most eff ective reduction compared to the control in 2D culture (100.0 ± 0.8% vs. 36.4 ± 0.8%, p < 0.001). In BCOC, cancer cell viabilities were decreased at 3 days in the BCG group (70.1 ± 9.8%, p = 0.013) and combination group (49.3 ± 8.1%, p < 0.001). The combination group showed the highest immune reaction in the cytokine assay (interferon-γ, p = 0.045; interleukin-6, p = 0.037) and migration assay (fold change 1.3 ± 0.1, p < 0.001), whereas in the in vivo model, it showed lower signal intensities from days 10 to 14 compared to that in the control group ( p = 0.031 and p = 0.014, respec- tively). No signifi cant weight changes were observed among the groups. We developed a 3D bioprinted BCOC via use of the monocytic THP-1 cells and Jurkat T cells to assess the effi cacy of immunotherapy. The combination of BCG and pem- brolizumab showed the best antitumor effi cacy in BCOC and animal models.

췌담관 합류이상이 있는 환자에서 담도계 손상 기전에 대한 연구

정인호,정용식,김지훈,최수윤,김정운,김욱환,홍정,왕희정,유병무,김진홍,한재호,김영배,김재근,김명욱 한국간담췌외과학회 2003 한국간담췌외과학회지 Vol.7 No.2

DTF를 이용한 순산소연소 조건에서 탈황반응과 CaSO₄ 분해 특성

최욱(Wook Choi),조항대(Hang Dae Jo),최원길(Won Kil Choi),박영성(Yeong Sung Park),길상인(Sang In Keel),이형근(Hyung Keun Lee) 大韓環境工學會 2011 대한환경공학회지 Vol.33 No.6

순산소연소 조건하의 로내 탈황공정에서 황화반응 생성물인 CaSO₄의 재분해가 탈황반응에 미치는 영향이 크다. 본 연구에서는 DTF (Drop Tube Furnace)를 이용하여 반응온도, CO₂, O₂, SO₂ 농도 등을 포함한 다양한 실험 변수들이 CaSO₄ 탈황반응에 미치는 영향을 파악하기 위하여 분해반응의 전환율을 측정하고 반응속도를 계산하였다. 반응온도가 상승함에 따라 CaSO₄ 분해반응의 전환율과 반응속도가 증가하였고 O₂가 존재하는 조건에서 CO₂ 농도의 영향은 크지 않았다. 동일한 조건에서 CaSO₄ 분해속도는 O₂ 농도가 감소함에 따라 증가하였으나 SO₂ 농도가 증가함에 따라 감소되었다. In general, the decomposition of CaSO₄ formed by sulfation reaction in the in-furnace desulfurization process using limestone has strong effect on the desulfurization reaction under the oxy-fuel combustion condition. In this study, the conversion rates were measured and reaction rates were calculated in order to investigate the effects of the experimental variables such as temperature and the concentrations of CO₂, O₂, SO₂, on the CaSO₄ decomposition reaction using DTF (Drop Tube Furnace) in the desulfurization reaction. The conversion rate and the reaction rate of CaSO₄ decomposition reaction were increased with reaction temperature. CO₂ concentration has little effect on CaSO₄ decomposition reaction in the presence of O₂. Under the same experimental conditions, the decomposition rate of CaSO₄ was enhanced with the decreasing the O₂ concentration, but vice versa with the increasing of SO₂ concentration.

서울시 지하철 역사내 라돈의 농도분포

황인조,한근혁,최형욱,김동술,김신도 경희대학교 환경연구소 2001 環境硏究 論文集 Vol.10 No.-

The various existing situations like overpopulation, urbanization, industrialization, and heavy traffic volume in the Seoul metropolitan area have led to the air pollution problem, traffic problem, and increase in opportunities of residing underground place. So, recently in Korea, the residents using underground working place have been of great concerns on indoor air pollutants such as HCHO, radon, particulate matter, carbon monoxide. However, the studies on indoor air pollution have been not extensively conducted in Korea. Indoor radon is an odorless, colorless, tasteless, invisible, inert, and naturally occurring radioactive gas. And it has been known as one of the notorious carcinogens. The purpose of this study was to survey the concentration variations of radon in the subway stations located Seoul metropolitan area. Total of 216 subway stations were surveyed by the continuous radon monitors from Mar. 2001 to Jun. 2001. The study showed that average radon levels of concourses in each line were 1.51, 1.45, 1.51, 1.23, 1.28, 1.37, 1.12, 1.28 pCi/L and those of platforms in each line were 2.09, 1.43, 1.37, 1.67, 1.44, 1.54, 1.40, 1.22 pCi/L, respectively. The study results showed that the average radon concentrations were 1.19 pCi/L in outdoor, 1.34 pCi/L in concourse, and 1.52 pCi/L in platform, respectively.

톡소포자충 감염마우스의 Cytokine 및 Heat shock protein 생산 분석

노형준,최인욱,신대환,이영하 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.2

T. gondii frequently causes severe congenital defects and life-threatening disease in immunocompromised individuals. Cytokines. nitric oxide (NO) and heat shock proteins (HSP) are important to control the parasite multiplication and host resistance. However. there were only fen reports about HSP70 in toxoplasmosis. Moreover. we do not know the cytokines and HSP70 production in case of NO inhibition. Therefore. this study was performed to analyze the production of NO. HSP70 and cytokines after adminstration of aminoguanidine (AMG. suppressor of NO production) in mice infected with T. gondii. BALB/c and C57BL/6 mice were injected with either 5 brain cysts of Me49 strain of T. gondii or 50㎍ of AMG for 2 weeks every day. and then mice were sacrificed at day 4. 7. 14 and 28. HSP70 production in the brain and spleen of both mice strains mere decreased after treatment with AMG. however Toxoplasma-infected ones were significantly increased. HSP70 production of Infection/AMG-treated group of C57BL/7mice was significantly decreased in comparison to Infection group. Whereas Infection/AMG-treated group of BALB/c mice showed similar HSP70 production compared to Infection group. After T. gondii infection. the IFN-γ and TNF-α mRNA expression in the brain and spleen was significantly increased in BALB/c or C57BL/6 mice. IFN-γ mRNA expression in the brain and spleen of Infection/AMG-treated BALB/c mice were not significant differences compared to those of infected ones. however there were significant differences in the spleen of C57BL/6 mice. TNF-α mRNA expression in the spleen of Infection/AMG-treated BALB/c or C57BL/6 mice were significantly decreased in comparison to those of infected ones. Taken together. HSP70. IFN-γ and TNF-α production were significantly increased in Toxoplasma-infected BALB/c and C57L/6 mice. After treatment with NO inhibitor in infected C57BL/6 mice, the production of HSP70 and IFN-γ were significantly decreased. whereas BALB/c mice were not significant differences of HSP70 and IFN-γ production between Infection and Infection/AMG-treated group.

Poster Session : PS 1015 ; GI Motility : Pegylated-Photosensitizer Enhances the Effi cacy of Photodynamic Therapy Through Escaping of ATPBinding Cassette Subfamily G Member 2 in Pancreatic Cancer Cells

( Jae Myung Park ),( In Wook Kim ),( Ju Hee Kim ),( Tayyaba Hasan ),( Myung Gyu Choi ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

Background: Porphyrin-based photosensitizers are most commonly used in photodynamic therapy (PDT). However, these drugs are exported extracellularly by a cell-membrane transporter, the ATP-binding cassette subfamily G member 2 (ABCG2), decreasing the PDT-induced cytotoxicity in cancer treatment. In this study, we showed that intracellular level of a porphyrin was increased by its Pegylated form, which enhance the PDT-induced cytotoxicity. Methods: Pancreatic cancer cells, AsPC-1 and MIA PaCa-2, were selected. We also used ABCG2-overexpressed MIA Paca-2 cells. We pretreated them with chlorine e6 (Che6) or its pegylated-Che6, then irradiated with a diode laser emitting at 670 nm wave length with total radiation dose of 6 J/cm2. We measured the intracellular level of Che6 and peglated-Che6 with fl uorescence meter, FACS and confocal microscope. Cell viability and survival was analyzed by MTT assay and clonogenic survival assay, respectively. Singlet oxygen level was quantified with photomultiplier-tube based singlet oxygen detection system. In-vivo PDT effects were investigated with AsPC-1 cell-bearing BALC/nude mice of the Che6 and pegylated-Che6. Results: The intracellular level of Che6 was higher in MIA PaCa-2 than AsPC-1 and MIA PaCa-2/ABCG2 cells. However, intracellular level of Che6 was increased by its pegylated form in AsPC-1 and MIA PaCa2/ABCG2 cells. Cell viability after PDT was signifi cantly decreased in MIA PaCa-2 compared to AsPC-1 and MIA PaCa-2/ABCG2. However, PDT using pegylated-Che6 caused the similar cytotoxicity among the three cancer cell lines. The production level of singlet oxygen was higher in pegylated-Che6 than Che6-treated cells. The tumor volume after PDT using pegylated-Che6 was signifi cant smaller than that of Che6 in AsPC-1-xenograft mouse model. Conclusions: Pegylated-photosensitizer escaped ABCG2 function, which suggests potential improvement of ABCG2-related resistant to porphyrin-based PDT in cancer treatment in pancreatic cancers.

The Effect of Parental Imprinting on the INS - IGF2 Locus of Korean Type I Diabetic Patients

(Heung Sik Kim),(Dong Wook Lee),(Sang Jun Lee),(Bo Hwa Choi),(Sung Ik Chang),(Hyun Dae Yoon),(In Kyu Lee) 대한내과학회 2001 The Korean Journal of Internal Medicine Vol.16 No.4

N/A Background: Insulin-dependent diabetes mellitus (IDDM) is caused by the autoimmune destruction of pancreatic β-cells. Susceptibility to IDDM appears to depend on more than one genetic locus. Evidence of a genetic linkage for IDDM2 was found in male meioses from French and North American populations. It is linked to maternal imprinting (i.e. monoalleleic expression of the insulin gene) that is considered the most likely cause of these gender-related differences. IGF2 is expressed only in the paternal allele and therefore, is considered a candidate gene for IDDM2 transmission because of its important autocrine/paracrine effects on the thymus, lymphocytes and pancreas. Nevertheless, it remains controversial whether the parental origin of IDDM2 influences IDDM susceptibility. Methods: Using PCR and semi-quantitative RT-PCR, we analyzed the INS/PstI+1127 and IGF2/ApaIpolymorphisms and RNA expression level between PstI (+/-) and PstI (+/+) to determine genotype and allele-specific expression of the INS and IGF2 genes. Results : INS/PstI(+/+) and IGF2/ApaI(+/-) were observed in 36 (97.3%) of 37 IDDM patients and in 29 (72.5%) of 40 IDDM patients, respectively. The presence of both IGF2 alleles in RNA was observed in 21 (91.6%) of 24 IDDM patients. Our results show a 3-fold increase in RNA expression from PstI (+/-) allele over PstI (+/+) allele. Conclusion: Our conclusion does not entirely exclude IGF2 as the gene involved in IDDM2, even though the parental effect of IDDM2 transmission is not related to IGF2 maternal imprinting. The INS genotype appeared mostly in the PstI (+/+) homozygote and, therefore, we could not explain the INS imprinting pattern in Korean type 1 diabetic patients. Genetic differences between populations may account for the discrepancy between Korean type I diabetic patients and American or French type I diabetic patients.

혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.