급성백혈병의 화학요법에서 조혈간세포 보충요법

이규보,배선근,손상균,이재태,이건수,이경혜,서장수 경북대학교 병원 1997 경북대학교병원의학연구소논문집 Vol.1 No.1

1. 목적 급성백혈병의 화학요법에 있어서 관해유도 요법시에 보다 더 강력한 항암화학요법을 시행하고 골수억제의 회복을 위하여 말초혈액에서 채취한 조혈모세포의 투여로 그 효과를 증대시키고자 시도하였다. 2. 방법 관해유도 화학요법후에 골수억제시기로부터 회복단계로서 백혈구감소증이 호전도면서 단핵세포가 증가될 때에 말초혈액에서 조혈간세포(stem cell)로 인정되고 있는 CD34+세포의 함유량이 1% 이상되는 시기를 찾아내고 그 때부터 평균 4차례의 단핵구를 분리채집을 하여 -74。C에 냉동보관하였다가 제2차 화학요법후에 해동시켜서 정맥주입하였다. 3. 결과 대상 급성백혈병환자는 6명에 23회의 조혈간세포를 함유한 단핵구 채집을 시행하였고 유효한 단핵구의 채집은 4례에서 가능하였고 2례에서는 유효한 채집이 못되었다. 채집효율은 39.0-74.5%로서 평균 49.8%였다. 채집 후에 혈액학적 변화는 혈색소의 약간 감소 (평균 1.34g/dl)와 혈소판의 감소 (평균20.25%)를 나타내었다. 해동 단핵구를 투여할시에 일과성인 불쾌감, 기침, 흉부압박감, 호흡곤란 등이 있었다. 4. 결론 자가골수이식에서 자기말초혈액조혈간세포이식으로 관심이 이행되는 현시점에 자가조혈간세포를 채집하여 수혈하는 기술이 확립되는 기초를 이루었다고 본다. 이번 대상들은 재발된 금성백혈병들에 시행하였으나, 향후에는 초발시에 제일차 관해유도 화학요법 과정에 시도해야할 것으로 생각한다. Object: Peripheral blood stem cells(PBSC) were collected after remission induction chemotherapy and reinfused after intensified chemotherapy in order to increase the chemotherapeutic efficacy. Method: Collection of mononuclear cells (MNC) was started when CD34+ cells above 1% and WBC above 1,000/ul with mononuclear cell percentage above 30%, the collection procedures were done 2-6 time in each patient of total 6 cases. The collected MNCs were stored in - 750C and reinfused after thawing in the water bath at 370C Results: Twenty three collection procedures from the 6 cases of acute leukemia had made effective MNC collection in 4 cases and mean collection efficiency was 49.8%(from 39.0% to 74.5%). Hematological changes after the procedure were mean reduction of hemoglobin 1.34g/dl and mean 20.25% of decreased platelet count. There were noticed transient symptoms of discomfort, coughing, chest tightness and dyspnea in association with the infusion of stored cells. Conclusion: The basic process for the peripheral blood stem cell transplantation (PBSCT) was accomplished with this supportive care for the consolidation chemotherapy of acute leukemia. Effective PBSCT would be warrented with more qualified process and high does chemotherapy. (Korean J Blood Transfus 6(2) : 41~47,1995)

Gene pyramiding effect of two major bakanae disease resistance gene using qBK1 and qBKWD

Sais-Beul Lee,Tae-Heon Kim,Su-Min Jo,Jun-Hyun Cho,Ji-Yoon Lee,Jong-Hee Lee2,Dongjin Shin,You-Chun Song,Myung-Kyu Oh,Dong-Soo Park 한국작물학회 2017 한국작물학회 학술발표대회 논문집 Vol.2017 No.-

부신피질 자극호르몬 단독결핍 1례

박경식,이승현,최석영,박태규,이동화,이찬우,정성복,이인규 啓明大學校 醫科大學 1997 계명의대학술지 Vol.16 No.3

부신피질 자극호르몬 단독결핍은 국내에서 7례만이 보고된 희귀 질환이며 병인 및 경과 등 아직 불분명한 측면이 많다. 이는 질환지체의 희귀성도 있지만 치료후 자연경과에 대한 장기적인 추적검사가 이루어진 경우가 드물기 때문이기도 하다. 저자들은 비특이적인 전신증상을 주소로 내원한 폐경기후의 56세 여자 환자에서 자가면역질환의 증거없이 고프로릭틴혈증을 보인 부신피질 자극호르몬 단독결핍 1례를 경험하고 1년간의 부신피질호르몬 대치요법후 추적검사를 실시하였기에 문헌 고찰과 함께 보고하는 바이다. Isolated ACTH deficiency is a rare disorder which shows secondary adrenal insufficiency with normal states of other pituitary hormones. A 56-year-old postmenopausal woman complaining general weakness and intermittent mental confusion presented negligible serum cortisol and ACTH level with hyperprolactinemia and mild hyponatremia. Rapid ACTH stimulation test did not show significant increase of serum cortisol level. Combined pituitary stimulation test showed negligible response of cortisol and ACTH, and slightly decreased response of prolactin and gonadotropin. But the responses of TSH and GH were normal. There was no evidence of organic pituitary of hypothalamic lesion in brain MRI and antithyroid autoantibody was not detected in serum. After receiving 12 months of glucocorticoid replacement therapy, she skipped the medicine for 3 weeks and we performed follow-up endocrinologic tests. Serum ACTH and cortisol level was also negligible and prolonged ACTH simulation test showed normal response of serum cortisol. CRF stimulation test showed no response of serum ACTH. Basal prolactin level was decreased to near normal and combined pituitary stimulation test showed normal response of prolactin with slightly blunted response of TSH and GH. We concluded that the case was nonautoimmune origined isolated ACTH deficiency which was accompanied by hyperprolactinemia and resultant deficiency of gonadotropin, so we report this case with review of literatures.

림프종 환자에서의 갈륨, TI-201 그리고 Tc-99m MIBI 섭취의 비교

천경아,조인호,원규장,이경희,이형우,현명수,이재태,이규보 영남대학교 의과대학 2002 Yeungnam University Journal of Medicine Vol.19 No.2

Purpose; Ga-67 scintigraphy has been used for the evaluation of tumors, especially lymphoma. Recently, Tl-201 and Tc-99m MIBI were also used to tumor imaging. Tl-201 and Tc-99m MIBI had better physiologic characteristics than Ga-67, so we studied 32 biopsy proven lymphoma patients (male 24, female 8, mean age 46 years) with Ga-67, Tl-201 or Tc-99m MIBI and compared the scan findings. Materials and Methods: Twenty-three of 32 patients were injected 74-111 MBq (2-3 mCi) of Tl-201, before chemotherapy and imaged with dual-headed SPECT (Prism 2000, Picker, USA) at 30 minutes after injection. Delayed images were obtained after 3 hr in 8 patients. Twenty seven of 32 patients were injected 740 MBq (20 mCi) of Tc-99m MIBI and imaged at 30 minutes after injection. 111-185 MBq (3-5 mCi) of Ga-67 was injected in 12 patients and imaged at 48 and 72 hours after injection. Twenty eight patients were diagnosed as non-Hodgkin's lymphoma and others were Hodgkin's lymphoma. Results: Twenty patients were positive on Tl-201 scan and 3 patients showed negative findings. One of these 3 patients, Tc-99m MIBI and Ga-67 scan were positive. Twenty two patients were positive on Tc-99m MIBI scan and 5 patients showed negative findings. One of these 5 patients, Tl-201 was positive and 2 were positive on Ga-67 scan. Ten of 12 patients showed positive findings on Ga-67 scan. The sensitivity of these agents were 83.3%, 87.0% and 81.5% for Ga-67, Tl-201 and Tc-99m MIBI, respectively. The sensitivity was highest in Tl-201 scan, but there were no significant differences among three tests. In this study, there was no significant difference of uptake ratios between early and delayed images of Tl-201. Conclusion: Scintigraphy with Tl-201 and Tc-99m MIBI in lymphoma patients have similar sensitivity with Ga-67.

Multi-media and multi-pathway aggregate exposure assessment for polycyclic aromatic hydrocarbons to the inhabitant in Tae-an county after Hebei-spirit oil spill

Kim Chan-Kook(김찬국),Woo-Chul Jeong,Jonil Hur,Pan-Soo Park,Tae-Woo Lee,Hwi-Soo Seol,Jung-hyeon Park,Jong-Heop Lee,Jong-Ho Kim,Byeong-Kyu Kwak,Jong-Hyeon Lee 대한직업환경의학회 2010 대한직업환경의학회 학술대회 논문집 Vol.45 No.-

편심경사진 내부크랙을 가진판이 순수굽힘을 받는 경우의 응력확대 계수에 대한 광탄성실험해석

이치우,김태규,조상봉 慶南大學校 附設 工業技術硏究所 1985 硏究論文集 Vol.3 No.-

편심경사진 내부크랙을 가진판이 순수굽힘을 받는 경우에 대한 광탄성실험결과 판의 폭이 크랙의 길이에 비해 충분히 큰 경우에는 문헌(9), (14)의 근사이론식과 잘 일치되었고 유한판에서는 응력확대계수의 값이 변의 영향을 많이 받음을 알 수 있었다. 크랙의 진전각도는 광탄성실험을 통해 쉽게 알 수 있으며 최대전단응력이 최소가 되는 방향으로 일어남을 알았다. The stress distribution in the vicinity of the crack tip in elasticbody under various external loads has been investigated and solved both theoretically and experimentally when the "Mechanics of Fracture" began to reveal itself to be a new method for the analysis of fracture of meterials this paper was studied for stress intensity factors of a sheet with an eccentrically inclined crack subjected to pure bending moment by photoelastic method. In this case, the experimental results of stress intensity factors for the crack inclined angle and the distance of the crack center from the neutral axis were very approximately with of the reference (9) and (14) Moreover, we easily know that the initial crack growth takes place in the directinn along which the maximum shearing stress possesses a minimum value from photoelastic experimental.

中國大陸의 社會主義 現代化政策에 대한 연구 : The Reform and Open-door Policy in the Mainland China and Modernization of China 中國大陸의 改革.開放政策과 中國의 現代化

李奎泰 관동대학교 1996 關大論文集 Vol.24 No.2

The purpose of this paper is to research the modernization of socialism in the Mainland China. This paper studies its problems and its influence on the modernization of Chinese society, by analyzing the theory of modernization of socialism, the reform and the open-door policy of chinese Communist Party. In conclusion, this paper estimates the historical of socialism has, comparing this Mainland China's model of the modernization proceeding within the framework of socialism with different models of the other Chinese societies such as Taiwan and Hong-Kong.

유리섬유강화 복합절연재료의 열화특성에 관한 연구

이규철,유근민,김경석,박홍태 울산대학교 1996 공학연구논문집 Vol.27 No.2

본 연구에서는 주위 환경 열화에 따른 복합절연재료의 절연특성과 수명을 향상시키기 위해 고온에서 흡습량을 변화시켰을 때와 탈습량을 변화시켰을 때 흡십시료와 탈습시료의 전기적 특성 및 기계적 특성을 조사하였다. 유리섬유 각층의 흡습상수는 각각 1층에서 0.0117, 2층에서 0.0123, 3층에서 0.0152를 나타냈다. 전기적 특성 및 기계적 특성은 복합재료의 흡습에 따라 크게 떨어졌다. 70℃에서 습기가 완전히 건조되어도 흡습전의 전기적 및 기계적 특성을 얻기가 어려운 것으로 나타났다. 수분에 의해 발생한 복합절연재료내에 존재하는 많은 결함들은 에폭시 메트릭스와 필라사이에 존재하였다. The electrical and mechanical properties of moisture absorbed and moisture desorbed specimens were investigated to improve the insulating characteristics and the reliability of composite materials against environment aging. Moisture absorption constants with the layers of glass fiber showed 0.0117 in 1 layer, 0,0123 in 2 layer and 0.0152 in 3 layer, respectively. Although moisture was removed at 70℃, it was impossible to obtain the initial electrical and mechanical properties. Many defects induced by moisture were observed at the interface between epoxy matrix and filler in composite materials.

안면부 종창을 동반한 Henoch-Scho¨nlein 자반증 1례

이재휘,서무규,임문환,박성기,김태우,이창연 동국대학교 경주대학 1991 東國論集 Vol.10 No.-

We experienced a case of Henoch-Scho‥nlein purpura with are manifestation of facial swelling in a 7-year-old boy.

이질균의 진단용 단클론 항체 개발에 관한 연구

이연태,조규봉,이운영 단국대학교 신소재기술연구소 1991 신소재 Vol.1 No.-

이질균의 항원구조는 매우 복잡하기 때문에 Shigella 균종 중에서 Shigella flexneri를 선택하여 이질균의 항원 특성을 규명하고자 본 실험을 시도하였다. 그래서 본 교실에서 분리 계대해 온 S. flexneri의 균체 항원을 2회에 걸쳐 마우스의 복강내로 주사하였다. 면역된 마우스의 비장에서 임파구를 분리하여 polyethylene glycol을 이용하여 골수종 세포인 P3X63-Ag8.653과 융합하였다. HAT 배지에서 융합 세포를 선택하였다. 무한대 희석법에 의하여 융합 세포의 클로닝을 실시하였으며 항체의 생산은 간접 효소면역흡착법을 이용하여 확인하고 다음과 같은 결과를 얻었다. 1. 세포 골수종 P3X63-Ag8.653의 평균 분열 주기는 대수 증식기에서 12시간이었다. 2. 융합이 실시된 20개의 plate 중에서 융합 세포가 자란 것은 15 well이었다. 3. 융합 세포가 형성된 15 well에서 항체 형성이 검증된 well은 3개였다. 4. 효소면역흡착법을 통해 알아본 각 well에서 생성된 면역글로불린의 class는 2 well에서 IgG, 1 well에서 IgM이었다. 5. 클로닝 후 IgM의 생성이 확인된 세포 배양 상청액을 이용하여 다른 장내세균의 균체 항원과 반응을 시켰으나 반응이 나타나지 않았다. The antigenic structure of Shigella is very complex. So, production of monoclonal antibodies against Shigella flexneri which had been the most prevalent Shigella spp. in Korea was tried to investigate the characteristics of shigella antigens. Heat-killed cellular antigens of S. flexneri which had been cultivated in our laboratory were injected intraperitoneally into BALB/c mice twice at intervals. Spleen lymphocytes of immunized mice were fused with the myeloma P3X63-Ag8.653 cells using polyethylene glocol. Only hybridized cells grew in HAT medium. Supernatants from cultures were assayed for S. flexneri-specific antibodies by the indirect enzyme-linked immunosorbent assay. Hybridomas were cloned by limiting dilution. 1. The mean doubling time of P3X63-A8.653 myeloma cells was 12 hours. 2. Only 15 wells out of 20 plates cell fusions performed showed the growth of hybridized cells in the selecive medium. 3. S. flexneri-specific antibodies were generated from 3 wells of those 15 wells, checked by indirect ELISA. 4. Supernatants from 3 wells had different classes of immunoglobulins : IgG from 2 wells and IgM from 1 well. 5. After cloning, supernatant from SFB 11 checked as Ig M with the strongest visuality was not reacted with cellular antigens of other strains of Enterobacteriaceae.