급성전골수성백혈병에서 백혈구성분채집술에 이은 치명적인 뇌출혈 2예

오윤정,박소윤,김윤정,한동석,김현수,최진혁,남동기,임호영,김효철,주희재 아주대학교 의과학연구소 1998 아주의학 Vol.3 No.1

The aim of this study is to report 2 cases of acute promyelocytic leukemia who died from intracranial hemorrhage following leukapheresis and to provide proper preventive measures against hemorrhage following leukapheresis. From 1994 to 1997, a total of twenty-six patients with leukemia underwent leukapheresis to control hyperleukocytosis at Ajou University Hospital. Two patients with acute promyelocytic leukemia received all-trans retinoic acid but developed drug-induced hyperleukocytosis. Shortly after leukapheresis, they died from intracranial hemorrhage. The risk factors for fatal hemorrhage are thought to be coexisting disseminated intravascular coagulation(DIC), thrombocytopenia aggravated by leukapheresis, exacerbated coagulopathy related to mechanical trauma through leukapheresis and the excess use of citrate during leukapheresis. To reduce the risk of the bleeding associated with leukapheresis, it is necessary to replace platelet sufficiently before and after leukapheresis and to give calcium to correct coagulopathy induced by excess citrate which is used as anticoagulant as well as the correction of disseminated intravascular coagulation.

The HBV DNA Amounts in Serum Have No relationship with ALT level and Hetergeneous Population Coexits in Chronic Hepatitis B Virus Infection

Chun, Yoon-Keun,Ha, Joo-hun,Hong-Jung-Woo,Oh, Soo-Myung,Kim, Sung-Soo 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Yoon-Keun Chun¹,Joohun Ha□Hong-Jung Woo□, Soo Myung Oh□,Sung Soo Kim□ ¹Department of Molecular Biology, College of Medicine,²Department of Surgery, college of Medicine,³Department of Internal Medicine, College of Oriental Medicine,and ⁴East-Weat Medical Reserch Institute,Kyung Hee University, Seoul, Korea. The HBV DNA Amounts in Serum Have No relationship with ALT level and Hetergeneous Population Coexits in Chronic Hepatitis B Virus Infection. Proceedings of International Symposium on East-West Medicine, Seoul. 212-230, 1999. -Hepatitis B is caused by hepadnavirus. Hepatitis B virus replicates through 3.5kb pregenomic RNA intermediate which is regulated by core promoter. Pathogenesis of hepatitis B virus has been bilieved the result of host immune response. But recently many studies have reported that high level of viral replication caused by mutation in core promoter might result in severs hepatitis. But these studies were performed in vitro, not in vivo. So there is yet debate about which factor, viral of host factor, is more important in pathogenesis of hepatitis B virus. So we measured real viral replication level in 204 chronic hepatitis B patients by quantifying HBV DNA from sera by our novel PCR-based more sensitive method, and compared these results with ALT level measured from same sera, which indicates liver cell damage. Surprisingly there are no significant correlation between HBV DNA quantity and ALT level. Then we cloned core promoter region. In SSCP, we found that many viral mutants coexist in one patient. Base on SSCP result, we chose main viral core promoter type in each patients, which is thought to determine overall viral replication level in this patient. Main type of core promoter region of each 41 patients were directly sequenced. And with these we measured promoter activity by luciferase assay system and compared promoter activity with on another. We found tha there were some differences in promoter activity according to core promoter sequences. And we constructed replication-competent viral constructs with core promoter from 41 patients and Transfected these into HepG2 cell and measured HBV DNA by southern blot. There were also differences in HBV DNA quantity according to core promoter sequences. On these all results we investigated correlation between the effect of HBV core promoter on viral replication in vitro and HBN DNA quantity, ALT level from sera of each patients. We found there is no significant correlation among them. As a result, we concluded that in determining severity chronic hepatitis B patients, host factors of each patient is more important rather than replicative activity of virus itself.

Insulin resistance mediates high-fat diet-induced pulmonary fibrosis and airway hyperresponsiveness through the TGF-β1 pathway

Park, Yoon Hee,Oh, Eun Yi,Han, Heejae,Yang, Misuk,Park, Hye Jung,Park, Kyung Hee,Lee, Jae-Hyun,Park, Jung-Won Nature Publishing Group UK 2019 Experimental and molecular medicine Vol.51 No.5

<▼1><P>Prior studies have reported the presence of lung fibrosis and enhanced airway hyperresponsiveness (AHR) in mice with high-fat-diet (HFD)-induced obesity. This study evaluated the role of TGF-β1 in HFD-induced AHR and lung fibrosis in a murine model. We generated HFD-induced obesity mice and performed glucose and insulin tolerance tests. HFD mice with or without ovalbumin sensitization and challenge were also treated with an anti-TGF-β1 neutralizing antibody. AHR to methacholine, inflammatory cells in the bronchoalveolar lavage fluid (BALF), and histological features were evaluated. Insulin was intranasally administered to normal diet (ND) mice, and in vitro insulin stimulation of BEAS-2b cells was performed. HFD-induced obesity mice had increased insulin resistance, enhanced AHR, peribronchial and perivascular fibrosis, and increased numbers of macrophages in the BALF. However, they did not have meaningful eosinophilic or neutrophilic inflammation in the lungs compared with ND mice. The HFD enhanced TGF-β1 expression in the bronchial epithelium, but we found no differences in the expression of interleukin (IL)−4 or IL-5 in lung homogenates. Administration of the anti-TGF-β1 antibody attenuated HFD-induced AHR and lung fibrosis. It also attenuated goblet cell hyperplasia, but did not affect the AHR and inflammatory cell infiltration induced by OVA challenge. The intranasal administration of insulin enhanced TGF-β1 expression in the bronchial epithelium and lung fibrosis. Stimulating BEAS-2b cells with insulin also increased TGF-β1 production by 24 h. We concluded that HFD-induced obesity-associated insulin resistance enhances TGF-β1 expression in the bronchial epithelium, which may play an important role in the development of lung fibrosis and AHR in obesity.</P></▼1><▼2><P><B>Obesity: A trigger for asthma onset</B></P><P>Insulin resistance may be an important causative factor underlying the increased risk of asthma and other respiratory issues in obese individuals. Obesity doubles the likelihood of developing asthma, with symptoms that are more difficult to control than in non-obese patients. The connection between these conditions is poorly understood, but researchers led by Jung-Won Park, Yonsei University College of Medicine, Seoul, South Korea, have identified a potential mechanism. They demonstrated that a signaling molecule called TGF-β1 contributes to airway sensitivity and tissue scarring in a mouse model of diet-induced obesity. Subsequent experiments showed that treatment with insulin also gives rise to increased TGF-β1 production in the mouse lung. Since insulin resistance is a common feature of obesity, resulting in abnormally high levels of circulating insulin, this could also account for the increased risk of respiratory problems.</P></▼2>

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

대학생의 생활스포츠 참여와 대학생활 실태에 관한 연구

윤오남,정혜윤,김보정 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

This study examines the relationship between undergraduates' participation in life sports and their adaptation to campus life and focuses on examining the difference in their adaptation to campus life depending on set period and frequency of participation in life sports and their health on the assumption that their satisfaction with life by their participation in life sports have an affirmative influence on social life as well as campus life. First, adaptation of participants in life sports to campus life was higher in male undergraduates than in female undergraduates according to sex. Second, there was a significant difference in their adaptation to campus life according to frequency of participation in life sports. Third, there was a significant difference in their adaptation to campus life according to period of participation in life sports. Fourth, there was a significant difference in their adaptation to campus life according to intensity of participation in life sports. First, for inducing undergraduates to participate in life sports, attempts to invite them to participate in life sports should be made through expansion and improvement of life sports facilitie And to extend their participation in life sports, components of life sports including life sports facilities, programs and coaches should be extended and improved quantitatively. Motivation of undergraduates to take part in life sports should be encouraged and its improvements are urgently required.

Candida parapsilosis 돌연변이주에 의한 Xylitol 생산의 배지조건 최적화

오덕근,윤상현,김정민,김상용,김정회 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

Candida parapsilosis ATCC 22019 돌연변이주를 사용하여 xylitol 생산에 영향을 주는 배지성분의 최적화를 수행하였다. Xylose 50 g/l 배지에서 여러 가지 질소원이 xylitol 생산에 미치는 영향을 살펴본 결과 xylitol 생산에는 무기질소원으로는 (NH_4)_2SO_4가 좋았으며 유기질소원으로는 yeast extract가 가장 좋았다. 무기염으로 KH_2PO_4 ad MgSO_4·7H_2O를 선정하여 최적화를 수행하였고 그 결과 최적배지로 xylose of 50 g/l, yeast extract of 5 g/l, (NH_4)_2SO_4 of 5 g/l, KH_2PO_4 of 5 g/l, MgSO_4·7H_2O of 0.2 g/l로 결정하였다. 최적배지를 사용하여 발효조에서 64시간 배양하였을 때 xylose는 모두 소모되었으며 최종 균체농도와 xylitol 생산량은 각각 7.6 g/l와 37 g/l을 얻었다. 이때, xylose로 부터 xylitol의 전환수율 74%이었고, xylitol의 생산성은 0.58 g/l-hr이었다. 최적배지에서 총 첨가된 xylose에 대한 xylitol의 생산수율 80.7%에 해당되었고 xylitol의 생산성은 0.94g/l-hr에 해당되었다. Medium optimization for xylitol production from xylose by Candida parapsilosis ATCC 22019 mutant was performed. Effect of various nitrogen sources on xylitol production was investigatied. Of inorganic nitrogenous compounds, ammonium sulfate was effective for xylitol production and yeast extract was the most suitable orangic nitrogen nutrient for enhancement of xylitol production. Effect of inorganic salts such as KH_2PO_4 ad MgSO_4·7H_2O on xylitol production was also studied. Optimal medium was selected as xylose of 50 g/l, yeast extract of 5 g/l, (NH_4)_2SO_4 of 5 g/l, KH_2PO_4 of 5 g/l, MgSO_4·7H_2O of 0.2 g/l. In a fermentor by using the optimal medium, a final xylitol concentration of 37 g/l could be obtained from 50 g/l of xylose with a xylitol yield of 74% and a xylitol productivity of 0.58 g/l-hr. At 300 g/l xylose, fermentation was also carried out and then a final xylitol concentration of 242 g/l was obtained at 272 hours. It was corresponding to xylitol yield of 80.7% and xylitol productivity of 0.58 g/l-hr.

전통적 체육교수법과 움직임 탐구 교수법간의 효과의 差

오정윤,박동근 淸州敎育大學校 1997 論文集 Vol.34 No.-

丹溪의 學術思想이 韓方婦人科學에 미친 影響의 考察

윤종원,오규석,홍영욱,이태균 동국대학교 한의학연구소 1997 東國韓醫學硏究所論文集 Vol.6 No.1

金元四大家 중의 한 사람인 朱震亨은 主火論의 영향을 받았지만 독창적인 "相火論"과 "陰不足而陽有餘"하다는 견해를 밝히면서 補驗精而抑相火를 위주로한 治法을 제창하여 後代에 "滋陰派"라고 불리운다. 이러한 丹溪의 醫學思想과 韓方婦人科學과 관련된 이론을 개괄하여 丹溪의 이론과 처방이 우리나라 韓方 婦人科學의 발전과정에 미친 영향을 고찰하였다. 그 결과 첫째, 丹溪의 證治思想의 특징은 祛濕痰, 調氣, 滋陰淸熱의 治法 運用과 禁慾的 攝生을 통한 養生論이었으며, 둘째로 丹溪의 理論과 處方들은 《醫方類聚》와 《東醫寶鑑》에서 《丹溪心法》과 《丹溪心法附餘》의 내용을 대폭 수용함으로써 우리나라 韓方婦人料學 理論의 주요한 부분을 형성하는 계기가 되었으며, 셋째로, 부인과 질환과 관련하여 月經病에 調氣 및 祛濕痰을, 不姙症에는 月經不調와의 關聯性은 물론 體型ㆍ體質別 病機와 治法을 구분하였으며, "産前當淸熱養血" 이론에 의한 黃芩·白朮을 위주로 한 安胎論, "從痰論治"한 惡阻治法, 難産豫防, 産後의 "大補氣血"등의 이론을 제시하여 丹溪의 학술사상이 우리나라 한방부인과학에 미친 영향은 많았던 것으로 사료된다. JuJinHyoung(朱需亨) is a well-known physcian of the four schools in the Jin(金) and Yuan(元) Dynasties. He lived in ZhejiangSheng(浙江省) which located in the southeast region of China. There was humid and heatful climate, this kinds of environments influenced to his medical thoughts. He persisted in the theory that Yang is ever in excess while Yin is ever deficient(陽常有餘陰不足論) and exhorted the therapy of subduing excessive Yang and making up deficient Yin by nourishing it, and he said about the theory of ministerial fire(相火論). So he was regarded as a representative of the nourishing Yin school(濫陰派). And he said that the method of "Clearing away heat and nourishing blood" is suitable in pregnanoy. So Scutellaria Baicalensis GEORGI and Atractylodes macrocephala KOIDZ. Can be apply in case of treatment on Anti-abortion. Thus these theories have influenced on Obstetric & Gynecology in Korea.

암환자에 대한 임상실습전 학생들의 견해에 관한 연구

오윤경,기정숙,박상학 朝鮮大學校 附設 醫學硏究所 1998 The Medical Journal of Chosun University Vol.23 No.1

We evaluated the attitudes towards cancer patients in third year medical students who did not receive a lecture before starting the poly-clinic education about radiation oncology in our medical school. We obtained a total of 142 answers from the students that completed the questionnaire of the following. 1) Should the patient be notified of the terminal cancer? The patient should be notified of terminal cancer in 95.1%, 91.6%, and 85.9% from the point of view of a patient, a doctor, and patients' families, respectively. 2) Who should notify the patient that the disease is terminal cancer? Doctor(53.3%), professor(22.2%). fami1y(17.1%). fnend(2.2%), and others(2.2%), respectively. 3) Do you have any experience of anticancer treatment with an intimate person? Yes(42.3%), No(56.3%). 4) Did the patient know about the cancer? Yes(81.6%), guess (15.0%). no(1.7%). 5) Do you wish to prolong the survival time from 1 year to 3 years with long courses of chemotherapy and radiation therapy? No(56.3%), yes(40.2%). 6) The attitude about marriage in the situation of engaged status and recently diagnosed cancer. As an engaged person: marry(30.3%), delay(43%). don't marry(23.9%). As family of a cancer patient who is engaged: marry(9.1%), delay(43.7%), don't marry(38,7%). As a cancer patient: marry(2.8%). delay (27.5%), don't marry(67.6%). The results of this study necessitate the education about the following: emotional state of cancer patients, decision about informing the patient of the true diagnosis, the method and timing of informing, sharing bad news with patients, and control of anxiety as a doctor. The students expressed pessimism about anticancer treatment. Therefore, the exact results and positive aspects of anti-cancer treatment should be emphasized more during the lecture and poly-clinic education about radiation oncology in our medical school.

아스피린 불내성 천식환자에서 포도상구균에 대한 혈청 특이 IgE 항체 측정

오정미,김승현,윤성호,김상하,서창희,남동호,박해심 대한알레르기학회 2004 천식 및 알레르기 Vol.24 No.2