A Study on the Seropositivity of HBsAg among Biennial Health Examinees ; A Nation-wide Multicenter Survey

김대성,김영식,김재용,안윤옥,Kim, Dae-Sung,Kim, Young-Sik,Kim, Jae-Yong,Ahn, Yoon-Ok The Korean Society for Preventive Medicine 2002 예방의학회지 Vol.35 No.2

목적 : 1998년 한국인 성인에서의 혈청 HBsAg의 양성률을 추정하는 것을 일차적 목적으로 하며, HBsAg 양성률의 연령별로 분포, 지역적 차이, 과거 간질환력, 만성간질환 가족력 및 예방접종과의 관련성을 파악하며 또한 양성자를 6개월간 추적후 재검사 하여 B형 간염의 만성보균율을 파악하고자 하는 것을 이차적 목적으로 하였다. 방법 : 1998년 전국 10개 지역에서 의료보험관리공단의 정기건강검진 수진자를 대상으로 하여 HBsAg의 혈청유병률을 조사하였다. HBsAg 양성인 사람들을 대상으로 6개월 이상 추적조사하여 B형간염 만성보균율을 파악하였다. 총 1,816명에 대한 혈청과 설문서가 수집되었다. HBsAg는 RIA로 측정하였다. 결과 : HBsAg의 혈청유병률은 5.5%(95% CI-4.5-6.6)였으며 남자에서 7.4%(95% CI=5.8-9.4), 여자에서 3.6%(95% CI=2.5-5.0)로 나타났다. 급성간질환 과거력과 만성간질환 가족력을 HBsAg 혈청검사결과와 비교한 결과 유의한 관련성이 있는 것으로 나타났다. HBsAg 양성자에서 6개월 후에 음성으로 전환한 사람은 3.2%(95% CI=0.1-16.7)였으며 따라서 B형간염의 만성보균율은 5.3%(95% CI=3.7-6.6)로 추정되었다. 결론 : 본 연구결과에서는 HBsAg의 양성률이 1980년대의 연구결과들에 비하여 비교적 낮게 추정되었으며 이는 특히 여성과 젊은 연령층에서 두드러지게 나타났다. 그러나 우리나라에서의 간암 및 만성간질환의 공중보건학적 중요성을 고려하면 지속적인 간염발생의 예방대책이 필요하다고 할 수 있다. Objective : The primary objective of this study was to estimate the prevalence of HBsAg-positives in the late 1990's among Korean adults. In addition, we evaluated the association of age, a residential area, a vaccination rate, a family history of chronic liver diseases and a past history of acute liver disease with the seropositivity of HBsAg, and estimated the prevalence of chronic HBV infection by follow-up for 6 month or more. Methods : A total of 10 areas, six metropolitan and four small cities, were selected. In each cities, one health screening center was selected for recruitment of study subjects. The study subjects were enrolled from a general health examination program that is provided by medical insurance companies. Questionnaires on various risk factors were administered to the study subjects. Sera was drawn and tested for HBsAg by radioimmunoassay. HBeAg and ALT were also tested for those of HBsAg positive. The HBsAg positives was retest for HBsAg 6 months later Results : Among the study subjects (n= 1816), the seroprevalence of HBsAg was 5.5% (95% CI=4.5%-6.6%), 7.4% in men (95% CI=5.8-9.4) and 3.6% in women (95% CI=2.5-5.0). A past history of acute liver disease and a family history of chronic liver diseases was shown to be risk factors for HBsAg positivity. Among the 31 HBsAg-positives, negative seroconversion rate was estimated to be 3.2%, Thus, prevalence of chronic HBV infection was estimated to be 5.3% (95% CI=3.7-6.6). Conclusion : In this study, the HBsAg seroprevalence rate was lower than that of the other studies in 1980's, particularly in young adult and women. Considering the public health importance of liver cancer and chronic liver diseases, the further effort is needed to prevent and reduce the HBV infection.

조립 생산체제의 동적인 상황을 위한 시뮬레이션 적용 기법

김대성,정범진,박범,김원중,Kim, Man Jin 한국경영과학회 1996 한국경영과학회 학술대회논문집 Vol.- No.1

In most dynamic manufacturing environments today, systems and processes are constantly changing. Simulation tools are required that can accurately model the system in detail, but still be easy to use, and allow rapid model redevelopment to react quickly for system changes. An object-oriented simulation modeling environment is presented to provide flexible modeling capabilities for simulation. Also, when simulating an assembly system, a large number of factors must be considered. Because of such complexities, simulation has been used as the primary method in designing, planning and analyzing. In this paper, the dynamic manufacturing environment is discussed for the assembly system. Also, an application method of simulation tools is presented with the experimental data from the automobile manufacturing shop to improve the productivity effectively.

세계로 진출하는 중국 전자업체

김대성,Kim, Dae-Seong 한국전자정보통신산업진흥회 2006 電子振興 Vol.26 No.8

악성종양환자에서 중등도 이상의 오심, 구토를 유발하는 항암화학요법 시급성 및 지연성 오심, 구토의 예방에 대한 Dolasetron의 효과

김대성,성혜영,최경미,백지연,노상영,문한림,김춘추,홍영선,Kim, D.S.,Sung, H.Y.,Choi, K.M.,Paik, J.Y.,Roh, S.Y.,Moon, H.,Kim, C.C.,Hong, Y.S. 한국호스피스완화의료학회 2004 한국호스피스.완화의료학회지 Vol.7 No.2

목적: 전향적 임상시험을 통해 중등도 이상의 오심, 구토를 유발하는 항암화학요법제 투여로 인한 급성 및 지연성 오심, 구토의 예방에 있어서 dolasetron mesylate의 유효성 및 안정성을 평가하고자 하였다. 방법: 단일 기관에서 공개형, 단일군 임상시험으로 시행되었다. Dolasetron (1.8 mg/kg)과 dexmamethosone 10 mg을 항함화학요법 시작전에 투여하고 나서 이후 24시간 후부터 4일 연속 경구형 dolasetron(200 mg, 1일 1회)을 투여하였다. 구토의 빈도 오심의 중증도, $5-HT_3$ 이외의 구제 항구토제의 사용여부를 화학요법 시작 제1일부터 5일까지 매일 평가하였다. 결과: 30명의 환자가 연구에 참여하였고, 이 중 28명이 유효성 평가가 가능하였다. 28명 중 4명이 5일동안 구제항구토제를 전혀 사용하지 않는 오심, 구토의 완전 조절을 보였다. 완전 조절을 보이는 환자비율은 제 1일에서 5일로 가면서 17.9/46.4/42.9/53.6/60.7%로 시간이 경과하면서 향상되었다. Cisplatin 포함 화학요법과 비포함 화학요법 모두에서 오심보다는 구토가 보다 잘 조절되었다. Dolasetron에 의한 이상반응은 경증에서 중등도의 두통, 설사, 발열 등이었고, 대개 저절로 회복되었다. 결론: Dolasetron은 중등도 이상의 오심, 구토를 유발하는 항암화학요법에서 급성 및 지연성 오심, 구토의 예방에 있어 기존의 반응률 50%에 상당하는 반응률을 보였으며, 안전성면에서도 수용할 만한 경미한 이상반응만을 보여 오심, 구토의 예방에 유용한 약제로 판단된다. Purpose: To evaluate the efficacy of dolasetron mesylate in controlling nausea and vomiting in the first 24 hours and to extend these comparisons over the next 4 days in patients receiving moderately emetogenic chemotherapy. Methods: This was a single center, open-labeled study with single arm. Dolasetron (1.8 mg/kg) was given intravenously (I.V.) prechemotherapy with 10 mg of dexamethasone IV, followed 24 hours later by oral dolasetron (200 mg once daily) for the subsequent 4 days. The frequency of vomiting, severity of nausea and the presence of rescue antiemetics were assessed daily. Results: Of 30 patients enrolled, 28 were eligible and evaluable for the efficacy. Four out of 28 patients had complete control of nausea and vomiting without any rescue antiemetics through 5 days. The complete control got better as time went by with the rates of 17.9/46.4/42.9/53.6/60.7% on days 1 to 5. Vomiting was better controlled than nausea in both cisplatin-containing and non-containing chemotherapy. The adverse events were mild to moderate degrees of headache, diarrhea and fever, but were recovered spontaneously. Conclusion: Dolasetron was effective and safe for the control of nausea and vomiting in the patients with moderately emetogenic chemotherapeutic agents.

세계로 진출하는 중국 전자업체

김대성,Kim, Dae-Seong 한국전자정보통신산업진흥회 2006 電子振興 Vol.26 No.5

세계로 진출하는 중국 전자업체

김대성,Kim, Dae-Seong 한국전자정보통신산업진흥회 2006 電子振興 Vol.26 No.7

중년 남성에서 혈압과 관련한 허리-엉덩이 둘레비 산출

김대성,김재용,안윤옥,배종면,Kim, Dae-Sung,Kim, Jai-Yong,Ahn, Yoon-Ok,Bae, Jong-Myon 대한예방의학회 1999 Journal of Preventive Medicine and Public Health Vol.32 No.3

Backgroud: Excess abdominal fat, expressed as an increased ratio of waist to hip circumferences (WHR), is independently associated with higher levels of blood pressure. Although a WHR greater than 1.0 in men has been shown to predict complications from obesity, the WHR has not been evaluated in all ethnic groups. Methods: In order to ascertain the association between WHR and classification of blood pressure and to investigate the critical value of WHR as a predictive factor of hypertension in Korean middle-aged men, we compared the mean of WHRs according to the classification of blood pressure in Seoul Cohort participants. Results: Through a surrey of direct measurement of waist and hip girth, 452 subjects were recruited from the cohort. The mean of WHR was 0.88 and its standard deviation was 0.04. The mean of WHRs was higher in the systolic blood pressure group (above 140 mmHg), diastolic blood pressure group (above 90 mmHg), and hypertension group than in the systolic blood pressure group (below 140 mmHg), diastolic blood pressure group (below 90 mmHg), and normotensive group, respectively. And WHR of above 0.89 was associated with hypertension (z-value =6.66). Conclusion: It is necessary for Korean males with WHR greater than 0.89 to recommend the primary prevention and early defection of hypertension.

체질(體質)에 따른 혈중(血中) Hormone 특성(特性)에 관한 연구(硏究)

김대성,김경요,한종현,Kim, Dae Seong,Kim, Gyeong-Yo,Han, Jong-Hyeon 사상체질의학회 1992 사상체질의학회지 Vol.4 No.1

Comparative hormones quantities on the blood analysis was carried out to investigate the hormones specific characters on the blood in four types of physical constitution. Thyroid-stimulating (TSH), triiodothyronine($T_3$), triiodothyronine uptake($T_3$ uptake), free triiodothyronine(free $T_3$), thyroxine($T_4$), free thyroxine (free $T_4$), thyroxine-binding globulin(TBG), adrenocorticotropic hormone(ACTH), luteinizing hormone(LH), testosterone were measured. The results obtained were summarized as follows: 1. The value of thyroid-stimulating hormone(TSH) on the constitution didn't shown significant difference, while the value of So-EUM-IN was increased and SO-YANG-IN was decreased. 2. The value of triiodothyronine($T_3$) on the constitution didn't shown significant difference, while the value of TAE-EUM-IN was decreased. 3. The value of triiodothyronine uptake($T_3$ uptake) on the constitution didn't shown significant difference, but between the value of TAE-EUM-IN and SO-EUM-IN, TAE-EUM-In and SO-YANG-IN showed significant difference. 4. The value of free triiodothyronine(free $T_3$) on the constitution didn't shown signifcant difference, but between the value of TAE-EUM-IN and SO-EUM-In, TAE-EUM-In and SO-YANG-IN showed significant difference. 5. The value of thyroxine($T_4$) on the constitution didn't shown significant difference, while the value of TAE-EUM-IN and SO-YANG-IN showed difference. 6. The value of free thyroxine(free $T_4$) on the constitution didn't shown significant difference, but between the value of TAE-EUM-IN and SO-YANG-IN showed significant difference. 7. The value of thyroxine-binding globulin(TBG) on the constitution didn't shown significant difference. 8. The value of adrenocorticotropic hormone(ACTH) on the constitution didn't shown significant difference. 9. The value of luteinizing hormone(LH) on the constitution didn't shown significant difference, but between the value of TAE-EUM-IN and SO-EUM-IN, TAE-EUM-IN and SO-YANG-IN showed significant difference. 10. The value of testosterone on the constitution didn't shown significant difference.

산업보건서비스의 새로운 도전이 필요한가?

김대성,Kim, Dae-Seong 대한산업보건협회 2008 산업보건 Vol.240 No.-

MSH에 의해 자극된 B16F10세포에서 사간(射干)의 멜라닌 합성 억제 효과

김대성,성병곤,이장천,이부균,우원홍,임규상,Kim, Dae-Sung,Sung, Byung-Gon,Lee, Jang-Cheon,Lee, Boo-Kyun,Woo, Won-Hong,Lim, Kyu-Sang 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.1

Objective : The present study was designed to assess the potential inhibitory activity of an ethanol extract of Belamcandae Rhizoma (EBR) on the alpha-melanocyte stimulating hormone (${\alpha}$-MSH)-induced melanogenesis signal pathway in B16F10 melanoma cells. Methods : Several experiments were performed in B16F10 melanoma cells. We studied tyrosinase activity, melanin content, cell-free tyrosinase activity and DOPA stain, and performed Western blots and RT-PCR for proteins and mRNA involved in melanogenesis. Results : ${\alpha}$-MSH-induced tyrosinase activity and melanin content were inhibited significantly by EBR. EBR markedly suppressed the protein expression level of tyrosinase in B16F10 melanoma cells. On the other hand, the expression of tyrosinase-related protein-1 (TRP-1) and -2 (TRP-2; DCT) were not affected by EBR. To elucidate the mechanism of the depigmenting property of EBR, we examined the involvement EBR in cAMP response element binding (CREB) protein phosphorylation and microphthalmia-associated transcription factor (MITF) signalling induced by ${\alpha}$-MSH. EBR did not regulate CREB phosphorylation and MITF expression by ${\alpha}$-MSH. Nevertheless, the mRNA expression of tyrosinase was significantly attenuated by EBR treatment without changes in the expression of TRP-1 and -2 mRNA. Conclusion : Our study suggested that EBR inhibits ${\alpha}$-MSH-induced melanogenesis by suppressing tyrosinase mRNA.