정상 한국인에서 연령증가에 따른 혈장 Dehydroepiandrosteronesulfate ( DHEA-S ) 농도 및 DHEA - S / cortisol 비의 변화

박성우,유형준,임성희,최문기,유재명,박민숙,이권엽,박철수,김철홍,김현규,김두만,박규용 대한내분비학회 1997 Endocrinology and metabolism Vol.12 No.2

Backgroud: DHEA-S is the most abundant steroid hormone in circulation, and primarily secreted from the adrenal cortex, but its physiological role is little known. One of the characteristic features of DHEA-S is progressive decrement of plasma DHEA-S level with advancing age, in contrast, plasma levels of other adrenal hormones are not chaging or littie decreasing. To grasp the trends of plasma DHEA-S level and DHEA-S/cortisol ratio by age in healthy Korean, we measured the plasma DHEA-S levels and DHEA-S/cortisol ratios in healthy Korean. Methods: Healthy Korean(men: 99, women: 102, age range: 15-97 year old)were studied. Subjects were not taking drugs(such as glucocorticoid or androgenic medication) or cigarettes known to modify the plasma level of DHEA-S and cortisol, and had no evidence of hepatic, renal disease or hyperlipidemia as determined by serum lipid, bilirubin, SGOT, SGPT, BUN, creatinine. Data were analyzed by 10-year age group for men and women: i.e, 10-19, 20-29, 30-39, 40- 49, 50-59, 60-69, 70-79, 80-89 and 90 year or more. Plasma DHEA-S levels were measured by using a commercially available RIA kit with 125I labeled-DHEA-SO4(Coat-A Count DHEA-SO4), and for the measurement of plasma cortisol levels, commercial Gamma Coat TM[125I] Cortisol Radioimmunassay Kit was used. Results:. 1) In both men and women, plasma DHEA-S level showed high interindividual variation within the same age group. 2) There were individual sex differences in plasma levels of DHEA-S, in all age groups, plasma DHEA-S levels were significantly higher values for men than for women. 3) Maximum plasma DHEA-S levels(men; 237+-3.35 ug/dL, women; 108+-17.5 ug/dL) were at third decade in both men and women. 4) Both men and women showed the continuous decline in plasma DHEA-S level with age. These age-related decline was more prominent in men than in women(men; y= -3.152 * +292.6, r2= 0.8459, P$lt;0.05, women; y= -1.417 * +143.3, r2 = 0.7278, P$lt; 0.05). 5) As an index of aging, there was no stastical difference between DHEA-S and DHEA- S/cortisol ratio. Conclusion: In healthy Korean, there were high interindividual variation of plasrna DHEA-S levels. In both men and women plasma DHEA-S level was peak at third decade, and from when it declined progressively with age. These results suggest that although the reliability of single plasma DHEA-S measurement are limited, the decline of DHEA-S with advancing age might be a specific marker of endocrinologic hormonal milieu(aging index). Also, concerning to individual adrenal secreting capacity, we measured DHEA-S/cortisol ratio. But we did not found that plasma DHEA-S/cortisol ratio is superior to the plasma DHEA-S level as an aging index. (J Kor Soc Endocrinol 12:245-254, 1997)

『분노의 포도』의 이중적 작품구조

여형구(Yeo, Hyung-Goo),박상만(Park, Sang-Man) 원광대학교 인문학연구소 2013 열린정신 인문학연구 Vol.13 No.3

There are in The Grapes of Wrath sixteen interchapters making up almost one sixth of the novel. These interchapters have two main functions. First, by presenting the social background the most of them (1, 3, 5, 7, 9, 11, 14, 17. 19, 23, and 29 chapter) serve to amplify the pattern of action created by The Joad family. Second, by providing such historical information as the development of land ownership in California, the consequent development of migrant labor, and certain economic aspects of the social lag some of them (19, 21, and 25 chapter) serve to present the philosophy or social message to which the current situation gives rise. Like the structure of the philosophical passages in interchapters, the chapters" texture have its roots in the Old Testament. This Biblical texture is supported by a continuum of symbols and symbolic actions. The most pervasive symbolism is that of grapes. Still another important Biblical symbol is Jim Casy (Jesus Christ). As the Israelites received the new Law in their exodus, so the migrants develop the new laws. The families learned what rights must be observed. Through this supporting Biblical texture and context there are interwoven two opposing themes which make up the book"s plot. One of these, negative one, concerns itself with the increasingly straitened circumstances of the Joads. This negative or downward movement is balanced by the positive or upward movement. Although the primitive family unit is breaking up, the fragments are going to make up a large group. The climax is prepared for by the last interchapter with which the novel is brought full circle. The rain continues to fall; the truck and household goods must be abandoned; the little mud levee collapsed; Rosashan"s baby is born dead; the boxcar must be abandoned; they take to the highway in search of food and find instead a starving man. Then the miracle happens. As Rose of Sharon offers her breast to the old man, the novel"s two counterthemes are brought together in a symbolic paradox. Out of her own need she gives life; out of the profoundest depth of despair comes the greatest assertion of faith.

The Assessment of Exposure Dose of Radiation Workers for Decommissioning Waste in the Radioactive Waste Inspection Building of Low and Intermediate-Level Radioactive Waste Disposal Facility

Rin-Ah Kim,Ho-Seog Dho,Tae-Man Kim,Chun-Hyung Cho 한국방사성폐기물학회 2020 방사성폐기물학회지 Vol.18 No.2(E)

한국원자력환경공단은 처분시설 내 1단계 인수·저장구역의 인수검사 공간 및 드럼 취급 공간 부족에 대한 문제를 해결하기 위하여 방폐물검사건물을 건설하여 저장·처리능력을 확충할 예정이다. 본 연구에서는 MCNP 코드를 이용하여 방폐물검사 건물 내 저장구역에서 취급하는 해체 방사성폐기물 대상 신형처분용기를 대상으로 작업종사자의 피폭선량을 평가하였다. 평가결과, 시설 내 저장 가능한 최대 용기 개수(304개)와 방사선작업에 대한 연간 예상 작업시간(약 306시간)에 대하여 연간 집단선량은 총 84.8 man-mSv로 계산되었다. 시설 내 총 304개의 신형처분용기(소형/중형 타입)가 저장 완료된 시점에서 인수검사, 처분검사를 위한 작업종사자의 투입인력은 총 25명, 작업종사자 당 예상피폭선량은 연평균 3.39 mSv로 산출 되었다. 소형용기 취급 시 작업종사자의 고방사선량 작업에 따른 작업효율과 방사선적 안전성 확보를 위해서는 콘크리트 라이너의 두께를 증가시키는 추가적인 차폐가 필요할 것으로 평가되었다. 향후 본 연구를 바탕으로 실측기반의 해체폐기 물의 선원항과 특성을 활용하여 방사선작업 당 작업시간 및 투입인력을 산출함으로써 작업종사자의 최적의 방사선작업조건을 도출할 수 있을 것으로 사료된다. The Korea Radioactive Waste Agency plans to expand the storage capacity of radioactive waste by constructing a radioactive waste inspecting building to solve the problem of the lack of inspection space and drum-handling space in the radioactive waste receipt and storage building for the first-stage disposal facility. In this study, the exposure doses of radiation workers that handle new disposal containers for decommissioning waste in the storage areas of the radioactive waste inspecting building were calculated using the Monte Carlo N-particle transport code. The annual collective dose was calculated as a total of 84.8 man-mSv for 304 new disposal containers and an estimated annual 306 working hours for the radiation work. When the 304 new disposal containers (small/medium type) were stored in the storage areas, it was found that 25 radiation workers should be involved in acceptance/disposal inspection, and the estimated exposure dose per worker was calculated as an average annual value of 3.39 mSv. When the radiation workers handle the small containers in high-radiation dose areas, the small containers should be shielded further by increasing the concrete liner thickness to improve the work efficiency and radiation safety of the radiation workers. The results of this study will be useful in establishing the optimal radiation working conditions for radiation workers using the source term and characteristics of decommissioning waste based on actual measurements.

제2형 당뇨병 환자의 치료에서 복약순응도가 혈당 조절에 미치는 영향

김경선,김민정,박소현,박영주,허정순,이은경,김선영,이수형,김상수,강양호,손석만,김인주,김용기 한국병원약사회 2009 병원약사회지 Vol.26 No.2

Abstract: As known in clinical trial like DCCT, UKPDS, tight glycemic control is essential to prevent complications from diabetes mellitus(DM). In type 2 diabetes taking multiple medication, nonadherence to medications is common problem. The aim of our study is to investigate adher-ence rate of patients with type 2 DM and to evaluate association between many factors including adherence rate and HbA_(1C). 441 patients with type 2 DM who visited Busan National University Hospital endocrine internal department from Aug 13 to Sep 2, 2008(3weeks) were enrolled. We conducted a man-to-man questionnaire survey about general knowledge about diabetes mellitus, medicine and adherence, and measured HbA_(1C). Among them, 305 patients taking oral hypo-glycemic agent(OHA) were analyzed to investigate correlation between adherence rate and glycemic control. We studied 305 patients(male 126, female 179, average age 61.2±9.8 years, DM duration 8.6±6.4 years, average adherence 88.8±16.2%, average HbA_(1C) 7.03± 1.18%). HbA_(1C) showed significant relation with DM duration(r=0.137, p=0.017), number of aHA in regimen (r=0.135, p=0.018), dosage frequency(r=0.132, p=0.026), Medication Refill Adherence(MRA)(r=-0.124, p=0.030) and adherence(r=-0.168, p=0.003). Adherence had significant relation with MRA(r=0.148, p=0.010) but didn't have statical corelationship with DM duration, number of aHA and dosage frequency. Patients that their adherence rate exceed 90% took fewer OHA(p=0.011) and went on a better dietary treatment(p=0.007). In patients controlling diabetes mellitus with aHA, when adherence rate and MRA was higher, HbA_(1C) was lower. As a result, to improve adher-ence rate, it is necessary to enhance patient education, do careful consideration about prescrip-tion medicine number and dosage frequency

Mirizzi 증후군의 변형된 분류와 치료

김형철,강길호,채만규,김성용,백무준,이문수,박상흠,이문호,김창호,송옥평,조무식,박희주 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Purpose : The Mirizzi syndrome is relatively rare and preoperative diagnosis of this disease is difficult. In 1978, Morelli suggested the subclassification of the Mirizzi syndrome into acute or chronic form. We experienced 5 cases of acute form. We analysed clinical features, preoperative radiologic findings and operative findings of 18 cases including acute forms which were diagnosed as Mirizzi syndrome and should suggest the modified classification of Mirizzi syndrome for choice of appropriate treatment. Method : From January 1995 to December 1998, 18 cases, of which 8 cases were diagnosed at Soonchunhyang University Chunan Hospital, and 10 cases were reported in the Korean Journal were retrospectively analysed with regard to clinical features, preoperative radiologic findings and operative findings. According to the clinical features, whole cases were divided into type Ⅰ(acute form) and type Ⅱ(chronic form) and then each type of cases were subclassified according to preoperative radiologic findings and operative findings. Results : Of 18 cases there were 5 cases in type Ⅰ(27.8%), 13 cases in type Ⅱ(72.2%). Type Ⅱb was most common. Type Ⅰa cases were treated only with cholecystectomy. We applied cholecystectomy, T-tube choledochostomy and patch technique in type Ⅰb and thpe Ⅰc cases. Cholectystectomies including removal of gallstones and internal drainage procedures were done in type Ⅱ chronic forms. Conclusion : The acute form(Type Ⅰ) of Mirizzi syndrome was suggested by Morelli might be subclassified into typeⅠa,Ⅰb and Ⅰc following the presence of the necrotic defect in common hepatic duct. Through the modified classification of Mirizzi syndrome based on clinical feature, preoperative radiologic findings and operative findings, we can choice appropriate treatment.

혈중 및 호기 일산화탄소를 이용한 일산화탄소 헤모글로빈 농도간의 관련성 연구

김형수,박태혁,손지언,정갑열,김정만,김준연 동아대학교 2001 大學院論文集 Vol.26 No.-

This study was conducted to find a correlation between blood COHb and calculated COHb with expiratory air and related variables such as occupational and smoking factors. Author selected 69 healthy workers in 8 workplaces suspected CO exposure. Basic informations were collected by self-reported questionnaire and medical history taking. Author measured Indirect COHb concentration with expiratory air using Micro II-Smokerlyzer and blood COHb concentration using Oxymeter. The results of the study were summarized as follows : 1. In the smoker, mean blood COHb and calculated COHb with expiratory air were 2.21±0.98% and 2.27±0.97 %, and there was not a statistically significant difference. In the non-smoker, mean blood COHb and calculated COHb with expiratory air were 0.42±0.43 % and 0,65±0.30 %, and there was also not a statistically significant difference. 2. There were positive correlations between blood COHb and calculated COHb with expiratory air in both the smoker (r=0.91, p=0.0001) and non-smoker (r=0.73, p=0.0001). 3. In the smoker, the factors affected COHb were total smoking index (Pack × years) and passed time after the last smoking. 4. In the nonsmoker, the parking and driving groups had higher COHb concentration than others (p<0.05). In conclusion, there was no significant difference between indirect COHb concentration with expiratory air using Smokerlyzer and blood COHb concentration and there was a highly significant correlation between indirect and blood COHb concentrations. Therefore indirect COHb concentration with expiratory air is a useful screening method for CO exposure. Author suggest the resection of smoking during at least 90 minutes before measuring COHb concentration in order to exclude smoking effects.

現代福祉國家論 小考

柳瀅萬 대구효성카돌릭대학교사회과학연구소 1992 사회과학연구 Vol.1 No.-

줄넘기 운동이 건강에 미치는 영향

유종만,손형구 한국체육대학교 1997 敎養敎育硏究所 論文集 Vol.- No.2

Rope skipping is an exercise that can be done with little cost, space and time. Despite its minimal requirements, however, the exercise provides great effect in disciplining the participants' mind and body which in turn helps them to become wholesome members of society. Anyone regardless of age, sex, or strength can do rope skipping. The exercise is not harmful to the body because one performs it alone at one's own pace at a place that is safe and peaceful. Since it requires the movement of the whole body, rope skipping can help to develop a balanced figure. In addition, it can improve circulation and the respiratory function, as well as prevent lack of appetite, gastroenteric disorder, cardiac disease, and so, on. Moreover, rope skipping can help people with obesity to burn fat.

된장으로부터 혈전용해효소 생산균주 분리

김진만,서형주 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.2

Bacterial strains showing the fibrinolytic activity were screened from Doenjang (Korean traditional soybean paste). The strain 5,6, 13 and 15 isolated from Doenjang showed a high level of caseinolytic and fibrinolytic activity. The fibrinolytic activities of strain 5, 6, 13, and 15 were 32.9, 31.0, 22.3, and 23.2 unit, respectively. A strain 5 among the four strains showed the highset fibrinolytic activity (32 unit), and subsequently identified as Bacillus subtilis. The fibrinolytic strain was designated as Bacillus subtilis KS-5.

흰쥐 해마박편에서 veratrine과 고농도 포타슘자극시 칼슘이온이 gamma-aminobutyric acid 유리에 미치는 영향에 관한 연구 : A role of calcium

강수만,김형룡,김관식,정동균 대한구강생물학회 1991 International Journal of Oral Biology Vol.15 No.2

Present study was performed to clarify the effect of calcium on the release of gamma-aminobutyric acid (GABA) employing hippocampal slices. Hippocampal slices(300-400㎛ thick) were prepared by the method of Kim et al(1988) and pre-equilibrated in Krebs-bicarbonate medium(KBM, pH 7.4) for 1hr at 37℃. In case of veratrine-induced GABA release, pre-equilibrated slices were incubated in fresh KBM and then veratrine (25μM)-containing KBM for 10min period in the presence or absence of 2.5mM Ca^2+. In case of potassium-induced GABA relaese, pre-equilibrated slices were incubated in fresh KBM and then potassium(50mM)-containing KBM for 5min period in the presence or absence of 2.5mM Ca^2+. Basal and veratrine and potassium-induced release of GABA was determined from recovered medium by HPLC. The observed results were as follows: 1. The release of GABA induced by the 10min-exposure of 25μM veratrine and 5min-exposure of 50mM potassium in the presence of 2.5mM Ca^2+ was 228.9±11.2 nmol and 100.1±8.9nmol, respectively. When compared with released amounts of GABA during the corresponding spontaneous periods, these were 6.8 and 4.6-fold increase respectively. 2. The release of GABA induced by the 10min-exposure of 25μM veratrine and 5min-exposure of 50mM potassium in the absence of Ca^2+ was 381.4±30.2 nmol and 55.1±4.1 nmol, respectively. When compared with released amounts of GABA during the corresponding spontaneous periods, these were 11.3 and 2.4-fold increase respectively.