TNF-α 유전자형과 방광암과의 관계

정필두,김은정,엄민식,서정원,윤석중,김종석,이상철,김원재 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.2

연구목적: TNF-α는 일부 종양의 종양화 과정과 관련이 있는 것으로 알려져 있다. 본 연구는 TNF-α 발현에 영향을 미치는 TNF-α 촉진자 -308 부위의 유전적 다형성이 방광암과 관련이 있는지 유무를 알고자 시행하였다. 대상 및 방법: 유전자 분석을 위하여 환자 113명 및 대조군 109명으로부터 혈액을 채취하여 genomic DNA를 분리한 후 PCR-RFLP 및 direct DNA sequencing을 통하여 TNF-α유전자의 다형성을 조사하여 방광암의 발생, 병기 및 분화도와 비교 검토하였다. 결과: TNF-α 촉진자 -308 부위의 유전형은 대조군에서는 GG형이 83.5%(90례 및 GA형이 16.5%(19례)로 관찰되었으며 AA형은 없었다. 환자군에서는 GG 형이 85.4%(97례), GA형 및 AA형은 각각 13.1%(15례)및 0.8%(1례)에서 관찰되었다. 두 군 모두에서 GG형이 가장 많이 나타났으며 다음으로 GA형을 보이고 AA형은 1례의 방광암 환자에서만 관찰되었다. -308부위의 경우도 두 군 사이에 유전자형의 차이는 없었다(p=0.259) 분화도별 분포를 보면 grade I이 20례, grade II가 49례, grade Ⅲ은 34례였고 병기별로 표재성인 경우가 90례였으며 침윤성은 14례였다. 분화도가 나빠질수록 GA형이 증가하였다(p=0.04). 그러나 병기와 TNF-α promoter -308부위의 유전자형 사이에는 유의한 상관 관계가 없었다(p=0.123). 결론: 방광암 환자의 혈액에서 GA genotype이 관찰되는 경우, 분화도가 나쁠 가능성이 매우 높기 때문에 좀 더 적극적인 치료와 세밀한 추적관찰을 함으로써 방광암으로 인한 사망과 암의 진행을 예방할 수 있을 것으로 기대한다. Purpose : Tumor necrosis factor-alpha (TNF-α) is involved in tumorigenesis of several cancers as an endogenous tumor promoter. The purpose of this study was to investigate whether genetic polymorphism of TNF-α promoter region (-308) was associated with human bladder tumor. Materials and Methods: The DNA from 113 and 109 respective blood samples of bladder tumor Patients and control group was analyzed by PCR-based restriction fragment length polymorphism (RFLP) and direct DNA sequencing methods to characterize the genetic polymorphism of -308 promoter region of the TNF-α gene in bladder tumor patients. We compared the association of bladder tumor with genetic Polymorphism of TNF-α promoter region(-308) in relation to the stage, grade, recurrence and progressio. Results : Eighty-six percents(97/113) of bladder tumor patients and 83.5% (90/109) of control group showed genotype GG at -308 region of TNF-α. Difference in genetic variations of TNF-α promoter (-308) did not exist between bladder tumor patients and control group(p=0.259). Tumor grade was significantly related to the GA genotype (p=0.04). The higher is the grade in bladder tumor, the more frequent was the GA genotype. Tumor stage, recurrence and progression were not significantly associated with genetic polymorphism of TNF-α promoter region (-308). Conclusion: The GA genotype of TNF-a promoter region (-308) had a significant impact on TNF-α production and was related to higher grade tumor compared to GG genotype. TNF-α serum levels in bladder tumor patients were significantly higher than controls. These data suggested that TNF-α might involve the tumorigenesis of the bladder rather than treatment or prevention of bladder tumor.

성인 급성 부고환염에서 Nested PCR에 의한 Chlamydia trachomatis의 검출

정원일,우승효,이형래,이상철,김용태,김원재 충북대학교 의학연구소 2000 忠北醫大學術誌 Vol.10 No.2

연구목적 : 성교가능 성인남자의 급성 부고환염에서 Chlamydia trachomatis가 차지하는 빈도를 Nested PCR을 통해 검출하여 보고자 하였다. 대상 및 방법 : 1996년 9월부터 1999년 2월까지 본 충북대학교 병원 비뇨기과 외래 및 응급실을 내원하여 급성 부고환염으로 진단된 환자 중 성교가능 성인남자 28명을 대상으로 하여 환자로부터 얻은 뇨검체로 일반 미생물 배양검사, 그람염색검사 및 Chlamydia PCR을 시행하였다. 결과 : 급성 부고환염으로 진단된 28명의 평균 연령은 30.9±12.4세 였으며 총 28명중 17명 (60.7%)에서 Nested PCR 검사에 양성으로 나타났으며 연령별로는 20대가 10명중 7명(70%)으로 가장 높은 양성율을 보였다. 그람염색도말 결과 28명중에서 6명(21%)이 비임균성 요도염에 양성을 나타냈으며 또한 일반 미생물 배양 검사 결과 2명에서 균이 자랐는데, 각각 S. epididermidis와 E. coli였다. 결론 : PCR을 통한 Chlamydia trachomatis의 검출이 지금까지 행해진 다른 검사 방법들에 비해 월등하게 민감도가 높으며 성접촉이 가능한 연령의 성인 남자가 급성 부고환염 증세로 내원시 기본적으로 PCR을 통한 Chlamydia trachomatis 검출 검사를 시행하여 적절한 치료가 이루어지는 것이 중요할 것이다. Purpose : We studied the incidence of Chlamydial epididymitis in sexually active male with acute epididymitis by the Nested polymerase chain reaction( PCR ). Materials and Methods: Urine specimens, collected from 28 patients that was 30.9±12.4 years old and presented with acute epididymitis, were tested for the presence of Chlamydia trachomatis by the Nested PCR and for other bacteria by the urine gram stain and culture. Results: Out of total 28 patients, 17 patients(60.7% ) showed positive for Chlamydia trachomatis by the Nested PCR. In thirtieth decade, 7 of 10 patients(70%) showed positive, revealed the highest incidence. 6 patients(21%) showed positive for other bacteria by the urine culture. Conclusion: Detection rate of Chlamydia trachomatis by the Nested PCR was higher than other current diagnostic technique. For the high incidence of Chlamydial epididymitis, all men with acute epididymitis should undergo Chlamydia trachomatis evaluation for adequate treatement of this infection.

감꼭지나방 생태적 특성 및 방제약제 선발

김정화,김길하,조수원,박은철,김순섭,황태구,최상기 충북대학교 첨단원예기술개발연구센터 1999 연구보고서 Vol.4 No.-

경남지역과 충북지역 감나무의 재배, 해충 방제실태를 농가 방문하여 설문조사 한 결과 감 재배경력은 경남지역이 평균 10년이며, 충북지역은 평균 5년 정도이다. 감 재배 주수는 대다수 농가가 20주 이상이고, 재배관리에 대하여 자문을 받는 곳은 농업센터나 농약사 및 연구소 등이었다. 김 품종은 경남지역에서는 부유와 서촌조생, 충북지역에서는 등시와 월하 등을 재배하고 있었다. 시비종류는 이른봄 에 퇴비나 복합비료를 주었고, 감나무 생장 중 열매나 저장 중 열매에 발생하는 해충이 발견되었다. 해충방제를 위해 살충제를 살포하고 있는데 주로 감꼭지나방, 진딧물, 잎말이나방 및 깍지벌레 등으로 파마치온, 파단, 코니도, 신파마치온, 수프라사이드 등을 살포하였다. 감꼭지나방(Stathmopoda masinissa)의 발육생태를 조사하기 위하여, 감꼭지나방을 야외에서 채집하여 온도±1℃, 광주기 16L:8D, 상대습도 50~60%에서 실내 사육하였다. 각 층태별 기간은 알 7.4일, 유충기간 34.7일, 용 15.5일이었다. 각 령기간은 1령 3.5일, 2령 4.2일, 3령 5.2일, 4령 6.5일, 5령 15.4일이었으며, 특히 유층의 두폭을 측정하여 평균한 결과는 1령 0.20mm, 2령 0.40mm, 3령 0.65mm, 4령 0.87mm, 5령 1.07mm일 이었다. 성충의 수명은 수컷이 6.2일, 암컷이 10.1일 이었다. 용화율은 68.0% 우화율은 59.9%이었다. A survey in Kyungnam and chungbuk areas revealed that the average number of years for persimmon tree farming is 10 and 5 years, respectively. The number of trees per orchard is at least over 20, and the farmers have been usually advised through an agricultural center, an agrochemical store, or agrochemical research center. The varieties of the persimmons they grow are Buyu and Seocheon in Kyungnam, and Doogsi and Wolha in Chungbuk. The kind of fertilizers they sprayed in early spring is either compost or composite fertilizer. persimmon pests are often found in persimmon fruits while on a tree or in storage. Phamathion, Padan, Konido, Sinpamathion, and/or supuraside is usually used to control persimmon fruit moths, aphides, leafrollers, and scale insects. To understand the developmental ecology of the persimmon fruit moth, Stathmopoda masinissa Meyrick, we collected and reared them under the laboratory condition which is at 25±1℃ of temperature, 16L:8D of photoperiod, and 85% of relative humidity. As a result, the developmental period of egg, larva, and pupa were 7.40, 34.7, and 15.5 days, respectively. The average period of each larval instar was 3.50, 4.17, 5.17, 6.46, and 15.42 days, respectively, and the average head capsule width was 0.20, 0.40, 0.65, 0.87, and 1.07mm, respectively. The average adult longevity was 6.2 days for males and 10.1 days for females. The pupation rate and the emergence rate were 68.0% and 59.9%, respectively.

사지의 급성동맥 색전증에 대한 응급동맥 색전제거술

박철완,원형섭,박정배,이근,조상훈,표창해,김상일 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Acute arterial occlusion of the extremities is often a surgical emergency and is due mostly to arterial embolus. It has infrequently been reported in the emergency department. Cardiac embolism is most commonly the result of atrial fibrillation secondary to valvular heart disease followed by ischemic heart disease. The emergency arterial embolectomy by Fogarty balloon catheter works well when the cause of occlusion is cardiac embolus obstructing normal vessels in a patient with valvular heart disease. Recently we met some patients with acute critical ischemia of the extremities due to arterial emboli in our emergency department. On physical examination, they all had symptoms of 5"P"s(pain, pallor, pulselessness, paresthesia, paralysis). After emergency arterial embolect omy, immediate improvement was observed in all patients. They were discharged within 1 week. We report our experiences with the review of literatures.

한국형 우울장애 약물치료 알고리듬 2006 (Ⅰ)

서정석,민경준,김원,석정호,박원명,송해철,이상열,전덕인,전현태,홍진표,한국형 우울장애 약물치료 알고리듬 2006 연구그룹 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.5

Objectives : Since the publication of Korean Medication Algorithm Project for Major depressive Disorder (KMAP-MD) in 2002, there has been a substantial need for a revision due to rapid progress in the pharmacological management for depressive disorder. We revised KMAP-MD to Korean Medication Algorithm Project for Depressive Disorder (KMAP-DD) in 2006. This paper is one of the following 4 papers consisting of Korean pharmacological algorithm for depressive disorder. Methods : The questionnaire consisted of 4 parts ; initial treatment of 1) non-psychotic depressive disorder, 2) psychotic depressive disorder, 3) treatment strategy for clinical subtypes and drug choice considering adverse effects, and 4) treatment for depressive disorder in women. It was composed of 22 questions, and each question had 54 sub-items. The questionnaire was completed by the review committee consisting of 101 experienced Korean psychiatrists. We classified the expert opinion to 3 categories (the first-line, the second-line, or the third-line). Results : For non-psychotic major depression, regardless ofthe severity of an episode, the antidepressant (AD) monotherapy was the optimal first-line treatment. SSRI, venlafaxine, and mirtazapine were the 1st-line AD. In case of a partial or no response to initial strategy, adding another AD was recommended. For psychotic major depression, combination of an AD and an atypical antipsychotic (AAP) was the treatment of choice. Among AAPs, quetiapine, rispendone, olanzapine were preferred. For non-responder to initial strategy, the next step was adding or changing AD before changing AAP. For women with premenstrual dysphoric syndrome or postpartum depression without psychotic features, AD monotherapty was a preferred strategy while for psychotic postpartum depression, combination of AD and AAP was recommended. Experts recommended various ADs according to adverse effect. Conclusion : These results suggest that the medication strategies for depressive disorder are rapidly changing and reflect the recent studies and clinical experiences.

구리 지역에서 조사한 고혈압의 인지도, 치료률 및 관리률

홍철호,김순길,홍택원,이제,신진호,이재웅,김경수,김정현,임헌길,이방헌 대한간질학회 2003 대한간질학회지 Vol.9 No.1

갈륨액체금속 이온원과 인듐액체금속 이온원의 빔 특성에 대한 연구

현정우,임연찬,정강원,정원희,박철우,이종향,강승언 한국공작기계학회 2005 한국공작기계학회 춘계학술대회논문집 Vol.2005 No.-

본 연구에서는 인듐 액체금속이온원을 제작하여 빔 특성에 대해 연구를 하였으며, 기존에 연구를 하였던 갈륨 액체금속이온원의 빔특성과 비교 분석 하였다. 빔특성 분석을 위해 빔 안정도, 전류-전압특성곡선, 에너지 퍼짐을 측정하였다. 액체금속이온원에 사용되는 액체금속 저장소 및 바늘전극(tip)은 500μm의 직경을 갖는 텅스텐을 사용하였으며, 국내에서 제작된 제품을 사용하였다. 액체금속 저장소의 구조는 이전에 구상하여 연구가 이루어진 6개의 pre-etching된 텅스텐와이어(wire)가 묶여진 형태를 사용하였다.

도재 표면 처리에 따른 세라믹 브라켓의 전단 접착 강도 및 탈락 양상

이정남,이철원 대한치과교정학회 1998 대한치과교정학회지 Vol.28 No.5

도재의 표면처리가 세라믹 브라켓의 전단 접착강도에 미치는 영향과 브라켓 탈락 양상을 알아보기 위해 60개의 ceradent 도재 시편을 glazing 후 군당 10개씩 여섯 군으로 다음과 같이 분류하였다: 1군(silane), 2군(etching + silane), 3군(stone + silane), 4군(sandblasting + silane), 5군(stone + etching + silane), 6군(sandblasting + etching + silane) 통상적인 방법으로 세라믹 브라켓을 접착한 후 전단 접착강도를 측정하고 탈락양상을 육안 및 주사전자현미경으로 관찰하여 다음과 같은 결론을 얻었다. 1. 표면처리 후 silane을 도포한 2군부터 6군은 silane만을 도포한 1군에 비해 유의성 있는 전단 접착강도의 증가를 보였다(P<0.05). 2. 한 가지 방법 이상으로 표면처리한 3군부터 6군은 서로 유의한 차이를 보이지 않았다(P>0.05). 3. etching 표면처리한 2군은 sandblasting 표면 처리한 4군과 복합 표면처리한 5,6군에 비해 전단 접착강도가 낮았다(P<0.05). 4. sandblasting 표면 처리한 4군은 주사 현미경 소견상 복합 처리한 5,6군보다 감소된 요철정도를 보였으나 전단 접착 강도 측정 결과 유의한 차이를 보이지 않았다(P>0.05). 이상의 결론을 종합해볼 때 도재에 세라믹 브라켓을 접착하기 위해서는 한가지 이상의 방법에 의한 도재의 표면처리 후 silane을 도포해야 임상적으로 적절한 접착강도를 얻을 수 있으며, 술식의 간편성을 고려할 때 sandblasting 후 silane 처리를 하는 것이 효율적일 것으로 사료된다. The purpose of this study was to evaluate the shear bond strength and failure mode of ceramic brackets according to the surface treatment of porcelain. Sixty porcelain samples were randomly divided into six groups of ten samples. Then they were treated as follows: Group 1(silane only), Group 2(etching + silane), Group 3(stone + silane), Group 4(sandblasting + silane), Group 5(stone + etching + silane), Group 6(sandblasting + etching + silance) After surface treatment of porcelain, sixty Transcend 6000 brackets were bonded to the prepared porcelain surface and they were stored in 37℃ saline for 24 hours. An Instron universal testing machine was used to test the shear bond strength of ceramic brackets to porcelain. After debonding., bases of ceramic brackets and porcelain surfaces were examined under scanning election microscope(SEM) to determine failure mode. Statistical analysis of the data was carried out with one-way ANOVA and Duncan's multiple range test. The results were as follows: 1. The shear bond strength of surface-treated groups 2 to 6 was higher than that of only silane-treated group 1, and there was statical significance. (P<0.05) 2. There was no significant difference among the groups 3 to 6. (P>0.05) 3. The shear bond strength of etching-surface treated group 2 was significantly lower than those of sandblasting-surface treated group 4, complex surface treated group 5 and group 6. 4. According to the scanning electromicroscopic images, the surface roughness of sandblasting-surface treated group 4 was less then those of the group 5 and 6, but there was no significant difference in the shear bond strength. (P>0.05) As a conclusion we can have a clinically adequate bond strength when an application of silance is done after the treatment of porcelain surface with more than one way to bond ceramic bracket on the porcelain. Also, it is considered that the sandblasting and application of silance is effective for the simplication and convenience of the treatment.

감꼭지나방(나비목:감꼭지나방과)의 발육생태

김정화,김길하,조수원,박은철,박형진 충북대학교 첨단원예기술개발연구센터 2000 연구보고서 Vol.5 No.-

충북 영동의 감나무 가로수에서 감꼭지나방(Stathmopoda masinissa)을 채집하여 온도 25±1℃,광주기 16L:8D, 상대습도 85%의 실내조건에서 이들의 발육생태를 조사하였다. 각 충태별 발육일수는 알기간 7.4일, 유충기간 34.8일, 번데기기간이 15.5일이었다. 1령에서 5령의 영기간은 각각 3.5일, 4.2일, 5.2일, 6.5일, 15.4일이었으며, 유충의 두폭은 각각 0.20, 0.40, 0.65, 0.87, 1.07mm이었다. 용화율과 우화율은 각각 68.0%, 59.9%이었다. 성충 수명은 수컷이 6.2일, 암컷이 10.1일이며, 암컷 한 마리당 평균 산란수는 24.4개였다. Persimmon fruit moth, Sathmopoda masinissa, collected from roadside persimmon trees planted as shade trees in yeongdong area was used to investigate their developmental ecology under laboratory condition; 25±1℃, 16L : 8D and 85% RH. Developmental periods for eggs, larvae, and pupae were 7.4, 34.8 and 15.5 days, respectively. The duration for each larval instar from the 1st to the 5th was 3.5, 4.2, 5.2, 6.5 and 15.4 days, respectively, and the head capsule width of corresponding stage was 0.20, 0.40, 0.65, 0.87 and 1.07mm. Rates of pupation and emergence were 68.0 and 59.9%, respectively. Longevity of adult males was 6.3 days while that of females was 10.1 days. Average fecundity was 25.4 eggs.

한국형 우울장애 약물치료 알고리듬 2006 (Ⅲ) : 정신병적 양상을 동반한 주요우울삽화

김원,박원명,서정석,민경준,석정호,전덕인,전현태,이상열,송해철,홍진표,한국형 우울장애 약물치료 알고리듬 2006 연구그룹 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Since the publication of Korean Medication Algorithm Project for Major DepressiveDisorder (KMAP-MD) in 2002, there has been a substantial need for a revision due to rapid progress in the pharmacological management of depressive disorder. We revised KMAP-MD 2002 and developed the Korean Medication Algorithm Project for Depressive Disorder (KMAP-DD) 2006. Methods : We developed a questionniare for surveying the opinion of experts on pharmacotherapy of depressive disorder. The questionnaire consisted of 4 parts ; 1) treatment of non-psychotic depressive disorder, 2) treatment of psychotic de-pressive disorder, 3) treatment according to clinical subtypes and drugs choice considering adverse effects, and 4) treatment of depressive disorder in women. The questionnaire was completed by the review committee consisting of 101 experienced Korean psychiatrists. It is composed of 22 questions, and each question includes 54 sub-items. We classified the expert opinionto 3 categories (the first-line, the second-line, or the third-line) by χ²-test. Results : For depressive disorder with psychotic features, most reviewers prefer the combination of antidepressant and atypical antipsychotics. Electroconvulsive therapy and the combination of antidepressant and typical antipsychotics were the second-line treatment. Among antidepressants, venlafaxine was the most preferred, and SSRI and mirtazapine followed. Among atypical antipsychotics, quetiapine, risperidone and olanzapine were the most preferred, in this order. In patients who have no response to the first-line treatment, many reviewers recommended switching to another antidepressant or adding another atypical antipsychotics Conclusion : For severe depressive disorder with psychotic features, the combination of antidepressant and atypical antipsy-chotics was preferred for the first-line treatment. These results suggest that the medication strategies of depressive disorder are rapidly changing and reflects the recent studies and clinical experiences.