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      • Slide Session : OS-IFD-07 ; Infectious Disease : In Vitro Antiviral Activity of Ribavirin Against Severe Fever with Thrombocytopenia Syndrome Virus

        ( Myung Jin Lee ),( Kye Hyung Kim ),( Jong Youn Yi ),( Su Jin Choi ),( Chung Jong Kim ),( Nak Hyun Kim ),( Kyoung Ho Song ),( Pyoeng Gyun Choi ),( Ji Hwan Bang ),( Wan Beom Park ),( Eu Suk Kim ),( San 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

        In Vitro Antiviral Activity of Ribavirin Against Severe Fever with Thrombocytopenia Syndrome Virus Myung Jin LEE1, Kye-Hyung KIM1, Jongyoun YI2, SuJin CHOI1, Chung-Jong KIM1, Nak- Hyun KIM1, Kyoung-Ho SONG1, Pyoeng Gyun CHOI1, Ji-Hwan BANG1, Wan Beom PARK1, Eu Suk KIM1, Sang-Won PARK1, Hong Bin KIM1, Nam Joong KIM1, Myoung- Don OH1 Seoul National University College of Medicine, Korea1, Pusan National University School of Medicine, Korea2 Background: Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by a novel Bunyavirus, severe fever with thrombocytopenia syndrome virus (SFTSV). No effective antiviral therapy is proven yet, but clinical use of ribavirin (RBV) has been tried. We investigated the antiviral effect of RBV against SFTSV in vitro. Methods: To test for cytotoxicity of RBV, Vero cells were treated with different concentrations of RBV (3.90 to 500 μg/mL, two-fold dilution) and analyzed by cell viability MTS assay 48h post-infection. To determine antiviral activity of RBV against SFTSV, Vero cells were infected with SFTSV strain Gangwon/Korea/2012 at 100 TCID50 (50% tissue culture infective dose) per well in a 96-well plate, and RBV was added at the concentrations showing no or minimal cytotoxicity. Viral RNAs were extracted from the culture supernatants and quantifi ed using one-step real-time reverse transcription- PCR to amplify the partial large segment of SFTSV. Statistical analysis was done by one-way ANOVA with Tukey`s post hoc test. Results: Cytotoxicity due to RBV was not observed at RBV concentration =31.3 μg/ mL. Viral RNAs at 24h post-RBV treatment were reduced with increasing RBV concentrations (1-32 μg/mL), compared with those of mock-treated cells (P <0.01, Figure). Half maximal inhibitory concentration (IC50) of RBV was 3.69 μg/mL at 24h post-RBV treatment. Conclusions: Our study shows that RBV has antiviral effect against SFTSV in a dose-dependent manner. Further studies are required to evaluate the effi cacy of RBV in SFTS.

      • KCI등재후보

        위절제술 환자의 표준진료지침 개발 및 적용 효과

        김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

        Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

      • KCI등재

        상처받은 주체의 치유, '몸'과 '세계'의 이중억압을 넘어서 : 『달력공장 공장장님 보세요』를 중심으로 본 김혜순의 시 세계

        김석환,박상수 明知大學校 人文科學硏究所 2004 인문과학연구논총 Vol.26 No.-

        This study seeks to investigate the interplay between 'body' and 'object' in the poetry of Kim, Hye-Soon. In Kim's poems, the body is the source of interminable existential crises and also the basis for suffering. Futthermore, the outer world that the body occupies proves to be no less an aggressive threat to the subject. In an attempt to effectively overcome this 'double oppression,' Kim foregrounds both the inner and the outer sphere affecting the body. However, in terms of the inner sphere, the wounded subject fails to overcome the limits sets by the reality principle. Likewise, in terms of te outer sphere, the attempt at the pluralization of the subject is also doomed to failure, insofar as the process f convergence back to a singular self ultimately comes into play. In the end, the yoke of multiple oppression can only be surmounted by re-establishing the relationship between the wounded subject and the external savior.

      • KCI등재

        하악골 절제술후 재이식된 돌결자가골 재이식 : 치험 3례

        김 식,김수관,김운규,김수민,류종희,이준길,조경안,김수흥,정태영,여환호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

        We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

      • Do Firms Rebalance Capital Structure? Evidence from Korean Retail Firms

        Kim,Sang-Su,Lee,Jeong-Hwan 한국유통과학회 2019 KODISA ICBE (International Conference on Business Vol.2019 No.-

        The existence of capital structure adjustment costs affects the test of the trade-off theory of capital structure significantly. We analyze whether there exist economically significant capital adjustment costs for the Korean retail firms. We use the duration model of Leary and Roberts (2005) to estimate the hazard rate of capital structure adjustments. The publicly traded retail firms listed in the KOSPI and KOSDAQ markets are analyzed from 2000 to 2016. Our empirical analysis finds infrequent capital structure adjustments for the Korean retail firms, which is in line with the U.S. evidence. However, our duration analysis argues that the role of fixed adjustment cost is important in the determination of capital structure adjustments, unlike the existing studies emphasizing both of fixed and convex cost components. This paper confirms the existence of capital structure adjustment costs for the Korean retail firms. However, our results argue for the significance of fixed adjustment costs in capital structure adjustments, inconsistent with the existing studies.

      • 장기간 항갑상선제 투여 후 임의 중단 뒤 재복용시 발생한 무과립구증 1 예

        김승만;김태영;박수영;배영환;서영경 정은주;김태균;권민정;박정현;이순희 인제대학교 2011 仁濟醫學 Vol.32 No.-

        Agranulocytosis, one of the major side effects of antithyroid a gents, probably occurs in less than 0.25% of cases treated with antithyroid agents. It usually occurs within the first several weeks or months after the initiation of therapy, when drug dosage is higher. Most reported cases of agranulocytosis have occurred during the first 3 months of therapy. We describe here a rare case that did not experience the side effect for 6 years of antithyroid agent treatment but presented with agranulocytosis in one month after re-exposure. It suggests that the major side effect such as agranulocytosis can occur in patients who had undergone prior uneventful antithyroid drug therapy.

      • KCI등재

        건물내장재(석고보드,합판)의 화재성능평가

        김충환,김종훈,김운형,하동명,이수경 한국화재소방학회 2001 한국화재소방학회논문지 Vol.15 No.3

        본 연구는 국내와 외국의 건물 내장재 화재성능평가방법을 고찰하고 국내에는 도입되지 않은 실대 화재 실험인 Room Corner Test를 국내 내장재중 석고보드와 합판을 대상으로 그 적용성을 위한 실험을 진행하였다. 현재 국내 내장재의 평가규정은 Bench-Scale Test에 의존하고 있으나, 미국, 일본 유럽등에서는 Room Corner Test를 적용한 실질적인 재료의 화재성능평가를 시행하고 있다. 실험 결과, NFPA 265에 의한 석고보드 및 ISO 9705에 의한 합판의 성능은 양호한 것으로 판단되었다. 현재 국내 내장재에 적용되는 등급분류의 평가방법은 재료의 실제 화재성능 평가에 한계가 있으므로 향후 Room Corner Test의 적용과 더불어 Bench-Scale Test 결과를 토대로 화재성능을 예측하는 화재모델을 이용하는 평가 방법의 도입이 필요하다. The fire performance evaluation methods in Korea and overseas for interior finish materials were analysed and tested with gypsum board and plywood by using room corner test not adopted by domestic code until now. The results of gypsum board (thickness: 8 mm) and plywood (thickness: 4 mm) applying NFPA 265 and ISO 9705 test respectively are satisfied the assessment criteria. To assess a actual fire performance and classify fore hazard levels for interior finish materials, room-corner test and flame spread models should be adopted in building code and fire code to overcome limitations of current bench-scale test method. Keywords : Fire performance evaluation, Room corner test, Gypsum board, Plywood

      • KCI등재후보

        유기용제 취급근로자들의 요중대사물질과 말초임파구 자매염색분체교환 발현빈도에 관한 조사연구

        김돈균,황인경,류철인,이수일,정갑열,이용환,이충렬,현원일,김석봉,전용덕 大韓産業醫學會 1990 대한직업환경의학회지 Vol.2 No.1

        저자들은 유기용제 취급여성근로자 90명을 대상으로 1988년 7월부터 1989년 8월까지 말초혈액임파구에서의 자매염색분체교환의 발현빈도를 조사하고 이들의 업종, 근속연수, 요중마뇨산 농도등이 자매염색분체교환의 발현빈도에 미치는 영향을 조사하였으며 그 결과를 요약하면 다음과 같다. 1. 유기용제 취급근로자들의 말초혈액임파구에서의 자매염색분체교환의 발현빈도는 대조군에 비하여 유의하게 증가되었다. 2. 말초혈액임파구에서의 자매염색분체교환의 발현빈도가 가장 높은 업종은 프라스틱제품 제조업이었다. 3. 근속연수가 말초혈액임파구에서의 자매염색분체교환의 발현빈도에 미치는 영향은 현저하지 않았다. 4. 요중마뇨산농도와 말초혈액임파구에서의 자매염색분체교환의 발현빈도간에는 유의한 상관관계가 있었다. In order to know the possibility of utilizing the sister chromatid exchanges as an index which could evaluate the effect of organic solvents on the health in industrial workers, the authors studied the effects of the inductivity of sister chromatid exchanges in peripheral lymphocytes from 90 female workers expoxed to organic solvents and 20 non-exposed female workers. The results obtained were as follows : 1. The frequency of sister chromatid exchanges in peripheral lymphocytes from 90 female workers exposed to organic solvents was significantly increased in comparison with 20 control subject. 2. The frequency of sister chromatid exchanges was significantly increased in the workers who were employed in the manufacture of plastic materials than the other manufactures. 3. There were no significant differences in the frequency of sister chromatid exchanges by carriers of the exposed workers.

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