고빌리루빈혈증을 동반한 자가면역성 간염 1례

서영범,김성욱,장재식,강혁주,이중현,윤병구,김욱년,이광헌,이구,유석동,양창헌,이정호,이영현,이창우,서정일 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

자가면역성 간염은 대개 만성 경과를 가지며, 혈중 자가면역항체와 혈청 글로불린치의 상승, 그리고 조직학적으로 괴사 염증성 변화를 특징으로 하는 질환으로 아직 정확한 병인이 밝혀져 있지 않은 상태이다. 발병연령은 대개 젊은 영자(15-25세)에서 호발한다. 이 질환은 급성 간염의 임상경과를 보일 수 있으나, 심한 급성 간염이나 전격성 간염으로도 나타날 수 있는데, 이 경우 아주 나쁜 예후를 보인다고 한다. 치료는 자가면역성 간염 임상 경과의 다양성이나 병인, 병리기전의 불확실성에도 불구하고 대개 steroid 치료에 반응하는 것으로 알려져 있으며 대개 80%의 관해율을 나타내며 궁극적으로 간경변으로의 진행을 막을 수 있는 것으로 보인다. 저자들은 58세 남자에서 발생한 급성의 경과를 가지고 심한 황달을 동반한 자가면역성 간염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Autoimmune hepatitis (AIH) is a chronic necroinflammatory liver disorder of unknown cause associated with circulating autoantibodies and a high serum globulin level. The age of onset of AIH show a peak between the age of 15 and 25 years. AIH can develop and be manifested as acute hepatitis, but severe form of acute hepatitis or fulminant hepatic failure has a poor prognosis. Although AIH is likely to progress from chronic active hepatitis to cirrhosis, steroid therapy can control the disease activity, prolong survival, improve the quality of life , and defer liver transplantation. In the present report we describe a 58-year-old man who admitted because of progressive jaundice and fatigue. He was diagnosed with AIH from laboratory test result showing positivity for antinuclear antibodies, anti-smooth muscle antibodies, and negativity for hepatitis viral markers and from liver biopsy. Steroid therapy, oral administration of prednisolone, was effective in improving the liver function test. Following liver biopsy 6 months after onset shows markedly improved necroinflammatory activity.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

鮟鱇網 漁具 漁法의 改良에 관한 硏究(Ⅱ) : 展開帆을 이용한 改良漁具 試驗(豫報)

李吉來,宋之浩,朴鍾洙,徐萬錫,趙鳳坤,朴正鎬,洪聖根,鄭公炘,裵錫悌,鄭與基,金鎭乾 군산대학교 1980 群山水産專門大學 硏究報告 Vol.14 No.1

Ordinarily stow net fisheries was used by floater beam and sinker beam for the purpose of spreading the mouth of net. But it was not only iuconvenient and dangerous but much defective. In this thesis, we have studied fundermental experiment of the improved stow net fishing gear using head rope, ground rope and otter sail instead of floater beam and sinker beam. From the result of this experiment, it has been succeeded for fishing work to achieve basically without any difficulty. The results obtained in this study were as follows. 1) The resistance of fishing gear was estimated R≒7V2 as possible as it is taken greatly. (R: Resistance V: the rate of current) 2) The interval of otter sail was spreaded smoothly. Being in normal condition, it was maintamed the width 37-38m. It was heared comparison with net mouth of ordinary gear, and the shearing force was enough. 3) The height of mouth was lower than we have anticipated to and seemed to have the supplement of buoyancy. But according to increasing the rate of current, the lowness of mouth height was little affected. 4) The height of otter sail was decreased at the rate of 30% by the rate of current, on the contrary, the height of wing was not decreased owing to sufficient buoyancy, 5) The adjustment of extention length of hanging wire(connected with fishing boat) and raising wire(with otter sail) was great important problem and it must be dealed with the most moderatly because of a corelation between the spreading of fishing gear and catching ability. 6) On the depth of 30m, it was taken 25 minuits to cast anchor and lines, 20 min cast net, 24 min haul net, 45 min haul lines and heave anchor, respectively. 7) The improved stow net with otter sail was cleared up the defects and difficult problems in ordinary gear using floater beam and sinker beam, and it have more advantages of fishing work than ordinary one. But there were involved in lots of problems in details to solve in the future.

일차배양된 설치류 호흡기 상피세포로부터의 점액소 분비에 대한 수종 약물의 영향

이충재,석정호,이재흔,허강민,박지선,배소현,노삼길,박상철 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

1. PKC activator인 PMA는 일차배양 HTSE세포로부터의 뮤신분비를 0.1μM 농도에서 30%, 1μM 농도에서 80% 가량 증가시켰다. 2. 식물 유래 성분으로, flavonoid의 일종인 TFR은 일치배양 HTSE 세포로부터의 뮤신분비를 10μM 농도에서 50%, 100μM 농도에서 80% 가량 증가시켰다. 3. 양이온성 폴리펩티드인 PLL 및 PLA는 일차 배양 HTSE 세포로부터의 뮤신분비를 0.01 - 10μM 농도에서 용량의존적으로 감소시켰다. 4. 결론적으로, 본 연구에서 얻어진 결과들은 새로운 거담제 및 점액용해제나 단백분해 효소제가 아닌 호흡기 류신의 생성/분비를 조절해 줄 수 있는 신개념의 약물을 개발함에 있어 극히 일부분이나마 단서를 제공하고 있다고 하루 수 있을 것이다. In the present study, we tried to investigate whether phorbol myristate acetate(PMA), trihydroxymethoxy-flavanone rutinoside(TFR) and cationic polypeptides significantly affect mucin release(secretion) from cultured hamster tracheal surface epithelial cells. Confluent primary hamster tracheal surface epithelial (HTSE) cells were metabolically radiolabeled with 3H-glucosamine for 24 hr and chased for 30 min in the presence of each agent to assess the effect on 3H-mucin release. The results were as follows : (1) Both PMA and TFR significantly increased mucin release from cultured HTSE cells ; (2) Cationic polypeptides including po1y-L-lysine(PLL, mw 7,500) and poly-L-arginine(PLA, mw 10,800) significantly inhibited mucin release from cultured HTSE cells, in a dose-dependent manner. This finding suggests us that PMA and TFR be further studied for the possible use as mild expectorants and cationic polypeptides might function as a regulator for hyper-secretion of mucus, both by direct acting on airway mucin-secreting cells, during the treatment of chronic airway diseases.

저출력 레이저조사가 동통반응에 미치는 영향

이종흔,윤수한,김성교 大韓齒科保存學會 1991 Restorative Dentistry & Endodontics Vol.16 No.2

돈사 폐수의 물리화학적 처리에 관한 연구

이수구,박상헌 서울産業大學校 1992 논문집 Vol.36 No.1

This study was performed to treat the swine wastewater from the small scale farms. As physicochemical treatment methods, coagulation, activated carbon adsorption, Fenton reagent's reaction and dewatering of sludge were applied to remove organic materials. Adding polymer Yangfloc Ycx-4 could increase effectively COD removal efficiency above 80% and the optimum dosage of polymer was 50㎎/L. In order to remove COD, powdered activated carbons were more effective than granular activated carbons and PAC absorption results could applied well to Freunich adsorption isotherm. In Fenton reagent's reaction, COD removal efficiency was low within 30%. In the chemical treatment, killing efficiencies of E. coli were 99.5% and 99.8% at pH 11 and 12, respectively. The dewaterability of sludge could be increased effectively by adding lime and cationic polymer.

고혈압쥐에서 성장에 따른 신장 세포막 Na, K-ATPase와 Adrenergic Receptor의 변동에 관한 연구

박성규,이재흔 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

To investigate the developmental changes of Na, K-ATPase and adrenrgic receptors in the kidney basolateral membrane(BLM) of hypertensive rat, Na, K-ATPase activities, [^3H]ouabain, [^3H]prazosin and [^3H]dihydroalprenolol(DHA) binding sites were measured in the kideny basolateral membrane prepared from 1, 3, 5, 10 and 15 weeks old Sprague-Dawley rats(SD) and spontaneously hypertensive rats(SHR). Results are as follows ; 1. Systolic blood pressure in SHR was not elevated at 3 and 5 weeks old, but elevated significantly to 185 mmHg at 10 or 15 weeks old. 2. Na, K-ATPase activity of BLM in 3 weeks old SD was markedly increased compared to that in 1 week old and there was little change in 5, 10 or 15 weeks old rat. 3. Na, K-ATPase activity of BLM in SHR was also markedly increased at 3 weeks old, but continuously increased by 15 weeks old. Although the Na, K-ATPase activity in BLM of 1, 3 or 5 weeks old SHR was lesser, that of 10 or 15 weeks old SHR was higher than that observed in corresponding age of SD. 4. The numbers of ouabain binding sites were increased in both groups with increasing age. In the SHR, the numbers of ouabain binding; sites were lower in 1, 3 or 5 weeks old but higher in 10 or 15 weeks old, than those in corresponding age of SD. 5. In the dose-response curves of ouabain sensitive Na,K-ATPase activity and the ouabain binding experiments, Na, K-ATPase in the BLM of SD or SHR was consistent with the putative existence of low affinity site(IC_50 : 35 - 55 μM, Ed : 40 - 90 μM) 6. α1-Adrenergic receptor densities([^3H] prazosin binding sites) were markedly increased by 3 weeks after birth and further increased slightly by 5, 10 or 15 weeks old SD. 7. The numbers of prazosin binding sites in SHR were also increased with increase of age. However those were lower in 1, 3 or 5 weeks old, higher in 10 or 15 weeks old SHR than those in corresponding age of SD. 8. In the prazosin binding experiments, Ed value was 0.1 - 0.4 nM and there was no difference between in Kd values of SD and SHR. 9. β-Adrenergic receptor densities([^3H] DHA binding sites) in SD were markedly increased in 3 weeks old compared to those in 1 week old and there were no further changes of receptor densities in 5, 10 or 15 weeks old. But those in SHR were still increased until 15 weeks old. The numbers of DHA binding sites in 1, 3 or 5 weeks old SHR were slightly lower but almost same in 10 or 15 weeks old, compared to those in corresponding age of SD. 10. In the DHA binding experiments, Kd value was 1.0 - 1.8 nM and there was no difference between in Kd values of SD and SHR. From the above results, it is suggested that as increase of age, Na, K-ATPase, α1 and β-adrenergic receptors in the kidney basolateral membrane of SHR were increased with different pattern from normotensive SD ; lower in young age, but same or higher in hypertensive period of SHR than SD. These observed changes in Na,K-ATPase activity and adrenergic receptor densities of kindney basolateral membrane may partly contribute to the regulation of blood pressure in SHR.

신경교세포 및 RAW 264.7 세포에서 Protein kinase의 활성에 의한 유도성 Nitric oxide synthase의 발현

박상철,노삼길,배소현,박지선,이충재,허강민,석정호,이재흔 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

NO(nitric oxide) plays an important role as neurotransmitter or cytokine, and pathologic factor for some diseases by the large amount production with iNOS(inducible NO synthase) expression in macrophages or glial cells. The expression of iNOS is regulated by various cytokines, protein kinases and transcription factors. In this experiment, to investigate the roles of progein kinase and NF-kB for iNOS expression, the effects of PMA(phorbol 12-myristate 13-acetate), cAMP, and various protein kinase inhibitors on LPS(lipopolysaccharide)-induced iNOS mRNAN expression and nuclear NF-kB binding complex were examined in C6 glial cells and RAW 264.7 cells. In C6 glial cells, iNOS mRNA expression by LPS was induced from 1 hour and peak at 3 hour after treatment. In RAW 264.7 cells, the mRNA was observed from 3 hour and peak at 6 hour. PMA enhanced markedly LPS-induced iNOS mRNA expression and NF-kB binding complex in C6 glial cells, but did not much influence on LPS-induced iNOS mRNA expression in RAW 264.7 cells, in spite of increased LPS-induced NF-kB binding complex at 30 min. cAMP(dibutyryl cAMP) did not much influence on LPS-induced iNOS mRNA expression, by increased LPS-induced NF-kB binding complex in C6 glial cells. However, in RAW 264.7 cells, cAMP increased slightly LPS-induced iNOS mRNA expression without change of NF-kB binding complex. Staurosporine did not influence on LPS-induced iNOS mRNA expression and NF-kB binding complex in C6 glial cells, but in RAW 264.7 cells, decreased LPS-induced iNOS mRNA expression and NF-kB binding complex. Ro-31-8220 did not much influence on LPS-induced iNOS mRNA expression and NF-kB binding complex in C6 glial cells, but in RAW 264.7 cells, decreased significantly LPS-induced iNOS mRNA expression in spite of increased LPS-induced NF-kB binding complex for 3hours. G 6976 did not much influence on LPS-induced iNOS mRNA expression with decreased NF-kB binding complex in C6 glial cells, but in RAW 264.7 cells, decreased iNOS mRNA expression without influence on LPS-induced NF-kB binding complex. Genistein did not influence on LPS-induced iNOS mRNA expression and NF-kB binding complex in C6 glial cells, but in RAW 264.7 cells, decreased LPS-induced iNOS mRNA expression inspite of increased NF-kB binding complex. These results suggest that LPS-induced regulation of iNOS expression or NF-kB activity in C6 glial cells, might be different from RAW 264.7 cells through various protein kinases or other factors.

Capsaicin, Demethoxy―NE, Paradol 및 Shogaol의 진통작용과 Substance P에 미치는 영향

최상훈,김중수,이종흔 대한구강생물학회 1990 International Journal of Oral Biology Vol.14 No.2

This experiment was performed to determine the relative effect of capsaicin and its derivatives with morphin on the thermal nociception and the release of substance P in the spinal and trigeminal sensory nucleus. Sprague-Dawley rats were tested for tail flick latency on 50±0.5℃ water after subcutaneous injection of drugs. For the radioimmunoassay of substance P, animals were decapitated and the dorsal horn of lumbar spinal cord, subnucleus caudalis and rostralis of trigeminal sensory nucleus was homogenized. Treatment of capsaicinoids of 5, 10㎎/100gm weight in daily succession increased tail flick latency for 5 days and reduced substance P from the dorsal horn of lumbar spinal cord and trigeminal sensory nucleus caudalis region. Treatment of DM-NE with same doses increased tail flick latency for 3 days. But we cannot the co-relation of thermal analgesia with levels of substance P, because brain tissues was obtained 2 days after the analgesic effect had been recovered. Paradol and shogaol exerted no effect on thermal nociception and levels of substance P. Treatment of morphin of 10㎎/㎏ increased tail flick latency 30 minutes after subcutaneous injection and reduced levels of substance P from dorsal horn in first day.

재활용 폐페인트를 이용한 방청페인트 개발연구

한대상,정재헌,조홍식,조창제,이종무,장상목 동아대학교 공과대학부설 생산기술연구소 1998 生産技術硏究所硏究論文集 Vol.3 No.2

In this study, The method to produce anticorrosive paint using reproductive wastepaint was investigated. The liquid-phase resin, BHO-500 and powder-phase paint BHO-300 were produced through wastepaint reproductive process. BHO-500 and BHO-300 could be replaced respectively polyvinylchloride resin and filler, which are thr components of anticorrosive paint. The properties of the anticorrosive paint produced through this process were excellent in comparison with the existing anticorrosive paint.