한국인 강박장애와 Val-158-Met Catechol-O-Methyltransferase 유전자 다형성 간의 상관성 연구

천근아,김세주,김찬형,구민성,남윤영,박성혁,이홍식 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.5

목적 COMT(Catechol-O-Methyltransferase) 효소는 도파민성과 노어아드레날린성 체계의 조절에서 매우 중요한 작용을 하며 염색제 22q11에 위치해 있다. 일부의 강박장애 환자들은 도파민 차단제에 좋은 치료 반응을 보이며 이런 현상은 COMT가 강박장애의 병인론에 역할을 하고 있을 가능성을 말해준다. Val-158-Met COMT 유전자의 다형성은 효소의 감소를 유도하는 L(저활성) 대림형질, 활성의 증가를 유발하는 H(고활성) 대립형질로 알려져 있으며 L 대립형질 또는 LL 유전형이 강박장애와 연관이 있다는 보고가 있으나, 아직까지 강박장애와 COMT 다형성 사이의 연관성에 대한 연구결과들은 일관되지 않다. 따라서 본 연구에서는 한국인 강박장애 환자들을 대상으로 Val-158-Met COMT 유전자의 다형성과의 연관성을 알아보고자 하였다. 방법 2002년 3월부터 2004년도 2월까지 약 24개월동안 서울지역 일 대학병원과 경기지역 일 대학병원 강박장애 클리닉을 방문하여 강박장애로 진단받은 124명의 환자들을 연구대상으로 하였고 정상 대조군으로는 나이와 성별을 고려하여 자원자 170명이 선별되어 포함되었다. 강박장애군과 정상 대조군의 혈액으로부터 유전자 추출 후 COMT 유전자 형벌 (genotyping)을 시행하였다. 다형성을 H/H 와 H/L, L/L 유전형으로 나눈 뒤 강박장애와 정상대조군 사이의 유전자 빈도를 카이 검정법으로 비교하여 연관성을 관찰하었다. 또한 강박장애 환자들에게 시행한 YBOCS로부터 측정한 강박장애 심각도 및 Hamilton Depression Raing Scale (HDRS) 총점과 COMT 유전자 다형성 사이의 연관성을 비교하였다. 결과 본 연구 결과 한국인 강박장애와 COMT 다형성 간에는 유의한 상관성이 관찰되지 않았다. YBOCS 심각도와 COMT 유전자형과의 유의한 연관성이 관찰되지 않았다. 그러나, 강박장애 환자군들의 COMT 유전자형 세 군 사이의 우울증상 점수에서는 유의한 차이가 관찰되었다. 결론 한국인에서 강박장애와 COMT 유전자 다형성 사이에는 연관성이 없었다. 그러나, COMT의 H 대립형질과 강박장애 군에서 공존하는 우울증상 척도가 유의한 연관성을 보인 현상은 COMT 유전자의 다형성이 강박장애의 공존 우울증상에 영향을 미칠 수 있는 가능성을 시사한다고 생각된다. Objectives : The definite cause of obsessive-compulsive disorder (OCD) is still unknown. Evidences from familial, twin and segregation studies support the role of a genetic factor. There are also growing evidence indicating that OCD has specific neurochemical and neuroanatomical basis. Derived from the effectiveness of treatment with dopamine receptor blocker in certain part of OCD patients (eg. SSRI treatment-resistant OCD), several candidate genes related to dopamine dysregulation have been hypothesized to play an important role in the development of OCD. One of them is the Catechol-O-Methyltransferase (COMT) gene. The aim of this study was to investigate the association between COMT and OCD in Korean population. Methods : 124 OCD patients and 170 normal controls participated in this study. Genomic DNA was extracted from their blood. The genotypes and allele frequencies of the COMT polymorphism between OCD group and control group were compared. We investigated the association between severity of OCD assessed by Yale-Brown obsessive compulsive symptom scale (YBOCS) and Hamilton depression rating scale (HDRS) scores and COMT polymorphism. Results : In this case-control study, we could not find any association between COMT gene polymorphism and development of OCD. In OCD group, patients with H/H genotype had significantly higher scores for the HDRS than those with H/L or L/L genotype. Conclusion : In this study, there was no difference in genotype distributions of COMT between OCD and control groups. However, H/H genotype of COMT gene polymorphism might be related to depressive symptoms in OCD patients.

건설공사의 안전투자비에 대한 효과 분석

박종근,노민래,이관형 한국안전학회 2004 한국안전학회지 Vol.19 No.4

This study delivers the actual condition of investment for industrial accident prevention based on survey of 500 construction sites from "reports for industry safety and health" published by Korea Occupational Safety & Health Agency (KOSHA). The various research techniques were used such as technical statistic analysis for construction industry, cost comparison of industrial accident prevention and accident loss. A formula was deduced to calculate accident loss and accident frequency by accident prevention cost through regression analysis.

저농도 화학적 산소 요구량의 측정법 연구

정형근,조민제 연세대학교 보건과학연구소 1997 보건과학논집 Vol.7 No.-

Lidocaine 이 흰쥐 해마박편에서 CA 1 추체세포의 활성에 미치는 영향

김형룡,민승기,김대업,오상천,유형근,김은철,고건일,원진숙 원광대학교 생명공학연구소 1995 생명공학연구소보 Vol.3 No.1

遮光度가 茶葉의 Chlorophyll 色素에 미치는 영향

정영민,김동연,은종방,박근형 全南大學校 農漁村開發硏究所 1991 農業科學技術硏究 Vol.26 No.-

차광도가 다른 재배환경이 다엽의 Chlorophyll 색소함량에 미치는 영향을 조사하고자, 재배차의 무차광 및 차광다엽, 그리고 야생차의 연중 반차광다엽과 연중 차광다엽을 대상으로 검토한 결과, Chlorophyll의 함량은 차광 정도에 따라 차이를 보였는데 무차광다엽보다 차광다엽이 높은 경향을 나타냈다. Chlorophyll a와 b의 조성은 무차광다엽은 3:1, 그리고 차광다엽은 2.8:1로 그늘에서 자란 것이 Chlorophyll b의 비율이 증가하는 경향을 나타냈다. The effect of shading on the Chlorophyll content of tea shoot was examined under the different shading conditions shaded and unshaded tea shoots obtained from cultivating tea were analyzed while partial shaded and through-shaded tea shoots were used for wild tea. Analysis of the Cholorophyll contents of tea shoots revealed that different shading conditions resulted in different Chlorophyll contents and higher content of Chlorophyll was found in the shaded case. The composition of Chlorophyll a and b was 3:1 and 2.8:1 under unshaded and shaded conditions respectively, which indicated that the ratio of Chlorophyll b to Chlorophyll a increased under the shading condition.

치과 재료용 NiTi 합금의 특성에 대한 Ag 첨가의 영향

오근택,박기호,심형민,황충주,김경남 大韓齒科器材學會 2001 대한치과재료학회지 Vol.28 No.4

Equiatomic and near-equiatomic nickel-titanium alloys have shape memory effect and superelasticity. However nickel-titanium alloys are extremely sensitive to the precise nickel-titanium ratio and alloying additions. There are many reports on the alloying additions such as Fe, Al, Cr, Co, V, Pt, Pd, Zr, Hf, Nb and Cu. The purpose of this study was to investigate the effect of silver addition to nickel-titanium alloy for dental and medical application.Arc melting process was used to fabricate nickel-titanium alloys. The casts were heat-treated in a vacuum furnace at 950℃ for 72 hours to homogenize their composition. Subsequently, they were hot-rolled at 950℃ to obtain the plate samples and annealed in a vacuum furnace at 950℃. To investigate the properties of nickel-titanium alloys, phases, transformation temperature, compositions, corrosion resistance and hardness were evaluated using X-ray diffractometer, differential scanning calorimeter, energy dispersive spectroscopy or atomic absorption spectroscopy, potentiostat and micro-vickers hardness tester, respectively. NiTiAg alloys showed the low silver recovery rate for the cast due to its low evaporation temperature, and showed low silver solubility to NiTi alloy. Silver addition to NiTi alloy increased transition temperature range (TTR) above 100℃ and stabilized martensitic phase(monoclinic structure) at room temperature because Ms temperature was above room temperature. Martensitic and austenitic phase existed in x-ray diffraction pattern of solution annealed NiTiAg alloys. The Silver addition is considered to improve corrosion resistance and change largely the mechanical properties depending upon the amount of alloying addition and types of addition elements.

행위 명세의 시각화를 통한 객체지향 프로그램의 이해도 증진에 관한 연구

임근,최민형 서울保健大學 1992 論文集 Vol.12 No.1

The Software reuse, based on Object Oriented Methodology, provides a flexible and productive apporach to software develpoement. In order to operate successfully, a reusability system must address four fundamental problems, finding, understanding, modifying and composing components. The understanding process is required in any case, especially if the component is to be modified. However it is difficult to abstractly describe the structure and behavior of object systems. In this thesis, three view points for understanding are proposed, and from each point of view, Behavior Abstactor three scripts in an abstract form. For user frienaly man-machine interface, We implemented the Visualization System that produces diagrams from the scripts generated by Behavior Abstractor. In our Visualization System, the Inheritance hierarchy diagram represents the generic factors between a parent class and its child class, The Object state charts describe system components in terms of state transition, while the Configuration diagram defines the system structure, These provide a basis for understanding about system behavior from component specifications and their diagrams.

Ti-Ag 합금의 인공타액 내에서의 전기화학적 특성

심형민,오근택,김경남 大韓齒科器材學會 2003 대한치과재료학회지 Vol.30 No.4

Titanium and its alloys are widely used in biomedical and dental fieds because of their excellent corrosion resistance, biocompatibility, high strength to weight ratio and good fatigue properties. It is well known that titanium is protected from corrosion due to the stability of passive film that controls and determines the corrosion resistance of titanium. The stability of passive film can also determine biocompatibility of titanium and its alloys. The purpose of this study was to evaluate the electrochomical properties of Ti-Ag alloys and the stavility of passive film in artificial saliva. We designed Ti-Ag alloys with silver contents ranging from zero to 5.0 at% in steps of 0.5 at%. The alloys were arc-melted, homogenized, hot-rolled to 2 mm in thickness, and finally solution heat-treated for 1hour and quenched in water. Potentiodynamic and poteniostatic testing were performed and open circuit potential of the Ti-Ag alloys was measured in artificial saliva 37℃. Passive film of the Ti-Ag alloys was analyzed by XPS(x-ray photoelectron spectroscopy). Ti-Ag alloys showed low passive current density and electrochemically stable behavior in the artificial saliva and passive film of the Ti-Ag alloys was composed of TiO_2, Ti_2O_3 and TiO. As Ag content increased, TiO_2 fraction increased and titanium oxide layer of the Ti-Ag alloys formedthicker than that of titanium.It is thought that Ti-Ag alloys can be adopted and used safely with good biocompatibility for dental application.

뇌졸중 후 중추성 통증 환자에 대한 동서협진이 진통과 재활에 미치는 영향

이현종,김수영,이상훈,서동민,이두익,김건식,이재동,이윤호,양형인,박재경,최도영 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2003 東西醫學硏究所 論文集 Vol.2003 No.-

Purpose : In order to study the effectiveness of East-West pain treatment on central poststroke pain(CPSP), we evaluated its effect on alleviation of pain and rehabilitation of CPSP Patients who were treated with electroacupuncture and west pain treatment for four weeks. Methods : Twenty four patients diagnosed by their pain characteristics of central pain from stroke were treated with sympathetic nerve block, gabapentin, amitriptyline, and electroacupuncture for four weeks. Pain intensity through the visual analogue scale(VAS), and improvements of mobility and rehabilitation through the modified Barthel index(MBI) and Rankin scale(RS), respectively, before and after pain treatment were also assessed. Results : VAS pain scores were significantly improved from 7.7±1.7 to 4.4±2.0 with pain treatment(p<0.05). In accordance with improvement of pain scores, RS and MBI scores were also improved from 2.88±0.95 to 2.13± 1.01 and from 83.0± 16.9 to 94.7±9.5(p<0.05), respectively, with pain treatment(p<0.05). Conclusions : It was suggested that the active pain treatment was contributed to the rehabilitation of CPSP patients, resulting in improvement of quality of life of CPSP patients. Futhermore, East pain treatment in combination with West pain treatment may be useful modality to alleviate CPSP.

전경대원에서 발생한 결핵의 임상 양상

문창기,박상준,조민구,김영중,김소연,김윤권,정준오,안석진,김은실,서승오,김지훈,최원제,이윤영,박형기,최규영,김현근 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

Background: The purpose of this study was to document the incidence and clinical characteristics of patients with tuberculosis (TB) in combat and auxiliary police, living in a group, in Korea where the incidence rate of active TB in a general population is higher than in Western countries. Materials and Methods:We retrospectively reviewed the medical records of all tuberculosis patients diagnosed at National Police Hospital from January 2002 through December 2004. Results:In 2002-2004, a total of 156 cases of tuberculosis were identified with the mean (Standard deviation) age of 20.6 (±1.0) years. Of these, 134 (85.9%) patients were registered as new cases, 11 (7.1%) as relapse, 2 (1.3%) as failure, 5 (3.1%) as treatment-after-default cases whereas 4 (2.6 %) patients were not included in any categories. Average annual new TB rate and smear-positive TB rate were 86.5/10^(5) and 17.4/10^(5) person-years, respectively. In 12 of 31 smear-positive cases, time from onset of symptoms to diagnosis was more than 30 days. Two multidrug-resistance TB cases were identified and two suspected outbreak episodes of TB had occurred during 3 years. Conclusion:There was no statistically significant difference in the incidence rate of new cases of TB between the general population aged 20 to 29 years and combat and auxiliary police in Korea. 배경 : 국내 결핵의 발생은 감소 추세에 있으나 여전히 후진국형 발생양상을 보이고 있다. 특히 집단생활을 하는 젊은이들에서 발생하는 결핵의 유행이 간헐적으로 알려지고 있어 우려를 낳고 있다. 이에 저자들은 최근 전경대원의 결핵 발병 양상에 대해 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2002년 1월부터 2004년 12월까지 3년간 경찰병원에서 결핵 진료를 받은 전경대원의 의무기록을 후향적으로 분석하여 연도별 결핵 신환발생률, 도말양성결핵 신환율, 진단 지연, 집단발병, 다제내성결핵을 조사하였다. 결과 : 연도별 결핵 신환자 수(10만명당 발생추정치)는 2002년 50명(83.6명), 2003년 42명(83.7명), 2004년 42명(93.5명)이었고 도말양성 폐결핵 신환자 수는 2002년 10명(16.7명), 2003년 11명(21.9명), 2004년 6명(13.4명)이었다. 3년간 도말양성 폐결핵 환자는 31명이 있었고 그 중 12명은 호흡기 증상 발생 30일이 지나서 진단을 받았다. 다제내성 결핵은 2명이 있었으며 결핵의 집단발병이 의심되는 사례는 2차례 있었다. 결론 : 전경대원과 20-29세 연령군 일반인의 결핵 신환발생률, 도말양성 폐결핵 발생률의 통계적으로 유의한 차이는 없었다.