우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

강혜영,강대룡,장영화,박성은,최원정,문성환,양규현,Kang, Hye-Young,Kang, Dae-Ryong,Jang, Young-Hwa,Park, Sung-Eun,Choi, Won-Jung,Moon, Seong-Hwan,Yang, Kyu-Hyun 대한예방의학회 2008 예방의학회지 Vol.41 No.5

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

HBx형질전환 생쥐에서 발생한 간세포암종에서 H-ras 및 c-myc의 발현에 관한 연구

문형배,소병준,김학철,윤기중,한원철,조향정,유대열,정영진 圓光大學校 醫科學硏究所 2002 圓光醫科學 Vol.17 No.2

<연구목적> HBx형질전환 생쥐에서 발생한 간세포암종의 발암과정에 종양유전자(H-rgs, c-myc)의 발현 정도를 조사하고자 하였다. <연구방법> 정상생쥐 12마리(4-18개월) 및 HBx 형질전환 생쥐 44마리(4-18개월)를 대상으로 포르말린에 고정하고 파라핀에 포매한 간 조직을 이용하여 면역조직화학적염색을 실시하였다. 실험군은 정상 부위, 이형성 부위 및 종양 부위로 구분하였으며, 종양 부위는 소결절성병변 부위와 간세 포암종 부위로 구분하였고, 이형성병변 부위는 이형성병변만 발견되는 부위, 소결절성병변과 동반된 이형성병변 부위 및 간세포암종과 동반된 이형성병변 부위로 구분하였다. <연구결과> H-rgs의 발현은 정상 간조직에 비하여 이형성병변 부위(P<0.05) 및 종양 부위(P<0.01)에서 증가하였으며, 소결절성병변 부위과 간세포암종 부위 사이에서는 간세포암종 부위에서 증가된 경향이었으나 통계학적으로 유의한 차이가 없었으며, 각 이형성병변 부위 사이에서도 유의한 차이는 없었다. c-myc의 발현은 정상 간조직 및 이형성병변 부위에 비해 종양 부위에서 증가하였으며(P<0.001), 소결절성병변 부위와 간세포암종 부위에서는 비슷하였고, 각 이형성병변부위 사이에서도 비슷하였다. <결론> HBx형질전환 생쥐에서 발생하는 간세포암종의 발생에 H-rgs는 이형성 변화를 일으키는 시기에 관여하며, c-myc은 이형성병변에서 암으로 이행하는 시기에 관여할 것으로 생각한다. Background: This experiment was designed for the expression of H-ras and c-myc in hepatocarcinogenesis of the HBx transgenic mice. Methods: Immunohistochemical stains in the paraffin embedded tissue of the liver were used for the detection of H-ras and c-myc in the 12 normal mice and 44 HBx transgenic mice of the 4-18 month old. Results: Expression of the H-ras was significantly increased in the dysplastic area (P<0.05) and tumor area (P<0.01) than in the normal liver. But there were no differences of H-ras expression between areas of microscopically identified hepatocellular carcinoma (MI-HCC) and grossly identified hepatocellular carcinoma (GI-HCC) and dysplastic areas among the only dysplastic areas, dysplastic areas with MI-HCC and GI-HCC. Expression of the c-myc was significantly increased in the tumor area (P<0.001) than in the normal liver and dysplastic area. But there were no differences of c-myc expression between areas of MI-HCC and GI-HCC, and dysplastic areas among only dysplastic areas, dysplastic areas with MI-HCC and GI-HCC. Conclusions: Our study suggests that H-ras is related to the dysplastic change and c-myc is related to the neoplastic change in the hepatocarcinogenesis of the HBx transgenic mice.

태권도 경기중 선수의 발자세 형태별 역습공격기술의 득점 비교분석

문원재,양대승,이승국 韓國體育大學校 1998 論文集 Vol.21 No.-

This study was to obtain such facts as a result of analyzing and observing foot step patterns for quarter final(32 game), the semi-final(32 game) and final matches(16 game) of national championship from february of 1997 untill February of1998. the conclusion of this study is as a follows : In comparing attaking points by foot step patterns in defence attack techinique, a kind of triangle pattern in foot step patterns is getting highest point but there were no significant difference by foot step patterns among defence attack techiniques. However, while there was significant difference in dolryuchaki(p<.05), in one step back dolryuchaki(p<.01) and punching (p<.01) by foot step patterns, there was no significant difference in back kick and double kick by foot step patterns.

EEMR 관을 이용한 식도 과립세포종의 제거 1예

문정섭,유권,전영빈,정원종,양대열,이승진 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4

The granular cell tumor was first described in 1926. Recently, it has been suggested that the tumor is Schwann cell in origin, and this notion has been supported by electron microscopic studies and immunohistochemistry of the S-100 protein. The most frequently involved organs include the tongue, skin, breast, and digestive tract. The esophagus is rarely involved. The treatment of choice for an esophageal granular cell tumor is still controversial. The traditional treatment has been surgical excision, but new therapeutic options, including laser surgery, diathermy loop, and multiple biopsies have recently been tried. An endoscopic esophageal mucosal resection (EEMR) tube, originally designed for resection of early esophageal cancer, is widely used nowadays. A case of a granular cell tumor of the esophagus, which was successfully removed by an EEMR tube, is herein reported.

^(131)I 전신스캔 음성 재발 분화 갑상선암에서 EDG PET의 임상적 의의 : ^(99m)Tc-MIBi Scintigraphy와 비교분석

원종철,이성진,이태윤,남궁일성,이시열,김하영,한정희,류진숙,문대혁,안일민 대한내분비학회 2001 Endocrinology and metabolism Vol.16 No.4-5

Corynebacterium hofmannii에 依한 전신감염 1예

문대혁,최강원,박석건,이광호 대한감염학회 1984 감염 Vol.16 No.1

Corynebacterium of hoffmannii is a part of normal pharyngeal flora. Human infection caused by C. hofmannii is very rare. All reported cases involve prosthetic or native cardiac valve. This patient sufered from chronic alcohlism, diabetes mellitus, and acute suppurative inflammation of brain, meninges and soft tissue. And he failed to show any clinical response to various antimicrobial therapy and died after discharge.

레이저와 2차원 배열의 광전검출기를 이용한 구조물의 변위측정 시스템의 개발에 관한 연구

강문필,이진이,김민수,김대정,최원하,강기훈,김종수,김훈 한국비파괴검사학회 2002 한국비파괴검사학회지 Vol.22 No.1

일반적으로 구조물은 외부의 정적 및 동적 하중과 외부환경으로 인하여 피로균열과 부식이 발생하며, 이것은 구조물의 변형을 유발하여 결국 파단으로 이어지기 때문에 균열과 부식의 검출 및 평가와 함께 구조물의 변형에 의한 진동, 변위 기울기와 같은 거동을 감시하는 것도 매우 중요하다. 이에 레이저 센서 시스템을 이용하여 이러한 거동을 측정하여 이상 유무를 모니터링할 수 있는 구조물 안전감시 시스템을 개발하였다. 본 시스템은 2차원으로 배열한 광전센서를 이용하여 구조물의 변형에 의해 유발된 광궤적의 변화를 감시하며 또한 데이터를 취득하고 신호처리 할 수 있는 운용 프로그램도 갖추고 있다. 본 연구에서는 개발한 안전 진단 시스템의 필드 적용에 앞서 실험실에서의 몇 가지 실험을 통하여 그 효용성을 검증하였다. A Safety Monitoring System using a laser and 2-D arrayed photo sensors is developed. To monitor of the deformation and small rotation of structure the developed optical system using 2-D photo sensor array was used to detect the variation of optical orbit of laser which was induced by deformation of the structure. Also, an operating program to manage the system and an algorithm for the data acquisition and the database are introduced. In this study, we demonstrated the capabilities of this system by laboratory experiments before applying the system to the field.

버섯 배지를 이용한 tyrosinase 저해제 발효

정승원,한대석,김석중,전문진 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.2

Tyrosinase는 식품의 효소적 갈변과 생체내에서 melanin 합성을 촉매하는 효소이다. 식용 가능한 tyrosinase 저해제의 발효생산을 통하여 melanin 합성을 저해하는 효과를 가지는 미백식품 소재를 개발하고자 현재 식품의 제조에 이용되고 있는 안전한 미생물을 대상으로 tyrosinase 저해능이 높은 균주를 선발하고 표고버섯을 주 배지원으로 발효시켜 저해제 생산의 적정조건에 대하여 연구하였다. 발효식품으로부터 분리된 NU-7을 tyrosinase 저해제 생산을 위한 발효균으로 선정하여 tyrosinase 저해제 생산 최적배지 조건을 확인한 결과 glucose가 3~20% 및 ammonium sulfate가 0~0.25%인 범위에서 균체량 증가에 따른 tyrosinase 저해제 생산능의 차이는 나타나지 않았으며, 무기질소원으로 첨가한 ammonium sulfate의 영향은 비교적 낮았다. 한편, 표고버섯(Lentinus edodes, Shiitake) 함량은 저해제 생산과 밀접한 관계를 나타내어 버섯함량(X)에 대한 저해제 생산량(Y)이 Y=-0.96X^2+13.07X+14.43의 상관식을 보였고, R value는 0.96으로 나타나 최적발효 조건을 위한 최소한의 배지는 표고버섯과 glucose 만으로도 가능한 것으로 판단되었다. 표고버섯을 이용한 발효액에서 곰팡이 독소로 알려진 아플라톡신은 검출되지 않았으며 따라서 이를 식용할 수 있는 가능성이 높은 것으로 판단되었다. Tyrosinase is an enzyme which catalyzes an enzymatic browning of some foods and in vivo synthesis of melanin. In order to produce natural and edible inhibitor of the enzyme which is expected to have whitening effect on melanogenesis, a microorganism was selected from fermented foods. It was named as NU-7, and cultured in mushroom (Lentinus edodes, Shiitake) media. Optimal media to produce tyrosinase inhibitor was formulated by varing nitrogen or carbon content. If glucose content was in a range of 3~20% and ammonium sulfate was in a range of 0~0.25%, production of inhibitor was independent of cell mass. Addition of ammonium sulfate as a nitrogen source had little effect on inhibitor production. Production of inhibitor (Y) was proportionally related to shiitake content (X) with a regression equation of Y=-0.96X^2+13.07X+14.43 (R=0.96). These results indicate that shiitake and glucose are necessary for the production of tyrosinase inhibitor. In the analysis of mycotoxin in culture broth, aflatoxin was not detected, suggesting that it would be probably edible.

간세포암과 감별이 어려웠던 악성중피종 치험 1예

김선문,허원석,채경훈,강윤세,정재훈,김연수,박기오,문희석,이엄석,김석현,성재규,이병석,이헌영,신경숙,조준식,송인상,강대영 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

Malignant peritoneal mesothelioma is a rare neoplasm that arises from the mesothelium of a serosal cavity and is a rapidly fatal disease with a median survival of 4 to 12 months for untreated cases. Recently, we experienced a case with malignant peritoneal mesothelioma who was suspected hepatocelluar carcioma by abdominal CT scan and was confirmed by biopsy including immunohistochemical stain(calretinin) after surgery. We performed tumor excisions and wedge resection of the liver(segment Ⅷ)and inserted Tencoff catheter in abdominal cavity at 25th day of post-operation. We treated with intraperitoneal paclitaxel(25mg/m^(2)/day for 5 days) six courses monthly. She was well tolerable and is still living without any evidence of recurrence for 14th month of post-operation.

p-니트로톨루엔과 Fe(CO)_(5)로 부터의 p-톨루이딘 합성에 대한 상이동 촉매의 응용

박대원,문정열 부산대학교 1995 生産技術硏究所論文集 Vol.48 No.-

The application of phase transfer catalysts to the reduction of p-nitrotoluene by Fe(CO)_(5) has been investigated in this study. Quaternary ammonium salts and polyethylene glycols were used as phase transfer catalyst. The phase transfer catalytic system of p-nitrotoluene and Fe(CO)_(5) in organic solvent contacted with aqueous NaOH solution showed a good yield of p-toluidine at 1 atm and room temperature. Quaternary ammonium salt catalysts with larger alkyl group more hydrophilic counter anions showed higher conversion of p-nitrotoluene. Immobilization of PEG on various oxide supports was also performed in this work and γ-Alumina, having the largest specific surface area, showed the highest activity. 본 연구는 p-니트로톨루엔을 Fe(CO)_(5) 로 환원시켜 p-톨루이딘을 합성하는데 있어서 상이동 촉매의 특성을 고찰한 것이다. 상이동 촉매로는 4급 암모늄염과 폴리에틸렌글리콜을 사용하였고 p-니트로톨루엔과 Fe(CO)_(5)이 용해된 유기상과 NaOH 수용액상을 접촉시킨 상이동 촉매 반응은 상온, 상압에서 높은 수율로 p-톨루이딘을 합성할 수 있었다. 4급 암모늄염 촉매의 알칼기가 클수록 그리고 짝음이온의 친수성이 증가할수록 p-니트로톨루엔의 전화율이 증가하였다. PEG를 여러 가지 산화물 담체에 고정화시킨 경우 비표면적이 큰 γ-알루미나가 가장 높은 활성을 보여 주었다.