허혈성 심질환에 있어서 아데노신 급속 정맥투여후 관동맥압의 변화에 관한 연구

봉종대,오종용,배성한,신원용,김철현,이광희,최태명,현민수,김성구,권영주 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2

Background: Adenosine interacts with A1 receptors present on the extracellular surface of cardiac cells, activating K+channels in a fashion. It produces coronary vasodilatation and AV nodal block. The half-time is one to six second and has ultra-short action. In ischemic heart disease, fractional flow reserve(FFR) can be achieved safely with intravenous adenosine infusions at a rate of 150㎍/kg/min which cause maximal coronary hyperemia. Purpose: We investigated the patients who have had ischemic heart disease(n=8). After adenosine intravenous administration(150㎍/kg/min), the effect cause maximal hyperemia of coronary artery. During peak maximal hyperemia, we reported clinical findings, coronary hemodynamics and electrocardiogram findings. Methods: After diagnostic coronary angiography and left ventriculography, catheter was advanced into the ostium of coronary artery. We investigated coronary hemodynamics such as systolic coronary artery pressure, diastolic coronary artery pressure, mean coronary artery pressure and heart rate. To assess the use of adenosine for determination of fractional flow reserve, hemodynamics and electrocardiogram were measured at basal state and during peak maximal hyperemia. Results: Symptoms developed 1.5-2 minute after adenosine intravenous administration and each symptom disappeared 2-2.5 minute after adenosine administration. Two patients represented asymptomatic appearance and six patients complained of flushing, chest pain, palpitation and headache. In eight patients with ischemic heart disease, 1.5 minute after venous administration of 150㎍/kg/min of adenosine, coronary artery pressure decreased and heart rate increased significantly. Conduction abnormalities after administration of 150㎍/kg/min of adenosine were transient 2nd degree AV block 2 cases(25%). Conclusions: Adenosine is a potent ultra short-acting vasodilator. Although coronary artery pressure decreased and heart rate increased and mild cardiovascular symptoms occurred after continuous infusion of 150㎍/kg/min of adenosine, it is useful as an agent for determination of fractional flow reserve.

광주광역시 치매의 유병률과 위험인자의 도시-농촌 지역 비교

신일선,김재민,윤진상,김석재,양수진,김웅장,이승현,강순아,곽지영,이형영 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.6

연구목적 : 본 연구의 목적은 광주광역시의 도시 및 농촌 지역에 거주하는 노인에서 치매의 유병률과 위험인자를 조사하고자 하였다. 부가적으로 이 두 지역간에 치매의 유병률과 위험인자를 비교하고자 하였다. 방 법 : 광주광역시의 전형적인 도시와 농촌지역의 65세 이상의 노인(N=1,598)을 대상으로, 2단계의 역학연구를 수행하였다. 1차 선별 단계에서는 38명의 훈련된 연구보조원이 대상노인을 면담하여, 사회인구학적 특징을 조사하고 한국판 간이정신상태검사(Korean version of Mini-Mental State Examination ; MMSE-K)로 평가하였다. 2차 임상 진단 단계에서는 1차 단계에서 MMSE-K 점수가 24점 이하인 노인(N=431)을 대상으로, 전문연구팀의 임상적 평가를 통해 치매를 진단하고 원인질환별로 알쯔하이머병(Alzheimer's disease ; AD), 혈관성 치매(vascular dementia ; VaD) 및 기타 치매로 분류하였다. 대상노인에서 치매의 유병률을 측정한 후, 광주광역시 전체 노인의 연령보정 유병률을 산출하였다. 전체 대상에서 AD의 위험인자를 조사한 후, 도시와 농촌군으로 나누어 분석을 다시 시행하였다. 결 과 : 1차 및 2차 단계의 참가율은 각각 71.0%(N=1,134) 및 83.2%(N=410) 였다. 연구 참여 노인(N=1,134)에서 전체 치매, AD 및 VaD의 유병률은 최소 각각 9.7%, 5.2%, 1.8%였다. 광주광역시 전체 노인의 연령 보정 유병률은 각각 10.7%, 5.7%, 1.9%인 것으로 산출되었다. AD의 독립 위험인자는 고령, 여성, 무학이었다. 도시와 농촌에 따른 유병률의 차이는 파악되지 않았다. 그러나 AD의 위험인자는 지역에 따라 차이가 있었다. 도시 노인에게는 무학만이, 농촌 노인에게는 고령과 여성인 경우가 독립 위험인자였다. 결 론 : 광주광역시 노인에서 치매의 유병률은 높았고, 이는 국내 다른 지역에서 수행된 선행연구 결과와 유사하였다. 알쯔하이머형 치매의 위험인자는 도시와 농촌에 따라 다른 결과를 보였다. 본 연구 결과는 한국에서의 치매의 실태를 반영하며, 치매의 적절한 관리와 예방을 위해서는 지역성 특성이 고려되어야 함을 시사한다. Objectives : The purpose of this study was to investigate the prevalence rate and risk factors of dementia in an urban and a rural sample of older persons in the metropolitan Kwangju area, Republic of Korea. In addition, the prevalence rate and risk factors of dementia between the two samples were compared. Methods : A two-phase epidemiological study of residents aged 65 or over(N=1,598) was conducted in a highly developed, urban and a non-contiguous, poorly developed, rural area of metropolitan Kwangju. In the first(screening) phase, 38 trained research assistants collectively peformed in-home interviews for all participants. Detailed sociodemographic characteristics were gathered and the Korean version of Mini-Mental State Examination (MMSE-K) was administered. In the second (diagnosing) phase, diagnosis of dementia was established for those scoring 24 or less on the MMSE-K in the screening phase(N=431), and etiological types of dementia were classified to Alzheimer's disease(AD), vascular dementia(VaD) or miscellanous type by two teams of experts. Prevalence rate of dementia was determined in the participants, and age-standardized prevalence rate adjusted by age distribution in metropolitan Kwangju was estimated. For AD, the risk factors were investigated in all participants, and analyses were repeated for the urban and rural samples separately. Results : The participating rates in the first and second phases were 71.0%(N=1,134) and 83.2%(N=410), respectively. In the participants, the prevalence rates of dementia(all types), AD and VaD were 9.7%, 5.2% and 1.8%, respectively. The age-standardized prevalence rates were 10.7%, 5.7% and 1.9%, respectively. Aging, female gender and no education(complete lack of formal education) were identified as independent risk factors for AD. No difference between the urban and rural samples was observed in the prevalence rates of dementia(all types), AD and YaD. However, risk factors for AD differed between these areas. In the urban sample, no education was the only significant factor ; whereas, aging and female gender were identified as risk factors in the rural sample. Conclusion : A high prevalence rate of dementia was observed among old persons in metropolitan Kwangju, consistent with previous studies conducted in other Korean areas. The risk factor profi1es for AD differed between urban and rural settings. The results of this study reflect the current status of dementia in Korea and suggests that appropriate management and prevention strategies for dementia should be tailored toward the geographic settings.

Zn-Fe 합금 도금강판의 점용접성에 관한 연구

민준기,신재경,안효영,서수정,서창제 成均館大學校 科學技術硏究所 1992 論文集 Vol.43 No.1

Spot welding is widely used in automobile assembly lines. Electroplating of Zn-Fe on steel sheets is increasingly used in assembly lines, because of its good spot weldability, formability and corrosion resistance. In this study, to evaluate spot weldability, tensile shear strength and cross tensile strength of steel sheets electroplated with Zn and Fe up to 0.7mm thickness were investigated, and these mechanical properties were compared with those of steel sheets electroplated with Zn only. The thickness of electroplated steel sheets was measured with SEM. The following conclusions were obtained. (1) In spot welding, the weldability lobe was getting wider and directed toward low currency direction, in steel sheets electroplated with Zn-Fe compared with those electroplated with Zn only. (2) Electrode force and welding time obviously affected the ultimate welding strength, and the range representing constant ultimate welding strength was observed. (3) When Zn-Fe were electroplated on steel sheets, the ductility ratio was increased in optimal welding condition, indicating that good weldability was obtained. (4) Around 8.5KA where optimal strength existed, by spot welding, the amount of the electroplated layer was observed to be reduced by approximately 15% in thickness.

지역사회 거주 노인에서 장애 변화의 예측인자

신희영,신일선,김재민,김성완,양수진,윤진상 대한신경정신의학회 2008 신경정신의학 Vol.47 No.2

Objectives : This study aimed to identify the predictors for change in disability measured by the Korean version of World Health Organization Disability Assessment Schedule II (WHODAS II-K) m community-dwelling elderly population. Methods : Of 1204 community participants aged 65 years or over, 717 were reevaluated by WHODAS II-K 2 years later. At baseline, information on demographic characteristics (age, gender, living area, marital status, and religion), socioeconomic status (education, type of accommodation, number of rooms, previous occupation, current employment, and social network), and clinical characteristics (number of physical illness, depression by the Korean version of Geriatric Mental State Schedule B3, and cognitive impairment by Korean version of Mini-Mental State Examination) were collected. Results : Scores on the WHODAS II-K increased by 17.5 in 2 years. Age (B coefficient 0.52, 95% CI : 0.21~0.84), number of rooms (B coefficient -1.92, 95% CI : -3.53~-0.30), and depression (B coefficient 1.84, 95% CI : 0.43~3.25) were independently significant predictors for change in disability. Conclusion : Change in the level of disability measured by the WHODAS II-K was mainly affected by age, number of rooms, and depression. These results can be useful for the development of community-based health promotion program for the elderly.

인터넷 패션 쇼핑몰의 마케팅 전략 : 인터넷 패션 쇼핑몰의 사례조사를 중심으로 Focused on the Case Study of Internet Fashion Shopping Malls

신수연,김민정 服飾文化學會 2004 服飾文化硏究 Vol.12 No.1

The purpose of this paper was to propose the efficient strategies of internet fashion shopping malls to success in the internet shopping mall market growing rapidly. Representative 5 internet fashion shopping malls - Halfclub, Fashionplus, e-Hyundai, Hansol CSCIub and LGeShop - were selected and in-depth interviews were performed to analyze their marketing 4P's strategies. The results of this study are as follows. Five shopping malls' main targets are women in twenties and early thirties. The price strategies are various according to shopping malls' character. In general, there are small amounts of discounts on new products(about 5%) which are sold by department stores. Shopping malls executed delivery of goods by cooperation with distribution companies and direct distribution of subcontract companies. Shopping malls are sending e-mails to the members as a promotion strategy. CRM(Customer Related Management) is partially implemented. Joint purchase and various events are conducted frequently. Shopping malls guarantee exchange and refund services.

Neodymium:Yttrium-Aluminium-Garnet(Nd:YAG)레이저 照射가 弗化錫 局所塗布에 미치는 效果에 關한 實驗的 硏究

민신홍,손동수 大韓小兒齒科學會 1986 大韓小兒齒科學會誌 Vol.13 No.1

The purpose of this study is to determine the optimum range of laser energy density at which we may obtain maximum degree of acid resistant activities without damaging the tooth enamel surfaces in the presence of 10% stannous fluoride solution. Beam of CW Nd: YAG laser was irradiated perpendicularly at each 7 different energy levels range from zero to 60 joules/㎠ with an increment of 10 joules/㎠ on the smooth enamel surface of the extracted noncarious human first bicuspid. The author had investigated the tooth surfaces with a Scanning Election Microscope, and at the same time examined the fluoride contents with an Energy Dispersive Analysis for X-ray, and then, examined acid resistant activities with a Spectrophotometer. The results were as follows: 1) Laser energy density of 30-40 J/㎠ produced the fusion of the enamed surfaces. 2) Laser energy density of 50-60 J/㎠ produced the cracks and porous enamed surfaces. 3) Laser irradiated groups were contained high fluoride contents. The more energy increased, the more fluordie contents increased. 4) Laser energy density of 40 J/㎠ yields the high acid resistant activities. 5) The fluoride contents were increased by laser irradiation.

지역사회 거주 저소득층 노인의 우울증상 유병률과 관련인자

신희영,이훈,신일선,김재민,김성완,양수진,윤진상 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.5

Objectives : This study aimed to investigate the prevalence and correlates of depressive symptoms in community-dwelling low income elderly. Methods : A community survey of 1,351 low income residents aged 65 or over was conducted in Buk district of Gwangju, Korea. Depressive symptom was evaluated by the Korean Form of the Geriatric Depression Scale (KGDS). Their Sociodemographic factors, the precence of chronic physical illness, and cognitive functions were investigated. Results : The prevalence rate of depressive symptoms was 69.8%. In multiple logistic regression, chronic physical illness (Odds Ratio : 2.68, 95% Confidence Interval : 1.98-3.63), low education (Odds Ratio : 1.84, 95% Confidence Interval : 1.39-2.43), and cognitive impairment (Odds Ratio : 1.61, 95% Confidence Interval : 1.20-2.16) were independently associated with depressive symptoms. Conclusion : Depressive symptoms in community-dwelling low income elderly were very common, particularly related to current chronic physical illnesses. The results of this study can be useful for the development of community-based prevention and management programs for depression. Of elderleg.

Arabidopsis cell death in compatible and incompatible interactions with Alternaria brassicicola

Su’udi, Mukhamad,Kim, Min Gab,Park, Sang-Ryeol,Hwang, Duk-Ju,Bae, Shin-Chul,Ahn, Il-Pyung Springer-Verlag 2011 Molecules and cells Vol.31 No.6

환경농업 시범마을 논에서 시비에 따른 무척추동물 개체 수 변화

한민수,신중두,나영은,이남종,박문희,김세근 한국환경농학회 2002 한국환경농학회지 Vol.21 No.2

논의 관리방법에 따른 수서생물상의 변동 양상을 파악하기 위하여 종합적인 환경농업기술 시범 2개 지역의 논 및 하천에서 주기적으로 조사 분석하였다. 논에서의 수서 무척추동물의 총 개체 수는 두 지역 모두 농가관행구에 비해 화학비료 토양검정 시비구에서 62% 이상 높았고 그 다음은 두 지역에서 서로 다르게 나타나 옥천의 경우 농가관행구, 양평은 화학비료+개량재 순으로 많고, 가장 적은 처리는 무비구였다. 수서곤충의 총 개체 수는 토양검정시비구가 농가관행구 옥천 및 양평 각각 328, 45.1/L보다 56%, 69% 더 많았다. 갑각류의 총 개체수는 옥천 지역에서는 토양검정 화학비료구> 화학 비료+개량제구> 농가관행구> 무비구 순으로 많았으며, 양평에서는 화학비료+개량제구>토양검정 화학비료>무비> 농가관행구 순으로서 과다 비료시용구인 농가관행구에서 가장 적었다. 두 지역의 논관류 하천에서 서식하는 수서 무척추동물은 59과 76종이 분류되었고, 미확인종이 14종으로 조사되었으며, 특히 물방개과 중 노란테 콩알 물방개 및 땅콩 콩알 물방개가 채집되었고 양평 지역에서는 날도래 종류가 다양하게 서식하고 있는 것으로 나타났다. 하천지류별 수서 무척추동물 서식밀도는 두 지역 모두에서 상류보다는 하류에서 밀도가 높았으며, 옥천의 연평균 성적에서도 하류에서 1300/0.09 ㎡로 최상류에 비해 172% 더 많은 밀도를 나타냈다. 친환경 농업 실천 2개 지역에서의 논 서식 수서 무척추동물 개체 수 조사 결과 일반관행 농가 논 91.1/L 보다 58% 더 많았다. This study was conducted to survey and identify kinds and population of the freshwater invertebrate fauna according to the managements of paddy rice fields at Ok-Chun and Yang-Pyung. The experiment was conducted in 4 paddy plots; conventional fertilization plot (CF), fertilization by prescription with soil testing with (ST+A) or without soil amendment (ST), and no fertilization as the control. In addition, the freshwater invertebrate fauna was also surveyed at 3 sections of as upper, intermediate and down, in both Jitan and Bungsan stream. The total number of the freshwater invertebrates was higher in the order of ST>CF>ST+A>C and ST>ST+A>CF>C at Ok-Chun and Yang-Pyung, respectively. The population density of aquatic insects was higher in plots fertilized by prescription with soid testing than in the other plots at both demonstration villages. The freshwater invertebrates collected in Jitan and Bungsan stream were identified and classified into 59 families and 90 species, and their population density was highest in the downstream among.

급성 파라쿼트 중독에서 혈중 파라쿼트 농도

박승민,김세현,최수진,김현,이완구,김영남,이광영,이영희,신성혜 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

Background: Paraquat is a bipyridyl compound, and when ingested, concentrated paraquat can cause either rapid death from multisystem failure and cardiovascular shock or delayed death from progressive pulmonary fibrosis. Paraquat is poorly absorbed by inhalation, but when ingested orally, severe illness can occur. Death usually occurs within 2 days if more than 50 ㎎/㎏ of paraquat is ingested . The most important prognostic indicator is the quantity of paraquat absorbed, as shown by the plasma paraquat concentration, and the prognostic indication depends mostly on the description given by the patients and their families about the amount of paraquat ingested, which is often underestimated or overestimagted. For these reasons, we tried to compare the plasma paraquat concentrations with amount of paraquat described by patients or their families. Methods: We reviewed the medical records of 59 patients with acute paraquat poisoning from February 1998 through February 1999, the paraquat concentrations in plasma were measured at Presbyterian Medical Center by using high performance liquid chromatography. Results: There was a striking discrepancy between the plasma paraquat concentration and the ingested amount described by the patients or their families. Conclusion: We recommend that the plasma paraquat concentration be measured in patients being treated for acute paraquat poisoning.