경막 내 colistimethate 투여로 치료한 다제 내성 cinetobacter baumannii 뇌실염

홍유아,유진홍,김진진,모은영,안건희,정희경,김진석,이현정,정미향,윤승배 대한감염학회 2009 감염과 화학요법 Vol.41 No.4

Acinetobacter species is a non-fermentative aerobic gram-negative coccobacillus that is an important pathogen found in nosocomial infections. Recently, multi-drug resistant Acinetobacter baumannii (MDR-AB) infections have been increasing and pose a serious problem. Most such infections present as bacteremia, pneumonia, or a wound infection; however, CNS infections are very rare. We herein present a case of ventriculitis caused by MDR-AB in a 37-year old man after a neurosurgical intervention. The patient was successfully treated with intrathecal colistimethate.

분만 후 심한 저혈당이 동반된 림프구성 뇌하수체염 1예의 경과 관찰

손장명,고승현,안유배,주강,이정록,양성은,송기호,손호영,전정수 대한내분비학회 2003 Endocrinology and metabolism Vol.18 No.3

저자들은 출산 후 발생한 심한 저혈당을 주소로 내원한 31세 여자 환자에서 뇌 자기공명영상검사에서 뇌하수체종괴가 관찰되고 복합 뇌하수체 기능검사 결과전반적인 뇌하수체 기능저하증의 소견을 보여 림프구성 뇌하수체염을 진단하고, 호르몬 보충요법만으로 경과를 관찰하여 호전된 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Lymphocytic hypophysitis, an inflammatory disease of the pituitary gland that is often associated with pregnancy, is caused by autoimmune destruction of the pituitary gland evidenced by diffuse inflammatory cell infiltration of the pituitary gland and some kinds of detectable autoantibodies. We report a case of lymphocytic hypophysitis in a 31-year-old woman presenting with severe hypoglycemia and hyponatremia after delivery. Hormonal study revealed panhypopituitarism and magnetic resonance imaging with enhancement showed the bulging contour of the right side pituitary gland with an ill-defined mass-like lesion and nodular thickening of the stalk The patient's symptoms and biochemical data improved greatly with replacement of L-thyroxine and glucocorticoid. Partial recovery of panhypopituitarism was also seen. The follow-up tests revealed dramatic resolution of the pituitary lesion (J Kor SOC Endocrinol 1 8 : 3 25 -33 1, 2003).

제2형 당뇨병 동물모델인 OLETF 쥐에서 장기간 라미프릴 투여가 내당능 및 췌도 베타세포에 미치는 효과

고승현,윤건호,김명미,안유배,송기호,유순집,손현식,차봉연,이광우,손호영,강성구 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.25 No.6

연구배경:최근 소개된 HOPE(Heart Outcomes Prevention Evaluation)study의 결과에 의하면, 심혈관질환이나 이에 대한 위험인자가 1가지 이상인 9,541명을 대상으로 안지오텐신 전환효소 억제제의 일종인 라미프릴을 투여하여 사망율과 뇌졸증, 심부전, 당뇨병 합병증이 개선되었을 뿐 아니라 다른 항고혈압제에 비해 새롭게 당뇨병으로 진단되는 환자가 줄었음을 보고한바 있다. 이에 저자들은 라미프릴(ramipril)을 제2형 당뇨병 동물모델에 장기간 투여함으로써 당뇨병을 예방하거나 고혈당 상태 또는 인슐린 감수성을 개선시킬수 있는지를 알아보고자 하였다. 방법:생후 24주된 체중 400∼450g의 OLETF와 LETO 쥐를 대상으로 6개월간 라미프릴 경구투여 하였고 혈압, 24시간 단백뇨 및 인슐린 내성검사를 시행하였다. 6개월 이후로는 8주간 투여군과 대조군의 체중을 비슷하게 맞추어 내당능 상태를 평가하였고 이후 다시 8주간 고농도 포도당을 투여하였다. 경구당부하검사를 시행한 후 희생시켜 조직표본을 만들어 guinea pig anti­human insulin 항체로 염색후 DAB로 발색하여 point count 법으로 베타세포를 정량하였고, 면역염색으로 췌도의 변화와 섬유화의 정도를 관찰하였다. 결과:라미프릴을 6개월간 투여하였을 때 OLETF 쥐에서 1)체중 증가가 적었으며 2)경구 당부하검사시 포도당하 면적은 의미있게 감소하였고 3)인슐린 내성검사상 Kitt가 증가되는 경향을 보였으며 4)수축기, 이완기 혈압과 24시간 단백뇨양이 의미있게 감소하였고 5)체중을 맞추면 내당능 상태가 비슷해졌다가 고농도 포도당 주입시 다시 포도당하 면적이 대조군에서 더 증가되었다. 라미프릴 투여군에서 췌도변형 및 파괴와 탈과립, 췌도내 섬유화가 감소하였다. 결론:본 실험에서는 인슐린 비의존성 당뇨병 동물 모델인 OLETF 쥐에서 당뇨병 발생 이전 단계부터 장기간 라미프릴을 투여할 경우 체중증가가 적었고, 투여군과 대조군의 체중을 맞추었을 때는 내당능상태의 차이가 없아가 고혈당 투여시 다시 투여군과 대조군에서 의미있는 차이를 보였다. 라미프릴 투여가 베타세포의 기능면에서 이로운 효과를 보일 것으로 생각되었다. 따라서 비만한 환자에서 안지오텐신 전환효소 억제제의 장기투여는 단백뇨 감소, 혈압강하 효과 이외에 체중증가의 억제 및 당뇨병 발생을 억제할 가능성을 시사한다. Background : In a Heart Outcomes Prevention Evaluation HOPE study, ramipril, a long-acting angiotensin-converting enzyme (ACE) inhibitor, significantly reduced the death rates the number of myocardial infarctions, strokes, heart failure as well as the risk of complications related to diabetes and of diabetes itself. However, it is known that ACE inhibitors improve glucose tolerance or insulin sensitivity or reduce the incidence of diabetes. Methods : 24 week-old OLETF (Otsuka Long Evans Tokushima Fatty) rats weighing 400 ~ 450 g were used in this study. 4 groups of rats were examined in parallel for 40 weeks. The OLETF rats were randomized for treatment with an aqueous solution of ramipril (5 mg/Kg) daily [OL (RMP), n=10)] and with saline [OL (CON), n=10)]. The LETO rats were also randomized in the same was as the OLETF rats (LT(RMP), n=10, LT (CON), n=10). The blood glucose level, body weight, systolic and diastolic blood pressure was assessed every month. At 3 and 6 months, the 24hrs urinary protein concentration was measured, and as insulin tolerance test and oral glucose tolerance test were conducted in all experimental groups. After 6 months, the body·weight was matched for 2 months in each corresponding group. Subsequently, a 15% sucrose loading was done for 2 months. After the glucose tolerance test, the pancreas was excised and immuno histochemical staining was conducted for insulin to quantify the beta cell mass by a point-counting method. In addition, the islet morphology was evaluated in the pancreas. Results : Ramipril treatment for a period of 6 months improved the 2hr blood glucose level, the area under the glucose curve in the oral glucose tolerance test, insulin sensitivity in addition to lowering significantly systolic and diastolic blood pressure and 24hrs urinary protein level significantly in OLETF rats. Of note, a lower weight gain was observed in both the ramipril-treated animals at 6 months. After weight matching, the AUC g and 2hr blood glucose level values were similar between the corresponding groups, but a 15% sucrose loading worsened the AUC g value. Histologically, the islets were less disorganized and the extent of fibrosis was lower in the ramipril-treated OLETF rats in the trichrome stain. Conclusion : Long-term treatment of ramipril, a long acting angiotensin-converting enzyme inhibitor may be useful for suppressing weight gain and proteinuria in addition to having a protective effect on the islet to harmful stimuli such as hyperglycemia (J Kor Diabetes Asso 25:469~482, 2001).

흰쥐 해마에서 경련에 의해 발현 유도된 MKP-1에 의한 MAPK 활성 조절

유범희,강웅구,안용민,정선주,전송희,박주배,김용식 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.4

연구목적 : 전기경련 충격(Electroconvulsive shock, ECS) 및 카이닌산(kainic acid)에 의한 경련은 흰쥐 해마에서 mitogen activated protein kinase(MAPK)를 활성화시키며, 동시에 MAPK 불활성화 효소인 MAPK phosphatase-1(MKP-1)의 발현을 일으킨다. 이 연구의 목적은 경련에 의해 발현된 MKP-1이 역시 경련에 의해 활성화된 MAPK의 불활성화에 관여하는지를 알아보고자 하는 것이다. 방 법 : 흰쥐에 ECS를 가하여 해마에서 MKP-1 발현을 일으킨 뒤 다시 ECS를 가하고, 두 번째 ECS에 의한 MAPK의 일시적 활성화가 MKP-1의 발현상태에 의해 영향받는지를 알아보았다. 또한 흰쥐에 지속적인 MAPK 활성화 및 MKP-1 발현을 일으키는 카이닌산을 투여한 뒤 해마에서 MKP-1의 발현과 MAPK 활성과의 관계를 알아보았다. 결 과 : ECS후 해마에서 타이로신 인산화 면역블롯 및 효소활성으로 측정한 MAPK의 인산화 및 활성은 MKP-1의 발현이 일어나 있는 경우와 그렇지 않은 경우 사이에 차이를 보이지 않았다. 카이닌산의 투여에 의해 MAPK 활성화가 일어나는 경우, 뒤이어 MKP-1 발현이 일어나지만, 이렇게 발현된 MKP-1은 MAPK 활성을 충분히 감소시키지 못하였다. 결 론 : MKP-1은 흰쥐 해마에서 ECS 및 카이닌산에 의한 MAPK의 활성화를 차단하는데 큰 역할을 하지 않는다. Objectives : Both electroconvulsive shock(ECS)- and kainic acid-induced seizures activate mitogen-activated protein kinases(MAPKs) in rat hippocampus. They can also induce the expression of MAPK phosphatase-1(MKP-1) in rat hippocampus. MKP-1 is known as a specific MAPK deactivator. This study aimed to elucidate the role of MKP-1 in the deactivation of MAPKs in rat hippocampus. Methods : In order to induce MKP-1 in the hippocampus, ECS was given to the rats. At the time points when MKP-1 was sufficiently induced, the second ECS was given to them and the subsequent phosphorylation or activation of MAPKs were measured in the hippocampus. A second group of rats were injected with kainic acid and the relationship between MKP-1 expression and MAPK phosphorylation was examined in their hippocampi. Results : The expression of MKP-1 did not influence the phosphorylation or activation of MAPKs following ECS in rat hippocampus. Kainic acid-induced expression of MKP-1 did not significantly reduce the phosphorylation of MAPKs. Conclusion : MKP-1 did not play a significant role in the deactivation of MAPKs which were activated by ECS or kainic acid in rat hippocampus.

Comparison of denture base resin reinforced with polyaromatic polyamide fibers of different orientations.

Yu, Sang-Hui,Ahn, Dae-Hyung,Park, Ji-Su,Chung, Yong Sik,Han, In-Sik,Lim, Jung-Seop,Oh, Seunghan,Oda, Yutaka,Bae, Ji-Myung Japanese Society for Dental Materials and Devices 2013 Dental materials journal Vol.32 No.2

<P>The aim of this study was to evaluate the effect of reinforcing polyaromatic polyamide (aramid) fibers with various orientations on the flexural properties of denture base resin. Aramid fibers with four orientations of unidirectional, woven, non-woven and paper-type were pre-impregnated and placed at the bottom of a specimen mold. Heat-polymerized denture base resin was packed over the fibers and polymerized. A three-point bending test was performed using a universal testing machine at a crosshead speed of 5 mm/min. The flexural strengths and flexural moduli of the unidirectional and woven groups were significantly higher than those of the control and other experimental groups.For the flexural moduli, all experimental groups showed significantly higher reinforcing effects than the control group. In conclusion, the unidirectional group located perpendicular to the direction of the load was most effective in reinforcing the denture base resin, followed by the woven group.</P>

A study on the changes of specific growth rate in bioreactor by application of micro-nano bubble diffuser

( Yu Jeong Ahn ),( Jin Woo Bae ),( Young Rip Han ),( Young Ik Choi ),( Dong Hyo Kang ),( Jae Hong Kim ) 한국폐기물자원순환학회(구 한국폐기물학회) 2011 한국폐기물자원순환학회 추계학술발표논문집 Vol.2011 No.-

The βSubunit of CKⅡ Interacts with the Lysosomal Protease Cathepsin L

Bae, Young-Seuk,Yu, Hyun-Jae,Ahn, Bong-Hyun The Korea Science and Technology Center 1998 BMB Reports Vol.31 No.6

Protein kinase CKII(CKII) is a protein Ser/Thr kinase that is ubiquitously distributed in eukaryotic cells. Although it has been suggested that CKII plays an critical role in cell growth and proliferation, its functional significance and regulation in the cells remain poorly understood. To investigate the exact bilolgical function of CKII, we have identified proteins that interact with the subunits of CKII using the two-hybrid system. In this report, we have identified cathepsin L, a lysosomal protease, as a cellular protein capable of interacting with the β subunit of CKII. Cathepsin L does not interact with the α subunit of CKII, supporting the idea that the β subunit can mediate the interaction of CKII with target proteins. We have found that cathepsin L has several putative CKII phosphorylation sites including Thr-84, Ser-160, Ser-270, Thr-288, and Ser-301. These data suggest that CKII is a possible protein kinase for cathepsin L phosphorylation.

Design of Artificial Intelligence Education Program based on Design-based Research

Yu, Won Jin,Jang, Jun Hyeok,Ahn, Joong Min,Park, Dae Ryoon,Yoo, In Hwan,Bae, Young Kwon,Kim, Woo Yeol The Institute of Internet 2019 International journal of advanced smart convergenc Vol.8 No.4

Recently, the artificial intelligence(AI) is used in various environments in life, and research on this is being actively conducted in education. In this paper, we designed a Design-Based Research(DBR)-based AI programming education program and analyzed the application of the program for the improvement of understanding of AI in elementary school. In the artificial intelligence education program in elementary school, we should considerthat itshould be used in conjunction with software education through programming activities, rather than creating interest through simple AI experiences. The designed education program reflects the collaborative problem-solving procedures following the DBR process of analysis - design - execution - redesign, allowing the real-world problem-solving activities using AI experiences and block-type programming language. This paper also examined the examples of education programs to improve understanding of AI by using Machine Learning for Kids and to draw implications for developing and operating such a program.

Evaluation of mechanistic wall condensation models for horizontal heat exchanger in PAFS (Passive Auxiliary Feedwater System)

Bae, Byoung-Uhn,Kim, Seok,Park, Yu-Sun,Kang, Kyoung-Ho,Ahn, Tae-Hwan,Yun, Byong-Jo Elsevier 2017 Annals of nuclear energy Vol.107 No.-

<P><B>Abstract</B></P> <P>PAFS (Passive Auxiliary Feedwater System) is one of the advanced safety features in the design of the APR+ (Advanced Power Reactor) nuclear power plant, in order to cool down the reactor coolant system without any external supply of electricity or water during an accident. The driving force of the PAFS is condensation inside horizontal tubes of PCHX (Passive Condensation Heat Exchanger). To improve the prediction capability for the condensation heat transfer in the PCHX, advanced wall condensation models which mechanistically consider the wall condensation with the different flow regimes in a horizontal channel were implemented into a thermal hydraulic safety analysis code, SPACE (Safety and Performance Analysis Code for Nuclear Power Plant). The models were evaluated by comparing to the experimental data from the PASCAL (PAFS Condensing Heat Removal Assessment Loop) test facility, which is a separate effect test to validate the cooling performance of the PCHX. Calculation results showed that the condensation model package (Ahn et al., 2014) presented the enhanced the prediction capability of the SPACE code in predicting the steam pressure and temperature under quasi-steady state conditions. Since this model package is composed of mechanistic models by considering the film condensation in the steam phase and the convection in the condensate liquid separately, it contributed to enhance the prediction capability of the SPACE code and reduce the conservatism in the prediction of the cooling capability of the PAFS. The SPACE code with improvement of the wall condensation model can be applied in predicting the cooling and operation capability of the PAFS more realistically in the safety analysis of APR+ nuclear power plant.</P> <P><B>Highlights</B></P> <P> <UL> <LI> This study focused on enhancing the prediction for the condensation phenomenon inside the PCHX. </LI> <LI> Advanced models for condensation were implemented into the SPACE code. </LI> <LI> Mechanistic modeling contributed to improve wall condensation model of the SPACE. </LI> </UL> </P>

Spatiotemporal Expression Patterns and Antibody Reactivity of Taeniidae Endophilin B1

Ahn, Chun-Seob,Bae, Young-An,Kim, Seon-Hee,Kim, Jeong-Geun,Yu, Jae-Ran,Yang, Hyun-Jong,Eom, Keeseon S.,Wang, Hu,Kang, Insug,Yang, Yichao,Kong, Yoon American Society for Microbiology 2016 Journal of clinical microbiology Vol.54 No.10

<P>Larval Taeniidae, such as metacestodes of Taenia solium, Echinococcus granulosus, and Echinococcus multilocularis, produce chronic and fatal helminthic diseases. Proper identification of these zoonotic cestodiases is often challenging and is hampered in some clinical settings. Endophilin B1 plays critical roles in the maintenance of membrane contours and endocytosis. We isolated proteins homologous to endophilin B1 from T. solium, Taenia saginata, and Taenia asiatica. The three Taeniidae endophilin B1 proteins shared 92.9 to 96.6% sequence identity. They harbored a Bin1/amphiphysin/Rvs (BAR) domain and residues for a dimeric interface but lacked a SRC homology 3 (SH3) domain. Endophilin B1 showed a unique immunological profile and was abundantly expressed in the tegumental syncytium of Taeniidae metacestodes and adults. Bacterially expressed recombinant T. solium endophilin B1 (rTsMEndoB1) demonstrated a sensitivity of 79.7% (345/433 cases) for serodiagnosis of larval Taeniidae infections. The protein showed strong immune recognition patterns against sera from patients with chronic neurocysticercosis, cystic echinococcosis, or advanced-stage alveolar echinococcosis. Adult Taeniidae infections exhibited moderate degrees of positive antibody responses (65.7% [23/35 samples]). rTsMEndoB1 showed some cross-reactivity with sera from patients infected with Diphyllobothriidae (23.6% [25/106 samples]) but not with sera from patients with other parasitic diseases or normal controls. The specificity was 91.7% (256/301 samples). The positive and negative predictive values were 93.6% and 73.4%, respectively. Our results demonstrate that Taeniidae endophilin B1 may be involved in the control of membrane dynamics, thus contributing to shaping and maintaining the tegumental curvature. rTsMEndoB1 may be useful for large-scale screening, as well as for individual diagnosis and follow-up surveillance of Taeniidae infections.</P>