위암 수술 중 림프절 전이의 확인을 위해 시행한 수술 중 Imprint Cytology의 결과

이영준,이성현,박순태,최상경,홍순찬,정은정,주영태,정치영,하우송,Lee, Young-Joon,Lee, Sung-Hyun,Park, Soon-Tae,Choi, Sang-Gyeong,Hong, Soon-Chan,Jung, Eun-Jung,Joo, Young-Tae,Jeong, Chi-Young,Ha, Woo-Song 대한위암학회 2005 대한위암학회지 Vol.5 No.3

목적: 위암 수술 시 주변 림프절 전이 여부의 파악을 수술 중에 하는 것은 특히 제한적인 수술을 시행하는 경우 도움이 된다. 현재 사용 가능한 방법은 동결절편법, imprint cytology, 그리고 기타 분자학적인 방법들이 있으며 최근의 대부분의 연구들에서는 동결절편 법을 이용하여 그 결과를 보고하고 있다. 본 연구에서는 저자들은 imprint cytology 방법이 위암 수술 증 림프절 전이 여부를 판단하는 데 있어서 가지는 정확도와 실행 가능성에 대해 알아보았다. 대상 및 방법 2001년 4월부터 2003년 3월까지 260명의 연속된 위암 환자를 대상으로 imprint cytology를 시행하였다. 경험이 풍부한 세포 병리학자의 슬라이드 재검토가 있은 후 그 민감도, 특이도, 정확도 등을 구하였다. 결과: 수술 중 시행하는 imprint cytology에 소요되는 시간은 평균 8분이었으며, 민감도, 특이도, 그리고 정확도는 각각 52.2%, 88.8%, 73.8%였다. 결론: 만약 민감도와 특이도가 어느 정도 만족스러운 수준으로 향상된다면 imprint cytology는 수술 중 림프절 전이여부를 파악하는 데 있어서 유용한 방법이 될 수 있다. Purpose: Intraoperative assessment of lymph node status is important when performing limited surgery in gastric cancer patients. Currently available techniques are frozen section, imprint cytology, and other molecular methods, and most current studies use the frozen section method. In the present study, the authors focused on the accuracy and the feasibility of imprint cytology as a tool to assess the lymph node status intraoperatively in gastric cancer surgery. Materials and Methods: Between April 2001 and March 2003, we performed imprint cytology of the sentinel nodes of 260 consecutive patients. After review by an experienced cytopathologist, the sensitivity, the specificity and the overall accuracy were determined. Results: The time required for intraoperative imprint cytology was 8 minutes, and the sensitivity, the specificity and the overall accuracy were 52.2%, 88.8%, and 73.8%, respectively. Conclusion: Imprint cytology can be a useful technique for assessing lymph node status intraoperatively if the sensitivity and the specificity can be improved to an acceptable level.

소아 대상 혈액배양검사 현황 파악을 위한 국내 다기관 설문조사

이영준,이지영,공섬김,연규민,홍유라,오지은,Lee, Young Joon,Lee, Ji Young,Kong, Seom Kim,Yeon, Gyu Min,Hong, Yoo Rha,Oh, Chi Eun 대한소아감염학회 2018 Pediatric Infection and Vaccine Vol.25 No.1

Purpose: Blood culture is an essential diagnostic tool and requires clear indications, proper techniques, and quality control. We aimed to investigate whether blood cultures in children are appropriate for indications, are performed correctly, and receive proper quality control. Methods: We conducted an online survey targeting pediatric infectious diseases (ID) specialists working in general hospitals and neonatologists (Neo) working at hospitals operating a neonatal intensive care unit in Korea. Results: Approximately 81.1% (30/37) of pediatric ID specialists and 72.2% (52/72) of Neo responded to the survey. Some of the respondents (33.3% of ID and 59.6% of Neo) performed blood culture as a regular test irrespective of the indication. Approximately 40% of ID and 65.4% of Neo ordered only one set of blood culture in patients suspected with bacteremia. The most commonly used disinfectant for skin preparation was povidone-iodine, while the skin preparation method varied by institution. Approximately two-thirds of the institutions were monitoring the blood culture contamination rate, whereas relatively few provided staff with feedback on that rate. In addition, less than half of the institutions were providing regular staff training on blood culture (40% of ID and 28.8% of Neo). Conclusions: The indication and methods of blood culture for children varied according to institution, and few hospitals exert effort in improving the quality of blood culture. Institutions have to strive constantly toward improvement of blood culture quality and evidence-based recommendations for pediatric blood cultures should be standardized.

Effect of Gongjindon a Traditional Korean Polyherbal Formula, on the Pharmacokinetics Profiles of Donepezil in Male SDRats (1) -Single Oral Combination Treatment of Donepezil 10mg/kg with Gongjindan 100mg/kg within 5 min-

이영준,구세광,Chung, Dae-Kyoo,Kwon, Oh-Dae,Park, Soo-Jin,Lee, Young-Joon,Ku, Sae-Kwang 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1

Objectives : This study was aim to evaluate effects of pharmacodynamics and toxicity in combination therapy of donepezil with Gongjindan. Methods : After 10mg/kg of donepezil treatment, Gongjindan 100mg/kg was administered within 5 min. The plasma were collected at 30min before administration, 30min, 1, 2, 3, 4, 6, 8 and 24hrs after end of Gongjindan treatment, and plasma concentrations of donepezil were analyzed using LC-MS/MS methods. PK parameters of donepezil were analysis as compared with donepezil single administered rats. Results : Gongjindan markedly inhibited the absorption of donepezil regardless of sample time, from 30min to 8hrs after end of co-administration comparing with donepezil single treated rats. Especially the absorption of donepezil was significantly decreased at 2hrs after co-administration as compared with donepezil single treated rats, in the present study. Accordingly, the Cmax(-27.76%), $AUC_{0-t}$(-27.22%) and $AUC_{0-inf}$(-26.54%) of donepezil in co-administered rats were significantly decreased as compared with donepezil single treated rats, respectively. Conclusions : Based on the results of the present study, co-administration of Gongjindan decreases the oral bioavailability of donepezil by inhibiting the absorption. It is considered that the more detail pharmacokinetic studies should betested to conclude the effects of Gongjindan on the pharmacokinetics of donepezil, when they were co-administered, like the effects after co-administration with reasonable intervals considering the Tmax of donepezil and after repeated co-administrations.

Effects of Hydraulic Retention Time on Hydrogen Production

이영준,Lee, Young-Joon Korean Society of Environmental Health 2005 한국환경보건학회지 Vol.31 No.4

연속반응조에서의 수소생산에 대한 수리학적체류시간(희석율, D)의 영향을 $1\%$ sucrose를 함유한 $37{\pm}1^{\circ}C$ 조건에서 조사하였다. 실험결과 수리학적체류시간(희석율)의 각각의 조건에 따라 생성된 가스중 수소성분은 $50~71\%$의 범위로 발생되었다. $H_2/CO_2$ 비율은 희석율이 증가할 때 $H_2/CO_2$ 비율도 증가하였다. 최대수소생성 수율은 희석율 0.14 l/h까지는 증가하다가 이후에는 감소하였고, 수소생성 수율은 0.81 l/g sucrose이었다. Acetate 생성 수율은 butyrate생성 수율 보다 희석율 조건변화에 민감하게 변화하였다. propionate 및 solvents는 희석율 변화에 영향을 받지 않았다 biomass 수율은 희석율이 0.2 l/h 까지는 증가하였으나, 그 이상의 조건에서는 감소하였다.

Synergic Effects of Mixed Formula Consisted of Polycan and Calcium-gluconate on the Experimental Periodontitis and Alveolar Bone Loss in Rats

이영준,구세광,Lee, Won-Ho,Kim, Kyung Hu,Kang, Su Jin,Lee, Young Joon,Ku, Sae Kwang 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.1

Objective : Polycan, exopolymers purified from Aureobasidium pullulans SM-2001 and calcium gluconate have been showed favorable inhibitory effects on the periodontitis and related alveolar bone losses through antioxidant and anti-inflammatory activities, respectively. In the present study, we intended to observe the possible synergic effects of mixed formula consisted of Polycan and calcium gluconate on ligation-induced experimental periodontitis and related alveolar bone losses in rats, and to select the fittest compositions for further developing as effective agents to ameliorate periodontal diseases. Method : Experiments were conducted as two separated two tests - first is synergic effects of Polycan and calcium gluconate 1:1, 1:9 and 9:1 mixtures, and second is 1:99, 2:98, 4:96, 8:92 and 1:9 mixtures. Experimental periodontal diseases were induced by ligature placed around the cervix of upper left incisior teeth of rats. One day after ligation placements, 200mg/kg of each single or mixed formulas of Polycan or/and calcium gluconate were orally administered for 10 days. The changes on the alveolar bone loss index and maxillary bone mineral density (BMD) were observed for detecting alveolar bone losses, and for anti-inflammatory effects, myeloperoxidase (MPO) activities and proinflammatory cytokine (tumor necrosis factor; TNF-${\alpha}$) contents were also evaluated in gingival tissues around ligature placed incisior teeth. The results of mixtures were compared with those of singe Polycan and calcium gluconate treated rat. Results : Each single or mixed formulas of Polycan or/and calcium gluconate favorably and significantly inhibited the inflammatory changes. The inhibitory effects of mixed formula consisted of Polycan and calcium gluconate 1:9 showed against periodontitis and related alveolar bone losses as compared with those of each Polycan and calcium gluconate single formula (p<0.05). In second experiment, Polycan and calcium gluconate 2:98, 4:96, 8:92 and 1:9 mixed formulas also showed significant increased anti-inflammatory and inhibitory effects against alveolar bone losses as compared with those of each single formula. Among them, Polycan and calcium gluconate 2:98 showed the highest efficacy against to ligation-induced experimental periodontitis and related alveolar bone losses. Conclusion : The results obtained in this study suggest that appropriated mixtures of Polycan and calcium gluconate showed synergic inhibitory effects against ligation-induced experimental periodontitis and related alveolar bone losses in rats. Moreover, Polycan and calcium gluconate 2:98 showed the highest efficacies in this experiment, suggesting the fittest composition for further developing as effective agents to ameliorate periodontal diseases.

무증상 혈뇨 또는 단백뇨 소아의 좌신정맥 혈류 속도

이영준,황유식,김명준,이재승,Rhie Young-Jun,Hwang You-Sik,Kim, Myung-Joon,Lee Jae-Seung 대한소아신장학회 2005 Childhood kidney diseases Vol.9 No.1

목 적:Nutcracker 증후군은 건강한 소아에서 혈뇨 또는 단백뇨가 발생하였을 때 감별해야 할 질환이다. 본 연구의 목적은 무증상 혈뇨 및 단백뇨 소아에.서 nutcracker 증후군이 차지하는 비율을 살펴보고, nutcracker 증후군을 제외한 무증상 혈뇨 또는 단백뇨 소아에서 복부대동맥과 상장간막동맥 사이의 좌신정맥 혈류속도와 좌신문에서의 좌신정맥 혈류속도를 도플러 초음파로 측정하여 두 지점에서의 최고 혈류 속도비의 범위를 구하고 성별, 연령, 요검사 소견에 따라 차이점이 있는지 살펴보는 것이다. 방 법:2001년 5월부터 2004년 3월까지 혈뇨 또는 단백뇨로 세브란스 병원 소아 신장과를 내원한 소아에서 도플러 초음파로 복부대동맥과 상장간막동맥 사이의 좌신정맥 혈류속도와 좌신문에서의 좌신정맥 혈류속도를 측정하여 두 지점에서 좌신정맥의 최고 혈류 속도비를 구하였다. Nutcracker 증후군으로 진단된 소아는 제외하였다. 결 과 :총 304명 중 nutcracker 증후군으로 진단된 환아는 107명(35.2%)이었다. 나머지 197명의 좌신정맥의 최고 혈류 속도비의 평균값은2.54$\pm$0.73(범위 1.08-4.00)이었고 성별, 연령별, 요검사 소견별로 나누어 비교하였을 때 유의한 차이가 없었다. 결 론 :혈뇨나 단백뇨가 있는 소아에서 원인으로 nutcracker 증후군을 반드시 고려해야 하며, 도플러 초음파는 nutcracker 증후군의 선별검사로서 조기 진단과 합병증 예방에 유용할 것으로 생각된다. Nutcracker 증후군을 제외한 무증상 혈뇨 및 단백뇨를 보이는 환아에서 좌신정맥의 최고 혈류 속도비는 정상 소아의 것과 크게 다르지 않으며, 성별, 연령, 요검사 소견에 따른차이는 없었다. Purpose : Nutcracker syndrome must be considered when hematuria or proteinuria occurs in a healthy child. The purpose of this study is to investigate the prevalence of nutcracker syndrome among children with asymptomatic hematuria or proteinuria, and to obtain the ratios of the peak velocity of the left renal vein between the aortomesenteric portion and the hilar portion in children with asymptomatic hematuna or protelnuria in which nutcracker syndrome was excluded and to observe whether the ratios are affected by sex, age or urinalysis findings. Methods : Using Doppler ultrasonography, we measured the flow velocity and obtained the peak velocity ratios of the left renal vein at the aortornesenteric portion and at the hilar Portion of the left kidney in children with asymptomatic hematuria or proteinuria who visited the Division of Pediatric Nephrology, Severance Hospital from May 2001 to March 2004. Results : Of 304 children with asymptomatic hematuna or proteinuria, 107 children(35.2%) were diagnosed with nutcracker syndrome. For 197 children with asymptomatic hematuria or proteinuria excluding nutcracker syndrome, the mean ratio of the peak velocity was 2.54 $\pm$0.73, which was not affected by sex, age or urinalysis findings. Conclusion : Nutcracker syndrome was the major cause of asymptomatic hematuria or proteinurla In children, comprising 35% of all cases. Doppler ultrasonography was helpful in the screening of nutcracker syndrome and prevention of its complications. For children with asymptomatic hematuria or proteinuria excluding nutcracker syndrome, the peak velocity ratio of the left renal vein did not differ from that of normal children and was not affected by sex, age or urinalysis findings. (J Korean Soc Pediatr Nephrol 2005;9:15-20)

혈관성 치매 치료 약물에 대한 문헌 고찰 연구 : 외국문헌을 중심으로

이영준,한창현,전원경,백경민,전우현,최성훈,Lee, Young-Joon,Han, Chang-Hyun,Jeon, Won-Kyung,Baek, Kyung-Min,Cheon, Woo-Hyun,Choi, Seong-Hun 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.2

The average human life span has increased due to the development of modern medicine and science, resulting in prolonged life expectancy and increase in the population counts of the geriatric age group. In particular, a dramatic increase of elderly patients suffering from senile disorders including neurodegenerative diseases, Alzheimer's disease(AD), and vascular dementia has become a serious social problem in public health. Thus, this study is aimed to summarize available clinical trial data on several commonly used medicines include donepezil, rivastigmine, galantamine, memantine and oriental medicine, and examine the effect of oriental medicine combined with western medicine in the treatment of patients with senile disorders using the data from literature reviews and survey studies.

고수압 조건에서 쉴드터널 세그먼트 라이닝 구조설계에 관한 연구

이영준,김기림,정건웅,홍의준,김선홍,전덕찬,Lee, Young-Joon,Kim, Ki-Lim,Jeong, Keon-Woong,Hong, Eui-Joon,Kim, Seon-Hong,Jun, Duk-Chan 한국터널지하공간학회 2015 한국터널지하공간학회논문집 Vol.17 No.3

양호한 암반조건이나 균질한 점토지반 등 불투수성 지반의 경우에도 불연속면에 의하여 수압이 작용될 수 있으므로, 설계시 지반조건에 상관없이 수압조건을 고려하고 있다. 그러나, 세그먼트 라이닝의 형상이 원형임에 따라 수압을 고려하는 경우가 오히려 라이닝에 발생되는 부재력을 감소시킬 수가 있으므로, 고수압 조건에서는 이에 대한 설계개념정립이 중요하다. 따라서, 본 논문에서는 고수압의 불투수성 지반조건에서 하중조건 및 하중조합에 따른 부재력 크기 등을 비교함으로서, 세그먼트 라이닝 설계시 합리적이고 적절한 설계개념에 대하여 서술하였다. In impermeable ground, water pressure is applied due to discontinuity such as joint or fissure. Therefore, water pressure should be considered in design regardless of ground condition. However, when the shape of segmental lining is circular, water pressure may reduce the lining member force, so it is important to define the assumption and the concept of design in case of high water pressure. This paper presents the concepts of design of the lining of shield tunnel at high water pressure and in impermeable ground condition. In addition, the member forces in various load conditions were compared in this study. (elastic equation, closed form solutions, beam-spring model).

A549세포에 대한 목향추출물의 ROS 매개 세포독성

이영준,구세광,강수진,Lee, Young-Joon,Ku, Sae-Kwang,Kang, Su-Jin 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.2

Objectives : Many cancers acquired resistance to chemotherapy, thus limiting its anticancer efficacy. It is known that Glutathione (GSH) is related to the development of drug resistance. The expression of GSH synthesizing glutamylcysteine ligase (GCL) was controlled by nuclear factor-E2-related factor(Nrf2). Previous studies showed that pharmacological depletion of GSH results in ROS increase, apoptotic response, and sensitization to oxidizing stimuli. In the current study, we examined Saussurea Lappa (SL) have the inhibitory effect on Nrf2 activity using human lung cancer A549 cells overexpressing Nrf2. Methods : Cell viability of A549 cells on SL treatment was determined by MTT assay. To detect the apeptosis in SL-treated A549 cells, sub-G1 population was measured by flow cytometry analysis (FACS). The level ROS was determined by FACS and fluorescence microscopy. To investigate whether SL have effect the suppression on Nrf2, we performed western blotting analysis. The GSH content was measured since GSH plays an important role in response to oxidative stress and was regulated by Nrf2. Results : A549 cells treated with an SL extract showed a substantial decrease in cell viability, along with a concomitant increase in apoptosis compared to untreated cells. Treatment of the SL extract led to increased Reactive oxygen species (ROS) production and a suppression of Nrf2. In addition, the antioxidant NAC attenuated SL-induced ROS generation, Nrf2 inhibition, and apoptosis. Taken together, these data show that the SL extract induced the production of ROS, and the inhibition of Nrf2, consequently resulting in A549 cell death. Conclusions : These results suggest that SL might be an effective agent to enhance anticancer drug sensitivity via Nrf2 inhibition.

Hypoglycemic and hypolipidemic effects of Allium victorialis leaf extract in high fat diet supplied mice

이영준,Ku, Sae-Kwang,Chung, In-Kwon,Cheon, Woo-Hyun,Lee, Young-Joon 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.1

The hypoglycemic and hypolipidemic effects of Allium victorialis (AV) leaf methanol extract were evaluated in a high fat diet (HFD) supplied mice. Changes on the serum glucose, total cholesterol, triglyceride, low density lipoprotein and high density lipoprotein were examined. The effects were compared with those of a group given 250 mg/kg of metformin. After 91 days of a continuous HFD supply, the mice were showed marked hyperglycemia and hyperlipemia. However, these hyperglycemia and hyperlipemia induced by the HFD were inhibited by the AV extract treatment at the three different doses (62.5, 125 and 250 mg/kg). The results suggest that the AV methanol extract is beneficial for improving the diet-induced hyperlipidemia and hyperglycemia in humans.