급성 췌장염의 시대적 변화

김배영(Bai Young Kim),김효종(Hyo Jong Kim),정형근(Hyung Keun Chung),김영관(Young Kwan Kim),동석호(Seok Ho Dong),김병호(Byung Ho Kim),이정일(Jung Il Lee),장영운(Young Woon Chang),장린(Rin Chang) 대한내과학회 1993 대한내과학회지 Vol.45 No.5

N/A Background: According to the rapid changes in social environment such as increasing alcohol consumption and the marked improvement in diagnostic technique, we expect that there have been major changes in various aspects of acute pancreatitis during the recent 12 years in Korea. Methods: The medical records of 317 patients with acute pancreatitis diagnosed from 1980 through 1992 were reviewed about clinical, laboratory and radiological findings in the three different time period. Results: 1) There has been an increasing incidence in male sex about three folds. 2) There has been an increasing trends in the duration of hospitalization. 3) A significant increase was observed in the proportion of patients with alcoholic pancreatitis in the three different time period; 26.9%, 45.7%, 50.7% respectively. 4) The complication rates have been slightly increased in the three different time period; 46.3%, 47.1%, 59.1% respectively. But, the type of complications has not been changed. 5) There is increasing severity in non-gallstone group, but no significant differences in gallstone group. There is a declining trends in the number of patients with muld severity index, but increasing trend in the number of patients with moderate severity index in non-gallstone group. 6) There was no significant differences in mortality rate. Conclusions: There has been major changes in the etiology ans severity of acute pancreatitis from 1980 through 1992. Especially, significant increase in the proportion of patients with alcoholic pancreatitis was observed in the three differnt time period. These results might be due to socioeconomic changes.

흰쥐에서 사염화 탄소(CCl4)에 의한 간섬유화의 유도

김병호,이정일,김효종,김영관,장린,동석호,장영운,송일한 대한소화기학회 1992 대한소화기학회지 Vol.24 No.6

Experimental model of hepatic fibrosis is importent contributions to the understanding of cellular and molecular mechanisms underlying excessive accumulation of extracellular matrix in the liver. Carbon tetrachloride (CCl₄) is one of the oldest and most widely used toxin for experimental induction of hepatic fibrosis in laboratory animals. In this study, We intended to induce the hepatic fibrosis in the rat by the intragastric CCl₄/ phenobarbtal treatment once a week for 12 weeks and the administration dosage of CCl₄ in each week was determined by the daily body weight change. Liver function and histologic change were examined just after 12-week treatment in group Ia (9 rats, Phenobarbital treatment only) and II (18 rats, CCl₄/phenobarbital treatment), and liver function and the irreversibility o histologic change were examined 12 weeks after 12-week treatment in group Ib (9 rats, phenobarbital treatment only) and III (18 rats, CCl₄/phenobarbital treatment). 1) Death rate after 12-week treatment was 11% in group Ⅰ, 56% in group Ⅱ and 50% in group Ⅲ. and the highest rate was at 1 week. that is 33 o each in group Ⅱ and Ⅲ. 2) Tatal protein, alkaline phosphatase, alanine aminotransferase and portal venous pressure were significantly increased in group Ⅱ compared with that in group Ⅰa, but it was only portal venous pressure that was increased in group Ⅲ than in group Ⅰb, 3) The gross finding of micronodular change was shown in 88% of group Ⅱ, 71% of group Ⅲ, but none of group Ⅰ. The microscopic finding of hepatic fibrosis was found in all of group Ⅱ and Ⅲ, but none of group Ⅰ. The severe form of hepatic fibrosis suggesting cirrhosis was found in group Ⅱ and Ⅲ, 12% and 29% respectively. In our study, mortality rate was high within 1 week after CCl₄ treatment, which resulted in half survival rate after 12-week treatment. We also experienced the loin rate of severe fibrotic changes in surviving rats. In the future, in order to produce a severe irreversible fibrotic change with low mortality in inducing hepatic fibrosis with CCl₄/phenobarbital treatment in the rat, adequate detemination of the initial dose of CCl₄ and appropriate choice of administration route of CCl₄ were thought to be needed.

십이지장 결핵 2예의 내시경적 고찰

장린,박충기,민영일,장영운,우정택,방익수,최학림,장주희 대한소화기내시경학회 1985 Clinical Endoscopy Vol.5 No.1

Today, the duodenal tuberculosis is a very rare disease. Final diagnosis of duodenal tuberculosis is difficult due to inconsistent symptoms and nonspecific duodenal lesions. We found 2 cases of duodenal tuberculosis by gastrascopy. In gastroscopic findings, there were undetermined ulcers and irregular nodular mucosal changes.

가교정도에 따른 고무복합체의 물리적 특성에 관한 연구

나창운(Chang Woon Nah),김현재(Hyeon Jae Kim),강신영(Shin Young Kaang) 한국고무학회 1998 엘라스토머 및 콤포지트 Vol.33 No.4

N/A Tensile properties including Young`s modulus and tear strength were measured for four different rubber compounds; natural rubber(NR), styrene-butadiene copolymer(SBR), ethylene-propylene dime monomer(EPDM), and brominated isobutylene-p-methyl-styrene copolymer(BIMS) as a function of temperature and degree of cure. To see the effect of over cure, a measurement was made of the tensile strength and swelling behavior of the over-cured rubber compounds. Young`s modulus, E, was found to have linear dependency on the degree of cure for all rubber compounds. EPDM and BIMS showed the highest and lowest slopes, respectively. The slope of NR and SBR lay between EPDM and BIMS. Tear strength, Gc, decreased in the order of NR$gt;BIMS$gt;SBR$gt;EPDM. As the cure time was extended the degree of cure of NR and SBR decreased, while that of BIMS increased. EPDM showed little change in the degree of cure.

속박 (束縛) 과 침수 (浸水) 로 유도된 흰쥐의 스트레스성 급성 (急性) 위점막병변 (胃粘膜病變) 발생에 있어서 위산분비의 (胃酸分泌) 역할

민영일(Young Il Min),박충기(Choong Kee Park),장린(Rin Chang),김병호(Byung Ho Kim),장영운(Young Woon Chang),이정일(Jung Il Lee),박승준(Seung Joon Park),정주호(Joo Ho chung),정지창(Jee Chang Jung) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1

N/A The possible roles of gastric acid secretion in the pathogenesis of stress ulcers induced by restraint with water-immersion for 7 hours in pylorus-ligated rats were investigated. Control rats with pylorus-ligation only did not show any gastric mucosa} lesion, and their mean gastric acid output was 449.2 ± 36.1 umol/rat. In contrast, the stressed rats, group II, showed multiple, punctate and hemorrhagic erosions in gastric mucosa, and mean gastric acid output was decreased to the level of 253.7 ± 27.3 umol/rat. Subcutaneous administration of histamine(40 mg/kg every 2.5 h for a total three times) to stressed rats augmented the lesion with severe multiple, linear and hemorrhagic erosions and mean acid output increased significantly (328.1 ± 31.5 umol/, p<0.005) compared with group II. Pretreatment with rantidine(20 mg/kg) or prostaglandin E2 (30 ug/kg) before exposure to stress reduced gastric lesion formation slightly with no significance. In ranitidine pretreated rats, mean gastric acid output was decreased significantly (120.1 ± 15.3 umol/rat, p<0.005) compared with group II. However, in prostaglandin pretreated rats, mean gastric acid output showed no significant changes. Therefore, it is suggested that increased gastric acid secretion seems to be an aggravating or a permissive factor rather than a major factor in the pathogenesis of stress-induced gastric mucosal lesions.

소화기 ; 담관암세포주에서 내인성 peroxisome proliferator-activated receptor gamma 배위자인 15-deoxy-delta(12,14)-prostaglandin J2의 항암 효과

정성훈 ( Sung Hoon Jung ),김병호 ( Byung Ho Kim ),김영일 ( Young Il Kim ),심재준 ( Jae Jun Shim ),황보영 ( Bo Young Hwang ),장재영 ( Jae Young Jang ),동석호 ( Seok Ho Dong ),김효종 ( Hyo Jong Kim ),장영운 ( Young Woon Chang ),장 대한내과학회 2010 대한내과학회지 Vol.78 No.1

목적: PPAR gamma 배위자의 항암 효과는 다양한 암세포에서 보고되었으나 담관암에 대한 연구는 부족한 실정이다. 본 연구에서는 한국인 간내담관암에서 확립한 암세포주를 대상으로 내인성 PPAR gamma 배위자인 15-deoxy-PGJ2의 항암 효과와 그 기전에 관하여 알아보았다. 방법: Cho-CK, Choi-CK, JCK, SCK의 네 가지 간내담관암 세포주를 사용하였다. RT-PCR 방법으로 PPAR gamma, bcl-2, bax 각 유전자의 mRNA 발현을 측정하였다. 세포증식 분석은 MTT assay, 세포주기 분석은 flow cytometry, 세포자 멸사 분석은 cell death detection ELISAplus kit를 사용하였다. 또한 Caspase 활성도 측정을 위해 caspase colorimetric assay kit를 사용하였고, MTT assay를 통해서 caspase 억제제가 15-deoxy-PGJ2의 암세포증식 억제를 차단하는지 알아보았다. 결과: 모든 담관암세포주에서 PPAR gamma mRNA가 발현 되었다. 15-deoxy-PGJ2를 5, 10, 25, 50, 100 mM 농도로 투여하여 72시간 배양하였을 때 모든 세포주에서 용량 및 시간 의존적으로 세포증식이 억제되었다. 세포주기 분석 결과 25 mM 15-deoxy-PGJ2 투여 48시간 후 모든 세포주에서 세포자멸사 분획이 증가하였으며 세포자멸사 유도 효과는 용량 의존적이었다. 25 mM 15-deoxy-PGJ2를 투여한 후 48시간까지 caspase 활성도를 측정하였는데, caspase 3 활성도는 모든 세포주에서 caspase 9 활성도는 JCK를 제외한 나머지 세포주에서 유의하게 증가하였으며 caspase 8 활성도는 별 변화가 없었다. Pancaspase 억제제인 Z-VAD-FMK와 caspase-3 억제제인 Z-DEVD-FMK를 투여한 경우 15-deoxy-PGJ2의 암세포증식 억제 효과가 48시간 이후 농도 의존적으로 차단되었으며, 이러한 효과는 모든 세포주에서 나타났다. 각 세포주에 15-deoxy-PGJ2를 투여 한 후 48시간까지 bcl-2 및 bax gene의 발현 유무를 관찰하였는데, bcl-2 mRNA는 Cho-CK, Choi-CK, SCK 세포 주에서 유의하게 감소하였으나 bax의 경우 모든 세포주에서 유의한 변화를 보이지 않았다. 결론: 한국인 간내담관암세포주 모두에서 PPAR gamma mRNA가 발현됨을 알 수 있었고, 내인성 PPAR gamma 배위 자인 15-deoxy-PGJ2가 세포자멸사 유도를 통해 담관암세포 증식을 용량 및 시간 의존적으로 억제하였다. Background/Aims: Peroxisome proliferator-activated receptor (PPAR)-γ ligand is known to inhibit the growth of several kinds of cancer cells, yet its effect on cholangiocarcinoma is indecisive. We investigated the effect of an endogenous ligand of PPAR-γ, 15-deoxy-δ (12,14)-prostaglandin J2 (15-deoxy-PGJ2) on cholangiocarcinoma cells that were established from intrahepatic cholangiocarcinoma tissue of Korean patients. Methods: Four cholangiocarcinoma cell lines, Cho-CK, Choi-CK, JCK and SCK, were studied. The mRNA expression of PPAR-γ, bcl-2, and bax were examined by RT-PCR. Cell viability was determined by MTT assay. The cell cycle was analyzed by flow cytometry, and apoptosis by cell death detection ELISA kit. Caspase activity was measured by colorimetric assay. The effect of caspase inhibitors on 15-deoxy-PGJ2-induced apoptosis was determined by measuring cell viability using the MTT assay. Results: PPAR-γ mRNA was expressed in all cholangiocarcinoma cells. 15-deoxy-PGJ2 inhibited proliferation of all cells in a dose- and time-dependent manner. All cells treated with 15-deoxy-PGJ2 showed increased dose-dependent apoptosis. Caspase 3 was activated in all cells and caspase 9 was activated in all but JCK cells after 15-deoxy-PGJ2 treatment. Caspase 8 activity showed no significant change. The pan-caspase inhibitor, Z-VAD-FMK, and the caspase-3 inhibitor, Z-DEVD-FMK, blocked 15-deoxy-PGJ2-induced apoptosis in all cells dose-dependently. The expression of bcl-2 was decreased in Cho-CK, Choi-CK and SCK cells, and bax expression was not changed significantly after 15-deoxy-PGJ2 treatment. Conclusions: PPAR-γ mRNA was expressed in all Korean cholangiocarcinoma cells. Our data suggest that 15-deoxy-PGJ2 exerts an antineoplastic effect against cholangiocarcinoma cells by inducing apoptosis through caspase activation. (Korean J Med 78:75-86, 2010)

SV40 T 항원의 온도조건부 변이형 유전자가 포함된 Amphotropic Retrovirus 에 의한 사람 태아 간세포의 불멸화

이정일(Joung Il Lee),동석호(Seok Ho Dong),김효종(Hyo Jong Kim),김병호(Byung Ho Kim),장영운(Young Woon Chang),장린(Rin Chang),성세라(Se Ra Seong),박재경(Jae Kyung Park),김승보(Seung Bo Kim),이상목(Sang Mok Lee) 대한내과학회 1999 대한내과학회지 Vol.57 No.1

N/A Human cells are almost never spontaneously immortalized in vitro. We tried to immortalize human fetal hepatocytes (h-FH) and evaluate the differentiational status and its change. Methods : Hepatocytes were isolated from a liver fragment of 20 week old fetus and infected with amphotropic recombinant retrovirus containing a temperature- sensitive mutant of SV40 large T antigen and neomycin phosphotransferase gene. G418 resistant colonies were cloned and expanded. The cells which were able to divide more than 30 times were used to analyze various functions. Results : The immortalization rate was 3.3 x 10-8 and two cell lines (C11, D21) were established. C11-60, C11-80, D21-30 and D21-60 (suffix number means the cell division counts) were evaluated. D21-30 was thougt to be imcompletely immortalized because a considerable portion of cells died during culture. The morphology was similar to that of epithelial cells except for D21-30 which looked like fibroblast. The cells grew rapidly at 33oC but stopped growing at 39oC. T antigen and p53 was expressed at 33oC but disappeared at 39oC, which suggest that T antigen binds to p53. Chromosomal changes were so marked that it was impossible to discriminate exact number. Albumin was secreted as about 1/10 as that of h-FH, but alpha-fetoprotein secretion stopped after immortalization. Telomerase was activated in both cell lines except for the incompletely immortalized cells D21-30. Telomere was elongated in competely immortalized cell lines, but it was rather shortened in D21-30 compared to that of h-FH. Macroscopic colonies did not develop in soft agar assay. Conclusions : We successfully immortalized human fetal hepatocytes. Although the cells are not likely to have oncogenicity, the functions are not so good, possibly due to marked chromosomal changes which are thought to occur before telomerase is activated during immortalization step.

相談을 위한 多樣한 世界觀의 探索과 價値 自己-直面法의 適用

張大雲,朴榮宣 全北大學校 敎育大學院 1995 敎育論叢 Vol.15 No.-

The purpose of this study is as follow. First, to review various worldviews to counseling. Second, to understand worldview of the counselor and client. Third, to clarify perspective of these worldviews. Fourth, to consider device of new worldview assessment scale. Fifth, to review suggestion of current cultural value. Sixth, to consider value self-confrontation method that is useful to counselor and client-internal value research and reduction of psychological resistance.

專攻-適性 不一致 大學生의 專攻學科 適應指導方案에 關한 硏究

張大雲,朴鎭玹,羅東晋,李永植 全北大學校 學生生活硏究所 1986 學生生活硏究 Vol.14 No.-

A large portion of college students show dissatisfaction with their majors. This study presumed that this satisfaction might be caused by discrepancy between major and aptitude and that the problems of this students might be serious. In these regards, this study was attempted to search for the causes of the problems and to develop a small group counseling program for solving them. This study is composed of two substudies. The first part of this study was to examine systematically the variables related to their dissatisfaction with their majors, on the bases of the expectancy motivation theory of organizational behavior. Subjects were 500 juniors, selected from 10 departments of Chon-buk National University. The dependent variables were measured by three. subscales taken from the Program Evaluation Survey. They included the satisfaction with intellectual level of major curriculum, the satisfaction with student-faculty relationships, and the general interests of major academics. Four independent measures were also collected, including major-related expectancy, central life interests, academic achievement, and aptitude. The results of this study were summarized as follows: 1) Consistent with the expectancy motivation model, the central life interests, major-related expectancy, and academic achievement were all a significant predictors of the subscales of satisfaction with majors, in group as well as individually, and these predictor variables also revealed differentiated effects on each of three dependent variables. 2) Contrast with the selected model, academic achievement revealed no significant relationship to the expectancy variables, except for the central life interests. The second part of this study was to develop a small group counseling program, through which students might perform successfully their own major tasks, overcoming their dissatisfaction caused by the major-aptitude discrepancy, and to examine its effectiveness in practice. Based on the conceptual nature of group counseling, group counseling theories and group career development programs, and group-establishing processes, this study developed a group counseling program for major-aptitude development. Subjects were 10 freshmen and 10 juniors, who had thought their majors were inconsistent to their central life interests. They worked through the program two hours a week six weekly long. This study has shown the following facts : 1) The program increased significantly their satisfaction with majors. This result was true equally for each subscore as well as the total score of the satisfaction scale. 2) Also, the effect of program differed significantly by sex and grade, but was not differentiated by grade alone. On the bases of these findings, finally, this study suggested some of research problems, which need to be investigated in future studies on major-adjustment programs for college students with major-aptitude discrepancy.

‘보행친화도시 만들기’ 가로설계·관리 매뉴얼의 기본방향

이창(Chang Yi),유경상(Gyeong Sang Yoo),김영란(Young-Ran Kim),민현석(Hyun-Suk Min),박찬운(Chan-Woon Park),정상미(Sang Mi Jeong),정윤주 서울연구원 2014 서울연구원 정책과제연구보고서 Vol.- No.-

As manifested in various urban policies, the Seoul Metropolitan Government(SMG) has made great efforts to improve the pedestrian environment. The City of Seoul has managed “Car-Free Day” events several times, and has designated pedestrian-only streets in many areas. However, it is not always convenient to walk in Seoul. On the streets, citizens still experience narrow sidewalks, streets cluttered with street furniture, and slanted sidewalk angles which are not safe for the mobility disadvantaged. The SMG still has work remaining to enhance the quality of the walking environment. In pursuing this goal, public officials in the SMG have realized an urgent need to seek guidance from a street design manual. Herein, the existing manuals were reviewed to see if they could be of use in the redesign of Seoul streets. It was found that the manuals were simply not up to the job, presenting many problems. First, in most cases, the national government created the manuals. Thus, they did not reflect the unique characteristics of Seoul’s built environment. Second, the manuals provided only general direction for street design, without specific details to deal with the diverse types of streets found in Seoul. Third, they set the focus on a few elements of street design, while considering various factors in an integrated manner is a key element for desirable street design. For these reasons, the SMG plans to create a Seoul Street Design Manual. As preliminary research for such a manual, this study drew on lessons from other cities in the world. The manuals for various cities abroad all have a common theme: they aim to convert current “Incomplete Streets” that were designed for automobiles to “Complete Streets” that put pedestrians and bicycles on equal footing with cars. Nevertheless, their coverage of design elements, the level of details included in the guidelines, and the contents of the manuals still differ from each other. Throughout the 1980s and 1990s, Seoul experienced rapid growth with the construction of major urban highways such as the Olympic Freeway. It may be evident that Seoul has not treated pedestrians and bicycles with due respect compared to automobiles. Therefore, we suggested that the Seoul Street Design Manual should focus on the design of Complete Streets, for which the design principles are proposed herein. Moreover, for a city like Seoul with various street types, it is important to provide customized design strategies for each street pattern. Readers can also find them in this report. Since physical developments, including buildings and transport infrastructure, have almost been completed, it is crucial to implement the design manual step by step. Although a design scheme such as road diet is a desirable outcome for pedestrians, it would bring about chaos for auto users if executed instantly. Learning from cities abroad(such as the Parklet program in San Francisco), we proposed a method to carry out the design proposal through gradual and acceptable changes. Finally, the creation of a fine street design is a task that should involve a wide variety of fields including transportation, urban design, and environmental engineering. This report also suggested organizing a Task Force(TF) to collect useful ideas from many disciplines. That way, citizens walking on the streets in Seoul could benefit for years to come.