우심방을 침범한 거대 비호지킨씨 림프종 1예

강상범,진승원,이은경,박용현,최용호,김용주,박준철,김재형,홍순조,최규보,권종범,원용순,박건,이은희 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4

항정신병약물 사용 중인 정신분열병 환자에서 올란자판으로의 교체 방법에 관한 연구(II) : Comparison of Safety 안전성 비교

안용민,권용실,권준수,민성호,박두병,양문정,소형석,송종호,신윤식,우행원,유범희,이홍석,정한용,한창환,김용식 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.5

연구목적: 이 다기관 공동임상연구는 사용 중인 항정신병약물을 ’직접 교체 방법’또는 ’시작-감량 교체 방법’중 한 가지 방법으로 올란자핀으로 교체한 후, 안정성 측면에서 두 교체 방법 간의 비교와 교체후의 변화를 관찰하기 위한 것이다. 방법: 국내 13개 병원의 입원 및 외래에 내원한 환자들 중 ICD-10 지단기준으로 정신분열병에 해당되며, 임상적으로 항정신병약물 교체가 필요한 환자를 대상으로 하였다. 두 가지 교체 방법 중 한 가지를 무작위로 피험자에 적용하였으며, ’직접 교체 방법’에 배정된 경우에는 사용중인 항정신병약물을 일시에 중단하고 10㎎의 올란자핀을 바로 투여하였고, ’시작-감량 교체 방법’에 배정된 경우는 10㎎의 올란자핀 투여하고 2주에 걸쳐서 기존 약물을 감량하여 중단하였다. 올란자핀 사용기간은 총 6주이며, 용량은 5∼20㎎ 범위로 제한하였다. 한정성 평가를 위해서 체중, 생명징후, 자발적인 이상반응 복, 실험실 검사 그리고 Simpson-Angus Scale(SAS), Barnes akathisia rating scale(BARS), Abnormal involuntary movement scale(AIMS). Liverpool University neuroleptic side effect rating scale(LUNSERS)등을 이용하였다. 결과: 총 103명의 정신분열병 환자를 대상으로 하였다. 사용한 올란자핀의 용량, 벤조디아제핀의 병용률, 탈락률과 탈락 사유, 자발적인 이상반응 보고, 생명징후, 실험실 검사 그리고 대부분의 부작용 척도 상에서 임상적으로 의미 있는 차이를 두 교체 방법간에 발견하지 못하였다. 다만 AIMS의 감소는 ’직접 교체 방법’군에서 보다 적었고, 항콜린제의 병용률은 ’시작-감량 교체 방법’군에서 보다 많았다. 기저 상태에서 전체 피험자의 SAS와 BARS 점수는 각각 3.5점과 1.8점이었으며 70% 이상의 피험자가 고프로락틴 혈증을 보였다. 올란자핀으로 교체한 후, SAS, BARS, AIMS 점수의 유의한 감소가 있었으며 고프로락틴 혈증을 보인 피험자 분율도 약 30%이하로 감소하였다. 그러나 교체 방법과 상관없이 올란자핀 교체 후 유의한 체중 증가가 있었다. 결론: 이 연구를 통해 교체 방법에 관계없이 비교적 안전하고 용이하게 올란자핀으로 교체 할 수 있음을 알 수 있었다. 그리고 기존 항정신병약물을 올란자핀으로 교체함으로써 일부 부작용들을 줄일 수 있음을 간접적으로 관찰할 수 있었다. 하지만 이 연구는 여러 제한점과 문제점을 지니고 있기 때문에 보다 체계적인 연구를 통해 검정이 필요하리라 생각된다. Objectives: This multicenter clinical trial involving 13 hospital sites compared the safely of switching to olanzapine between ’direct switching method’ and ’start-tapering switching method’. Method: This study included both inpatients and outpatients who fulfilled the criteria for schizophrenia as defined in the ICD-10, and were in need to be appropriate for switching antipsychotics. Subjects were randomly assigned to one of the two switching methods. For ’direct switching method’group, previous antipsychotics were abruptly discontinued and 10㎎ of olanzapine was administered, and previous antipsychotics was gradually tapered for 2 weeks. Olanzapine was used for 6 weeks and the dose was adjusted within the range of 5-20㎎. The safety of switching to olanzapine was measured with vital sings including body weight, adverse events reported spontaneously, laboratory tests, and various scales such as Simpson-Angus Scale(SAS), Barnes Akathisia Rating Scale(BARS). Abnormal Involuntary Movement Scale(AIMS), and Liverpool University Neuroleptic Side Effect Rating Scale(LUNSERS). Results: 103 patients were switched to olanzapine in this study. The comparison between two switching methods did not show any significant difference in the dosage of olanzapine used, the concomitant use of benzodiazepine, the rate and reasons of drop-out, the adverse events, vital signs, laboratory tests, and most scales for measuring side-effects. However, the decrease in AIMS scores was significantly lower in ’direct switching method’ group, and the concomitant use of anticholinergics was comparatively greater in ’start-tapering switching method’ group. At baseline, SAS and BARS scores were 3.5 and 1.8 points respectively, and more than 70% of the subjects showed hyperprolactinemia. After switching to olanzapine, SAS, BARS, and AIMS scores were significantly decreased and the proportion of the patients with hyperprolactinemia was also decreased to less than 30%. However significant weight gain after the treatment of olanzapine was observed regardless of switching method. Conclusion: This study may suggest that switching to olanzapine can be done with relatively high safety regardless of switching methods and olanzapine can significantly decrease some side-effects induced by other antipsychotics.

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

휘발성유기화합물(VOCs)의 변이원성 검정

박종천,이용탁,송현철,이우범 國立麗水大學校 環境問題硏究所 2004 環境硏究論文集 Vol.6 No.-

The mutagenicity of six kinds of VOCs(benzene, m.p-xylene, chloroform, toluene, methylethylketone, 1,2-dichloroethane) detected in high concentration and frequency in Kwangyang Bay was investigated. VOCs are water-insoluble and volatile. Therefore, when they are tested by the classical Ames test in the assay of mutagenicity, there may be experimental errors. To overcome this limitation, modified Ames test was used to assay mutagenicity of VOCs. By this modified Ames test, we could obtain much more satisfactory results. Even at extremely low concentration(0.0001㎍/㎖). bezene, m,p-xylene, and methylethylketone showed a weak mutagenicity. When S-9 mixture is added in the assay system, all tested VOCs except methylethylketone showed mutagenicity. When Salmonclla typhimurium TA 98 and Salmonella typhimurium TA 100 are exposed to VOCs of high concentration(100㎍/㎖). the number of colony decreased irrespective of the S-9 mixture treatment. It seem to be that the decrement results from the toxic effect of high concentration of VOCs.

전문 마라톤화용 기능성 개발을 위한 운동역학적 연구(Ⅰ)

박승범,서국웅,김용재 한국운동역학회 2001 한국운동역학회지 Vol.11 No.3

Various approaches can be used to study a special field such as biomechanical aspects of marathon shoes. A runner who wants to buy a pair of running shoes is confronted with a wide range of models, ranging from inexpensive to expensive, from soft to hard, and from red to yellow. These marathon shoes may have special features like wedges or exchangeable damping elements which visually underline the special quality of the shoes. Advertisements for running shoes in marathoner's magazines explain their products by using words such as "support", "rearfoot control", "cushioning", "shock distributor" and "heel stabilizer". One aspect of marathon shoes biomechanical design is the protection and /or the reduction of injuries. In other words, it is aspect of forces acting on the human body, and also the effects these forces produce in this system. The problems can be studied using theoretical techniques using mathematical models and some of these are discussed int below. A marathon shoe must fit not only overall length and ball width, but with respect to several other aspects such as the instep, arch, top lines, and heel and toe curve. A marathon shoes must fit your biomechanical needs very, very well. Match the support in the shoe as closely as possible to your pronation factor, or how much motion your feet experience when on the ground. Marathon shoes must fit your feet even better than the proverbial glove. They swell from the ramped-up circulation that accompanies continuous activity, and may actually spread out a bit as the 26 bones and dozens of tendons, ligaments and muscles in each foot adapt to several hours of pounding. Marathon shoes should be racing flats only if you think you can win. What makes no sense is to think that is significant when compared with how hard your shoes have to work during the last few miles to support your rapidly fading body. Lightweight shoes mean lightweight support. A large variety of elements which have various names, such as inserts, arch supports, arch cookies, orthotics, and orthoses, can be put into a shoes. The inserts for the sports shoe market consist of many different types of plastics and E.V.A(Ethylene Vinyl Acetate). Another type of insert is the built-in insert which is incorporated into or onto the sole of the shoe. This is a rather rare form of conventional shoe construction. Changes in midsole geometry and material are only one of various strategies which can be used to alter the properties of a running shoe. Heel counters, heel stabilizers, insoles, inserts, additional wedges, and different lasts are some additional strategies used in running shoe construction. Many of them are used in combination with others which may introduce additional problems in quantifying their effects. An athlete can use external elements to influence load and stress on his body. The two most important ones are the running shoe and the surface. On the other hand, he or she can use internal elements which anre muscles, tendons, ligaments, and so forth, and his or her running style. Careful exercise and control of these elements is an important factor in the attempt to reduce running injuries.

이중형질전환에 의한 웅성불임유기유전자의 발현억제

박영두,김현욱,박범석,진용문,정태영 慶熙大學校 1997 論文集 Vol.26 No.-

This study was carried out with the purpose of looking into the regulation of gene related to anther development, and applying their promoter to induce male sterile plants and restore their fertility. Progenies of transgenic male sterile tobacco plants containing anther specific promoter (BAN215) and diphteria toxin A (DTx-A) gene were analyzed by danamycin screening and pollen observation. DTx-A gene in male sterile plants was confirmed by PCR with the two synthetic primers, 5'-AACTTTTCTTCGTACCAC-3' and 5'-GCTTTCGCCTGTTCCCAG-3', from the sequence of DTx-A genes. The fragment of 350bp was appeared when the PCR product of 428 bp was digested with Rsal. pDTx-2 containing DTx-A gene was used as a control (DTx). Some of them were double transformed with the construct of BAN215 promoter and antisense DTxA (pKDA215b) to test restoration of fertility.

강진만에서 미생물의 년 변화

박종천,오재영,정용욱,주현수,이원교,유춘만,이우범 國立 麗水大學校 환경문제硏究所 2001 環境硏究論文集 Vol.4 No.-

The biological surveys were performed at seven sites in the Gangjin bay from February, 1998 to November, 2001. In order to analysis of environmental variation, numbers of heterotrophic bacteria, general fungus and fecal coliforms were enumerated in each sample. The result showed that variation range of heterotrophic bacteria, general fungus, and fecal coliforms were 2.9 x 10^(3)~9.6 x 10^(3) CFU/ml, 17.2~80.1 CFU/ml, and 6.3~682.5 CFU/100ml for four tears(1988~2001), respectively. Density of heterotrophic bacteria and general fungus were gradually decreased for four tours, while fecal coliforms were suddenly increased. Specially, numbers of fecal colifoms were increased the more 100 times in 2001 than that 1998. We think that it was probably caused a little rainfall in February, 2001. There result suggests that ecosystem of Gangjin bay were mainly regulated by 2~3 factors, which were inflow of fresh water, salinity and variation of water temperature.

PCR-Select cDNA Subtraction을 이용한 Allomyces macrogynus의 팡이실의 성장 관련 유전자의 분리

박중규,구용범 인제대학교 1998 仁濟論叢 Vol.14 No.1

Allomyces macrogyuns의 이배체 꼬리홀씨들은, 공세포로 전환된 후, 실뿌리에 이어 팡이실을 형성하는데, 팡이실로 성장하는 과정에서 대기중의 산소의 고갈로 인하여 길이 성장이 급격히 촉진된다. 본 연구에서는, 길이 성장에 관련하는 유전자를 분리하기 위해서 보통의 대기 조건에서 자란 팡이실(Normoxia)과 하나의 탈산소제를 처리한 조건에서 자란 팡이실(Hypoxia)을 수확하여 PCR을 이용한 cDNA subtraction(PVR-select cDNA subtraction)을 수행하였다. PCR로 선택된 subtracted cDNA는 pGEM-T vector에 삽입 후, 대장균에 클로닝하여, 115개의 형질전환체를 무작위적으로 골라 slot blot hybridization을 하였다. 그 결과, 대부분의 클론이 Normoxic 조건에서 보다 Hypoxic 조건에서 다량 발현되는 유전자로나타났으며, 이들 중에서 60개의 클론을 DNA 염기 서열 분석하였더니 19가지의 서로 다른 염기 서열로 동정되었다. 이 유전자들을 Genbank Database와의 유사성을 조사했을 때, 염기 서열상 이미 알려진 유전자와의 유사성이 적었으나, 아미노산 서열상으로는 몇 가지 단백질들과 유사한 것으로 나타났다. 60개의 클론 중에서 높은 빈도로 나타나는 4가지 클론을 northern hybridization하였더니, 대략적으로 각각 0.9kb, 1.9kb, 1.9kb, 2.8kb의 mRNA로 전사되는 것으로, Hypoxic 조건의 팡이실에서 특이적으로 발현되는 것으로 나타났다. Diploid zoospore of Allomyces macrogynus form hyphae after encystment and rhizoid formation. It was the linear growth of hyphae that was stimulated on their growth by oxygen depletion in the atmosphere. In this study, CDNA subtraction with PCR(PCR-select cDNA subtraction) between hyphae incubated under normal atmosphere(Normoxia) and hyphae incubated with an oxygen absorbent(Hypoxia) were performed in order to isolate the genes related to the linear growth. PCR-select Subtracted cDNAs were cloned into E. coli JM 109 using pGEM-T vector. Total 115 transformants were randomly selected and analysed by slot blot hybridization. Most of them were found to be expressed in higher level in Hypoxic condition than in Normoxic condition. Of them, 60 clones were sequenced. They were identified as 19 clones, since nucleotide sequence of 60 clones was identical. Nucleotide homology search of these clones showed no significant homology with known genes, whereas amino acid sequence homology revealed that they had some homology with known proteins. Northern hybridization analysis of 4 frequently appeared clones among 60 clones confirmed that they were expressed in higher level in Hypoxic condition and their mRNA sizes were approximately 0.9kb, 1.9kb, 1.9kb, 2.8kb, respectively.

수종의 섬유보강재가 복합레진의 파절강도에 미치는 영향

박지만,조용범,홍찬의 대한치과보존학회 2000 Restorative Dentistry & Endodontics Vol.25 No.3

The effect of fiber reinforcing materials on the fracture strength of composite resin was evaluated. Each ten composite resin bars reinforced by glassfiber [Fiber-Splint MLR(polydentia SA. Switzerland)], polyethylene fiber [Ribbond R Ribbond Inc., U.S.A)] and polyaramid fiber [Kevlar R(DuPont U.S.A.)]were loaded under the 3-point compression technique. Another ten pure composite resin bars without reinforcement were used as a control group. Then mean fracture strength and standard deviation were calculated and a ANOVA and Scheffe test were used in statistics. The results were as follows: 1.Kevlar group showed the highest fracture strength as 175.5MPa (p〈0.05). Fiber-splint ML group showed the lowest fracture strength as 112.7MPa. 2.The mean value of fracture strength in Ribbond group was 136.4MPa, and that of ulcerated control group was 143.6MPa. No difference was found between the two groups. 3.Ribbond and Kevlar reinforcement groups showed a catastrophic failure, where complete separation of pieces occurs to a unaspirated fracture pattern. The use of Kevlar reinforcement fibers with composite resin showed significant increase in the average load failure and the presence of the fibers did prevent the catastrophic crack propagation present in the unreinforced samples. The use of Ribbond reinforcement fibers with composite resin showed no significant increase in the average load failure. However, the presence of the fibers did prevent the catastrophic crack propagation. Because high strength of glassfiber are rapidly degraded on exposure to moisture and humidity. The use of Fiber-splint ML reinforcement fibers with composite resin showed significant decrease in the average load failure and displayed catastrophic fractures.

정상임신 산모와 중증자간전증 산모의 혈소판지수 비교

박용범,한지수,정동근,이인식,김암,민원기,지현숙,목정은 울산대학교 의과대학 1993 울산의대학술지 Vol.2 No.1

The purpose of this retrospective study was to define platelet indices in severe preeclampsia(N=98) and to compare them to normal nonpregnant values(N=93) during the years 1990-1993 in the Department of Obstetrics and Gynecology, College of medicine, University of Ulsan, Asan Medical Center. Indices evaluated included platelet count, mean platelet volume, and platelet distribution width. Means platelet volume was statistically different between two groups, however mean platelet count was significantly decreased(p=0.029) and platelet distribution width was significantly increased(p=0.0001) and platelet distribution width was significantly increased(p=0.0001) in severe preeclampria. Mean platelet volume versus platelet count in normal pregnancy showed a significant inverse nonlinear relationship(r=-0.39, 9<0.001) and that in preeclampsia was congruent with notmal nonpregnant valus. With same mean platelet volume, platelet distribution width showed tendency to shift to right in severe preeclampsia. These findings support the concept of severe preeclampsia as a compensated state of increased platelet comsumption comparing with normal pregnancy. We concluded from above results that quantification of platelet indices may have some value in screening for and following severe preeclampsia.