봉독약침이 류마티스 관절염 환자의 관절 통증, 종창 및 급성 염증 반응에 미치는 영향

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

Objective In order to study the effects of bee venom(BV) on the pain, edema, and acute inflammatory reactant of rheumatoid arthritis(RA) patients. Methods Patients with RA who met the ACR(American College of Rheumatology) 1987 revised criteria for the diagnosis of RA were treated with the BV therapy twice a week for 3 months. Tender Joint counts, swollen joint counts, Visual analog scale(VAS), morning stiffness, ESR. C-reactive protein(CRP) were analyzed before and after BV therapy. Results The results as follows. 1. Tender joint counts in patients after BV therapy were significantly lower than those before BV therapy(9.0±7.9 vs 15± 11.4, p=0.002). 2. Swollen joint counts of the patients after BV therapy were significantly lower than those before BV therapy(50±61 vs 15±23, p=0.001). 3. VAS in patients after BV therapy was significantly lower than those before BV therapy(608± 17.6 vs 380± 159, p=0.000). 4. Duration of morning stiffness in patients after BV therapy was significantly reduced compared with that before BV therapy(119.1± 112.6 min vs 59.0±89.7 min, p=0.009). 5. ESR and CRP were not significantly changed before and after BV therapy, suggesting BV itself could make inflammatory reaction as well as therapeutic effect. Conclusions BV therapy improved tender joint counts, swollen joint counts and duration of morning stiffness in this study, and further study is needed on long-term effect of BV therapy.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

환경조건에 따른 끌어당김 성형품의 성능 평가

이상백,이재식,이재욱 濟州大學校 産業技術硏究所 1996 산업기술연구소논문집 Vol.7 No.1

The effects of environmental conditions upon performance of composite materials, pultruded from a glass fiber reinforced isophthalic unsaturated polyester system. Water absorption curve of composite immersed into 50℃ water was constructed to observe water uptake behavior. Changes in tensile modulus and strength, flexural modulus and strength, impact strength and dynamic mechanical properties of dry and wet composites exposed to water, NaCl and NaOH solutions were measured. The ultraviolet resistance of composites was also studied. The moist environments had a detrimental effect on impact strength. Other properties were not significantly affected by environments.

환경조건에 따른 끌어당김 성형품의 성능 평가

이재식,이재욱,이상백 濟州大學校工科大學産業技術硏究所 1996 尖端技術硏究所論文集 Vol.7 No.1

The effects of environmental conditions upon performance of composite materials, pultruded from a glass fiber reinforced isophthalic unsaturated polyester system. Water absorption curve of composite immersed into 50℃ water was constructed to observe water uptake behavior. Changes in tensile modulus and strength, flexural modulus and strength, impact strength and dynamic mechanical properties of dry and wet composites exposed to water, NaCl and NaOH solutions were measured. The ultraviolet resistance of composites was also studied. The moist environments had a detrimental effect on impact strength. Other properties were not significantly affected by environments.

Moclobemide의 항우울 효과에 대한 평가

이귀행,박민철,노승호,백영석,이상열,김재현 圓光大學校 醫科學硏究所 1996 圓光醫科學 Vol.12 No.2

Eighteen patients took Moclobemide for 6 weeks, who had been diagnosed as major depression based on DSM-Ⅲ-R and had had more than 16 points on the Hamilton Depression Rating Scale. After medication of Moclobemide, they were evaluated by the Hamilton Depression Rating Scale and in terms of sleep, vigilance, performance, social interactions and drive. The results were as follows ; 1. The average dosage of Moclobemide was 400±89 ㎎. 2. Antidepressant effect were checked on the all items of the Hamilton Depression Rating Scale and prominent on the items of work and activities, insomnia, suicide, somatic symptoms. 3 There were obvious changes of the antidepressive effect by the evaluation of the doctors and patients at 4 weeks after the medication of Moclobemide. 4. In the patients, 61% had positive effects on the sleep. 94% no negative effects on the vigilance. Nobody has negative effects on the social interactions and drive. 5. Side effects or physical disturbances induced by Moclobemide were not found. According to these results, it seemed that Moclobemide had clear antidepressant effects, few negative effects on the life of day time, positive effects on the sleep and somatic symptoms.

저선량 방사선 조사 시 종자수분함량이 채소류의 발아와 초기생장에 미치는 영향

백명화,김재성,이영근,이영복,양승균 한국환경농학회 2003 한국환경농학회지 Vol.22 No.3

채소종자의 발아와 초기생장에 대한 저선량 방사선과 종자수분함량의 영향을 알아보고자 배추, 무우, 고추, 호박, 참박 각각의 건조종자와 습윤종자에 저선량 감마선을 0~20Gy 수준으로 조사하였다. 수분함량을 상이하게 하여 관찰한 발아와 초기생장에 미치는 저선량 방사선 효과는 작물종에 따라 다르게 나타났다. 발아율의 경우는 건조종자보다 습윤종자에서 대체로 높았으며 저선량 효과는 배추와 호박의 습윤종자 4Gy와 2Gy에서 각각 33%와 13% 증가하여 뚜렷한 효과를 보였고, 참박은 건조종자 4~8Gy에서 높았다. 초기생장은 습윤종자에서 뚜렷한 효과를 보여 배추와 무는 10Gy, 호박은 2Gy, 참박은 8Gy에서 6~26% 정도 증가하였다. 이러한 초기생장 촉진효과는 저선량방사선과 수분함량 상호간에 유의적인 차이를 보였으며 특히 배추와 참박에서 가장 높았다. 즉, 채소 종자의 수분함량을 상이하게 하여 저선량 방사선의 효과를 조사한 결과 적정 수분함량에서 발아와 유묘생장이 촉진됨을 확인할 수 있었다. To investigate the effects of low dose gamma radiation and seed moisture content (SMC) on germination and early growth of vegetable crops, seeds of Chinese cabbage (Brassica camperstris L.), radish (Raphanus sativus L.), red pepper (Capcicum annuum L.), figleaf gourd (Cucurbita ficifolia Bouche) and bottle gourd (Lagenaria siceraria Stand), with different SMC were irradiated with different doses (0-20 ㏉) of gamma-ray by irradiator ^(60)Co, ca.150 TBq of capacity, AECL). Vegetable crops in which low dose gamma radiation was irradiated in seeds with different moisture content showed different response in seed germination and early growth to low dose gamma radiation. The germination rate of Chinese cabbage, figleaf ground and bottle gourd irradiated with 2-8 ㏉ showed interactive responses against relative SMC. Also, significant interactions occurred for the early growth between those factors. The stimulating effects of gamma radiation were more pronounced for hydrated seeds of Chinese cabbage, radish, figleaf gourd and bottle gourd showing prominent responses with 2-10 Gy irradiation, particularly for Chinese cabbage and bottle gourd. These results suggest that radiation may promote germination and early growth of vegetable crops through interaction with SMC.

저선량 γ선 조사가 고추의 광합성과 광 스트레스 경감에 미치는 효과

이혜연,김재성,백명화,박순철,박연일 한국환경농학회 2002 한국환경농학회지 Vol.21 No.2

고추 종자에 저선량 γ선을 조사시킨 고추 식물체의 생육과 광합성 능 및 광 스트레스 반응에 미치는 영향을 조사하였다. 저선량 4 Gy가 조사된 고추 식물체에서 광합성에 의한 산소발생이 대조구에 비해 1.5배정도 높은 것으로 나타났다. 고추 잎에 900 μmol/㎡/s의 빛의 세기로 광저해를 4시간 유도하였을 때 최대 광합성능 (Pmax)이 대조구의 경우 20%정도 감소되는 반면 4 Gy 조사구는 3% 정도의 감소를 보였다. Fv/Fm는 광저해가 진행됨에 따라 감소되는 경향을 보이며 대조구의 경우 4시간 처리시 fv/Fm 값이 50% 정도 감소되는 것을 볼 수 있었다. 반면 4 Gy조사구는 fv/Fm값이 대략 37%정도 감소되어 대조구에 비해 광 스트레스에 대해 덜 민감한 것으로 나타났다. Fo는 광저해가 진행됨에 따라 거의 변화가 없었으며 대조구나 4 Gy 조사구 사이의 차이도 거의 없는 것으로 나타났다. 광계Ⅱ의 광양자 수율인 Φ_PSⅡ과 광계Ⅱ 반응중심에 의한 여기 포획률을 나타내주는 1/Fo-1/Fm 또한 광저해가 진행됨에 따라 감소되었으며 4시간을 처리했을 경우 각각 대조구는 47%, 4 Gy 조사구는 30%의 감소를 볼 수 있었다. 비광화학적 소멸인 NPQ는 광저해가 진행됨에 따라 감소되는 경향을 보였으나 대조구와 4 Gy 조사구간에 차이는 없는 것으로 나타났다. 이러한 결과를 볼 때 종자의 종피를 투과한 저선량의 γ선이 식물의 광합성을 증대시키고 동시에 광 스트레스에 대한 저해를 감소시키는 것으로 보인다. The effect of low dose Y radiation on photosynthesis and the reduction of photoinhibition in red pepper plant was investigated. The seedling height, leaf width and leaf length of pepper were stimulated in plants grown from seeds irradiated with the tow dose of 4 Gy. The O_2 evolution in the 4 Gy irradiation group was 1.5 times greater than in the control. To investigate the effect of low dose Y radiation on response to high light stress, photoinhibition was induced in leaves of pepper by illumination of high light (900 μ㏖/㎡/s). Pmax was decreased with increasing illumination time by 20% in the control, while hardly decreased in the 4 Gy irradiation group. The photochemical yield of PSII, estimated as Fv/Fm, was decreased with increasing illumination time by 50% after 4 hours while Fo did not change. However, Fv/Fm in the 4 Gy irradiation group was decreased by 37% of inhibition, indicating that the photoinhibition was decreased by the low dose Y radiation. Changes in the effective quantum yield of PSII, Φpsu, and 1/Fo-1/Fm, a measure of the rate constant of excitation trapping by the PSII reaction center, showed similar pattern to Fv/Fm. And NPQ was decreased after photoinhibitry treatment, showing no difference between the control and the 4 Gy irradiation group. These results showed the positive effect of low dose Y radiation on the seedling growth and the reduction of photoinhibition.

랫드 배양배아에서 ginsenosides가 superoxide dismutase 유전자 발현에 미치는 영향

김재승, 이세라, 김연, 연정민, 백인정, 안병우, 김윤배, 이범준, 윤영원, 남상윤 충북대학교 동물의학연구소 2006 Journal of Biomedical and Translational Research Vol.7 No.2

본문참고

1995년 및 1996년에 국내에서 분리된 풍진바이러스의 염기서열 및 계통분석

백락주,송기준,정재희,정희진,김우주,김민자,송진원,김세연,이용주,박광숙,강주일 대한감염학회 1997 감염 Vol.29 No.3

목적: 유소아에서 경한 발진성 질환을 일으키는 풍진바이러스는 토가바이러스과에 속하며 일회 감염으로 평생면역을 획득하는 것으로 알려져 왔다. 그러나 1960년대 후반 풍진예방접종이 시행된 이후 선진국의 경우 풍진 호발 연령이 유소아에서 청소년 층으로 변화하는 양상을 나타내었으며 우리 나라의 경우에도 1995년에서 1996년도 사이에 발생한 풍진대유행기에 주로 중 고등학생층에서 풍진이 호발하였다. 주기적인 풍진의 유행에도 불구하고 우리 나라에서는 최근까지도 풍진 바이러스의 분리나 유전정보에 대한 연구보고가 없어 이에 대한 연구를 시행하였다. 방법: 1995년에서 1996년에 발생한 풍진 환자의 인후분비물을 채취하여 세포배양법으로 풍진바이러스 분리를 시도하였으며, 분리된 풍진바이러스의 RNA를 추출하여 역전사 중합효소연쇄반응법으로 증폭한 후 염기서열 및 아미노산 서열을 결정 분석하였다. 결과: 세포배양을 통해 7주의 풍진바이러스를 분리하였으며 국내 풍진바이러스주들은 염기서열상 92.5-100%의 동질성을 나타내었고, 백신주 RA27/3과는 2.2-6.4%의 차이를 보였다. 아미노산서열상에서는 국내에서 분리된 풍진바이러스주들은 98.3-100%의 동질성을 나타내었고, 백신주 RA27/3과는 1.7%이하의 차이를 보였다. 계통분석 결과 국내에서는 최소한 2가지 유형의 풍진바이러스가 유행하였다. 결론: 국내에서 유행한 풍진바이러스주의 E1 gene 부위를 기존에 알려진 외국의 분리주나 백신주와 비교시 의미있는 차이는 관찰되지 않았으며 Vero E6 세포는 풍진바이러스의 분리배양에 유용함을 알수 있었다. 그러나 풍진바이러스의 지속적인 변이 양상이 관찰된 사실은 체계적이고 지속적인 풍진바이러스 감시체계의 필요성을 제시하였다. Background: The age group of Rubella virus (RV) infection in most industrialized nations located in temperate climates, has in large part shifted from children to young adults since introducing of the RV vaccine in late 1960's. Interestingly, there were rubella outbreakes from 1995 through 1996 in Korea, and middle and high school students were mostly affected during that time. Although continued of genetic information of rubella viruses circulated in Korea. Method: To isolate RV circulated in Korea, and determine the phylogenetic relationship between RV strains in Korea and RV isolates from other geographic regions including vaccine strains, we inoculated nasopharyngeal secretion samples from clinically diagnosed rubella patients to Vero E6 cells, and sequenced corresponding region of the 5' EL encoding genomic regions of RV isolates. Result: Seven RV strains isolated from Korea showed 93.6 to 97.8% and 98.3 to 100% sequence homologies in nucleotide and amino acid levels, respectively, compared to RA27/3 vaccine strain. Phylogenetic tree based on 359bp of RV indicated that at least two different groups of RV circulated in Korea during 1995-1996 epidemics. Conclusion: Our data suggested that mutant RV strains were possiblely not the cause of recent rubella epidemics in Korea.

유기인계 농약 중독 후 발생한 급성 췌장염

이동익,진영호,이재백 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2

Acute pancreatitis as a complication of organophosphate intoxication has been infrequently addressed. Previous reports have suggested that acute pancreatitis may follow the oral ingestion of several organophosphates. The pathogenesis of this pancreatic damage has been studied in a few animal studies. However, the association between acute pancreatits and human organophosphate intoxication may still not be widely recognized. We experienced 6 cases described as hyperamylasemia and hyperlipasemia with a presumptive diagnosis of acute pancreatitis following organophosphate intoxication, and we analyzed them to provide human baseline data for further studies and patient management. We report these case series with an analysis and a literature review.