혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.

당뇨병 백서의 간세포에서 Glucokinase 활성도 및 유전자 발현에 대한 인슐린의 영향

강성이,팽정령,서광식,안규정,우정택,김성운,양인명,김진우,김영설,김광원,최영길 경희대학교 유전공학연구소 1993 遺傳工學論文集 Vol.5 No.-

목적 당대사의 조절 상태에 따른 생체 변화를 분자 수준에서 이해하고자 식이 조건을 달리한 정상 백서와 화학적으로 유도된 당뇨병 백서의 간조직에서 혈당수준과 인슐린치료 정도에 따라 나타나는 글루코키나제 활성도 및 유전자 발현을 분석하였다. 방법 스트렙토조토신 정맥투여 후 당뇨병의 유발을 확인하고, 인슐린을 1일 3회 3일간 복강내로 투여하여 상태를 안정시킨 후, 인슐린 투여군은 인슐린 투여 6시간이내에 그리고 인슐린 비투여군은 24시간 후 단두하여 채혈하고 복강을 열어 간조직을 채취하였다. 채취한 간조직에서 글루코키나제 활성도는 인산화된 포도당에서 NADH의 형성을 형광분광계로 측정하였으며, 글루코키나제 유전자 mRNA발현은 Northern 분석법을 이용하였다. 성적 정상 백서에서 공복상태와 식이를 섭취한 경우에 간조직의 글루코키나제 효소의 활성은 차이가 없었으나, 글루코키나제 유전자 mRNA 발현은 증가되었다. 당뇨병이 유발된 백서의 간조직에서 글루코키나제 효소의 활성 및 글루코키나제 유전자의 mRNA 발현은 정상 백서에 비하여 낮았다. 인슐린 투쳐 후 글루코키나제 효소의 활성 및 글루코키나제 유전자의 mRNA 발현이 증가되었고, 특히 혈당이 정상화된 경우에서 글루코키나제 유전자의 mRNA 발현이 증가도었다. 결론 인슐린에 의한 간조직에서 글루코키나제 효소의 활성 및 글루코키나제 유전자의 mRNA을 증가를 볼수 있었다. 당뇨병 백서에서 인슐린 투여 후에 혈당조절이 안된 경우 간조직의 글루코키나제 유전자의 mRNA 발현이 증가가 없는 것으로 보아 글루코키나제 mRNA의 발현에는 인슐린 이외의 다른 요소가 관여할 것으로 생각된다. The liver-specific hexokinase isoenzyme, referred to as glucokinase, is thought to play a key reglulatory role in hepatic glucose metabolism. The glucokinase gene is, therefore, of interest both because of its tissue-specific expression and because of the several regulatory processes that can be analyzed. The level of hepatic glucokinase activity appears to be determined essentially by regulation of the rate of enzyme synthesis, with insulin playing a leading role as an inducer. We investigated the role of insulin for the induction of glucokinase in the liver of diabetic rats. Experimental diabetes was induced by injection of streptozotocin 7 days before the experiment. Regular insulin was given by three days intraperitoneal injection at 8-h interval. The glucokinase mRNA in the liver was estimated by Nothern blot assay, as well as by fluorometric enzyme activity assay. Glucokinase activity was not reduced in the liver of normal fasting rats as compared to normal fed rats. And glucokinase activity was reduced in the liver of diabetic rats as compared to normal rats. In diabetic rats treated with insulin, glucokinase enzyme activity were increased. But glucokinase mRNA expression was only increased in normoglycemic diabetic rat with treated with insulin as compared to hyperglycemic rat. These data indicate that insulin stimulates hepatic glucokinase enzyme activity and mRNA expression. But other hormonal or metabolic factors may be contribute to regulation of glucokinase mRNA expression.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

지하철 기관사의 운행 중 사고경험에 따른 정신건강의 차이

우종민,강태영,이정은 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.1

목적: 본 연구는 지하철 운행 중 사고경험이 있는 기관사의 PTSD와 공항 장애 유소견자의 분포를 알아보고자 하였다. 또한 운행 중 사고경험이 있는 기관사와 사고경험이 없는 기관사와의 공황 장애의 차이를 알아보고, 더불어 스트레스 수준과 업무 관련 증상 및 수면 건강의 차이를 알아보고자 실시되었다. 방법: 2004년 4월∼5월 수도권 지하철 기관사 628명을 대상으로 스트레스 증상 수준, 수면 건강, 공황 장애, 임상가를 위한 PTSD 설문지 등을 이용하여 정신건강 상태를 조사하였다. 결과: 운행 중 사고경험이 있는 기관사의 PTSD 유소견자 비율이 일반인구에 나타나는 PTSD 유병률에 비해서 높았으며, 공황 장애와 공병도 높은 것으로 나타났다. 또한 사고경험이 있는 기관사는 없는 기관사에 비해서 공황 장애 유소견자의 비율이 높으며, 스트레스 증상과 그 하위척도인 우울 증상과 분노 증상도 높은 것으로 나타났다. 뿐만 아니라 근무 관련 증상으로는 일에 대한 의욕 저하와 집중력이 저하되어 실수가 많은 것으로 나타났다. 일부 수면 건강도 사고경험이 있는 기관사가 없는 기관사에 비해서 좋지 않은 것으로 나타났다. 결론: 운행 중 사고경험은 정신적인 건강을 위협할 뿐만 아니라 업무 효율성도 떨어뜨리게 된다. 따라서 이러한 스트레스의 악영향을 없애기 위해서 사고와 연관되어 나타나는 심리적인 반응 및 증상을 이해하고 외상후 스트레스 장애 및 공황 장애와 같은 후유증을 치료하는 프로그램을 개발하고 활용해야 한다. Objectives: This study examined the prevalence of Post traumatic stress disorder(PTSD) and the comorbidity with panic disorder in subway drivers who experienced accidents on the track. In addition, this study examined the differences in panic disorder, stress levels, work-related problems, and sleep disturbances between drivers with and without an accident-experience. Methods: 628 Seoul metropolitan subway drivers were participated in this study. We assessed mental health status of the subjects using the Clinician-administered PTSD scale (CAPS), panic disorder scale based on the DSM-IV criteria, Worker's Stress Response Inventory, and Sleep Questionnaire. Results: The prevalence of PTSD and comorbid panic disorder was significantly higher among those drivers who had experienced accidents than in those who had not. Drivers with an accident experience showed significantly higher somatic, depressive, anger symptoms in the stress measures, and more sleep problems than those drivers without an accident experience. Conclusions: The experience of an accident on the track threatens both the work efficiency and the mental health of drivers. In order to reduce the negative effect of an extremely stressful event related to accidents, intervention programs for PTSD and panic disorder need to be developed and utilized.

2차원 Dilaton-중력 이론의 표준 양자화

강동식,강정우,박규은 濟州大學校 師範大學 科學敎育硏究所 1994 科學敎育 Vol.11 No.1

The quantization of the 2-dimensional Dilaton-Gravity theory on a compact spatial section is carried out in a canonical method. The wave function is obtained for a homogeneous & isotropic universe.

脂質 종류에 따른 나일틸라피아의 성장 효과

강석중,최병대,정우건 國立統營水産專門大學 附設 水産科學硏究所 1994 수산과학연구소보고 Vol.5 No.-

양어 사료에 피드오일을 첨가하면 사료 효율이 향상된다. 나일틸라피아가 요구하는 필수 지방산의 종류를 알아보기 위하여 대두유 및 옥수수유 등의 식물유 및 오징어 간유, 어유를 사료에 첨가하고 사육하여 다음과 같은 결과를 얻었다. n-6 계열이 풍부한 식물유를 투여한 실험구가 n-3 계열의 어유를 투여한 실험구 보다 성장이 좋았으며 그 중에서도 대두유 첨가구가 가장 양호하였다. 총 지질중의 20:3n-9의 수준은 유지의 종류에 따라 현저한 차이는 없었으나 극성 지질중의 20:3n-9의 수준은 어유 및 오징어 간유 보다는 식물유구에서 낮게 나타났다. 틸라피아 사료에 첨가하는 지질로서는 n-6계열을 많이 포함하는 것이 적당할 것으로 나타났다. Experiments were conducted to find out suitable dietary lipids in the practical feed for Nile tilapia, Oreochromis niloticus. Soybean oil, corn oil, fish oil or cuttlefish liver oil was mixed in the diet and tested. The best weight gain and feed efficiency were obtained from the fish fed soybean oil or corn oil, both rich in 18:2n-6. But the growth rate of fish fed diet with fish oil or cuttlefish liver oil were inferior. The levels of 20:3n-9 in the total lipid were not different in all tested lipids, but that in the polar lipid of the fish oil or cuttlefish liver oil were lower than that in the soybean oil or corn oil. Thus, vegetable oil such as soybean oil or corn oil, rich in 18:2n-6, were suitable as dietary lipid for Nile tilapia. Unlike other fish species, fish oil or cuttlefish liver oil showed no essential dietary value for this species.

도로공사 우수배제시설의 시공성 및 성능 개선에 관한 연구

강인석,박서영,곽중민,이우식,정수언 경상대학교 생산기술연구소 2001 工學硏究院論文集 Vol.1 No.-

Generally, a street-inlet in road facility is aimed to exclude rainfall and filth from sewer system. In order to solve some problems in current street inlet facilities, some revised inlet systems have been suggested. Those revised facilities can also solve an environmental problem like a bad smell emitting from the worn facility and solve civil petitions due to its safety and poor quality of passing rainfall. In this study, the existing rainfall exclusion facility was investigated including foreign countries and a developed street inlet model was represented through estimating of their structures, characteristics and costs. It also be analyzed that the existing problems can be solved by a trial construction and the developed model was compared with existing models by focusing on constructability and maintenance capacity.

컴퓨터 프로그램을 이용한 과학실험 자료해석

강동식,강정우 濟州大學校 師範大學 科學敎育硏究所 1997 科學敎育 Vol.14 No.-

The appropriate uses of the computer programs in science tend to quick looks at relatively simple or idealized situations involving limited data. All students check the calculations done by any software package before using it to analyze their data

UASB에 의한 有機性 廢水處理의 溫度影響에 관한 硏究

姜龍太,崔廷宇,全裕燦 東亞大學校 海洋資源硏究所 1991 硏究論文集 Vol.4 No.1

The purpose of this research was to investigate the effects of temperatures on the wastewater treatment. The experimental results used synthetic wastewater showed that removal efficiency of UASB ranged from 83 to 93 percents within a temperature ranges of 20 to 35℃, which indicated that the removal rates decreased approximately 2 or 3 percent as the temperatures reduced at intervals of 5℃. The production of waste sludge was a little, on the other hand, the treatment efficiency of it was very high. Obtained from this experimentation the values of temperature characteristic term(θ), Q?? and activated energy(E??) were 1.053, 1.69 and 9349cal/mole, respectively. We could find out the size and concentration of granular sludge decreased in proportion to the reduction of temperature, and a filamentous bacteria of Methanothrix spp. was prevailed more than a bacteria of other species in the granules.

신경세포성장인자로서 척수운동신경세포의 손상에 미치는 한약재의 약류별 효능 및 기전에 관한 연구

鄭遇悅,朴承澤,成彊慶,李星根 대한동의병리학회 1998 동의생리병리학회지 Vol.12 No.2

산소자유기가 흰쥐의 배양 운동신경세포에 미치는 세포독성에 대한 기전을 규명하기 위하여 여러 농도의 산소자유기를 배양 신경세포에 처리한 후 산소자유기의 신경독성 효과를 분석하였으며 또한 산소자유기에 의하여 유발된 신경독성에 대한 한약재중 보혈약류와 보기약류의 대표적인 처방인 사군자탕과 사물탕의 신경세포독성의 방어효과를 MTT assay법에 의하여 조사하여 다음과 같은 결론을 얻었다. Xanthine oxidase(XO)와 hypoxanthine(HX)은 처리한 농도에 비례하여 배양 신경세포의 생존율을 현저하게 감소시켰으며, 또한 사물탕과 사군자탕이 XO/HX의 독성효과를 유의있게 방어하였다. 이상의 결과로부터 산소자유기는 배양 소의 희소돌기아교세포에 독성을 나타냈으며 사군자탕과 사물탕등의 한약추출물이 산소자유기의 독성을 방어하는데 효과적인 것으로 나타났다. In order to elucidate the neuroprotective effect of Sagunjatang and Samultang on oxidant-induced neurotoxicity in cultured rat spinal motor neurons, the colorimetric assay such as MTT assay was performed and light microscopic study was also carried out after cultured spinal motor neurons from neonatal rat were treated with the medium containing various concentrations of xanthine oxidase(XO) and hypoxanthine(HX) for 3 hours. In addition, protective effect of herb extracts on the neurotoxicity induced by oxygen radicals was examined in these cultures. The results were as follows : Cell viability of cultured rat spinal motor neurons which were exposed to various concentrations of 30mU/ml XO and 0.1mM HX for 3 hours, was decreased in a dose-dependent manner. MTT50 value was 30mU/ml XO and 0.1mM HX after motor neurons were incubated with various concentrations of XO/HX for 3 hours. Cultured spinal motor neurons showed degenerative changes such as the decrease of cell number and loss of cell processes when neurons were cultured in the medium containing 30mU/ml X0 and 0.1mM HX for 3 hours. Oxygen radicals were toxic on cultured rat spinal motor neurons by the decrease of cell viability. Herb extracts, Sagunjatang and Samultang prevented the oxidant-induced neurotoxicity significantly after spinal motor neurons were preincubated with herb extractions for 2 hours before exposure of oxygen radicals. These results suggest that oxygen radicals have neurotoxic effect on cultured spinal motor neurons derived from neonatal rat, and selective herb extracts such as Sagunjatang and Samultang are very effective in protecting the neurotoxicity induced by oxygen radicals.