정상인에서 베타3-아드레날린 수용체 유전자의 변이가 복부 비만도 및 지질대사에 미치는 영향

김영선,윤석기,김철희,서교일,김학선,김극배,변동원,유명희 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

The β₃-adrenergic receptor is expressed in visceral adipose tissue in humans and is thought to contribute to the regulation of the resting metabolic rate and lipolysis. We studied the influence of a mutation in the β₃ -adrenergic receptor gene(Trp64Arg) on body fat distribution, central obesity, lipid metabolism in 65 healthy young male adults. One out of 65 subjects were homozygous (Arg/Arg) for the trp64Arg mutation, 17 subjects were heterozygous (Trp/Arg), and 47 lacked the mutation(Trp/Trp). The body weight, height, body mass index, waist-to-hip ratio were similar between the subjects with- and without the mutation. Total body fat, abdominal fat amount, body fat distribution, serum total- and HDL-cholesterol, triglyceride, glucose, and insulin concentrations were also not different according to the presence or absence of the mutation. These results suggested that Trp64Arg mutation in β₃-adrenergic receptor gene is not a major contributing factor for central obesity or change in lipid metabolism in Korean young adults.

Lidocaine, Thrombin, Epinephrine 의 항균효과

김진우,이동건,전혜선,김승준,김석찬,안중현,김치홍,권순석,김영균,김관형,문화식,신완식,송정섭,박성학 대한감염학회 2005 감염과 화학요법 Vol.37 No.6

목적 : 기관지내시경 검사에서 흔히 사용되는 국소마취제인 lidocaine과 내시경시 지혈목적으로 사용되는 thrombin과 epinephrine이 각종 균주에 미치는 항균효과에 대해 알아보고자 하였다. 재료 및 방법 : 균주는 가톨릭대학교 성모병원에서 2004년 3월부터 2004년 9월까지 임상검체 에서 동정된 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 각각 42, 42, 42, 43주를 대상으로 하였다. Lidocaine, thrombin, epinephrine 감수성 검사는 National Committee for Clinical Laboratory Standards (NCCLS, 2002)의 기준에 따랐다. 결과 : Lidocaine은 S. aureus, S. pneumoniae, P. aeruginosa에서 MIC_(50), MIC_(90) 모두 20,000 ㎍/mL 이었다. K. pneumoniae는 각각 10,000 ㎍/mL이었다. Thrombin은 S. aureus와 P. aeruginosa에서 MIC50 500 lU/mL 과 MIC_(90) 500 IU/mL 이상이었고, K. pneumoniae에서는 MIC_(50)과 MIC_(90)이 모두 500 lU/mL이상이었으나 S. pneumoniae에서는 MIC_(50)과 MIC_(90)은 125 IU/mL이었다. Epinephrine은 K. pneumoniae, S. pneumoniae에 대한 MIC_(50), MIC_(90)가 모두 >500 ㎍/mL이었고, S. aureus와 P. aeruginosa에 대한 MIC_(50), MIC_(90)가 모두 500 ㎍/mL이었다. 결론 : 기관지 내시경 검사에서 흔히 쓰이는 lidocaine, thrombin, epinephrine 등의 약제들이 호흡기 질환의 흔한 병원균인 S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa 균주들에 대해 항균 효과가 있을 수 있어 세균배양검사에 영향을 미칠 수 있겠다. Background : We performed this stody to find out about antimicrobial effect of lidocaine which is commonly used local anesthetic, and thrombin and epinephrine used for hemostasis during bronchoscopic procedures. Materials and Methods : The microorganisms that were cultured from specimens obtained during bronchoscopy were Staphylococcus aureus (n=42), Streptococcus pneumoniae (n=42), Klebsiella pneumoniae (n=42), and Pseudomonas aeruginosa (n=43) collected from St. Mary's Hospital, from March to Sep 2004 were used for susceptibity testing. Susceptibility to lidocaine, thrombin, and epinephrine were tested according to the National Committee for Clinical Laboratory Standards. Result : MIC_(50) and MIC_(90) of lidocaine for S. aureus, S. pneumoniae, P. aeruginosa were all 20,000 ㎍/mL and that for K. pneumoniae were 10,000 ㎍/mL. MIC_(50) and MIC_(90) of thrombin for both S. aureus and P. aeruginosa was 500 IU/mL and above 500 IU/mL, respectively; that for K. pneumoniae were all above 500 IU/mL and for S. pneumoniae they were 125 IU/mL, MIC_(50) and MIC_(90) of epinephrine for K. pneumoniae and S. pneumoniae were above 500 ㎍/mL; that for S. aureus and P. aeruginosa were 500 ㎍/mL. Conclusion : We observed possible antimicrobial effect of lidocaine, thrombin, and epinephrine in vitro against pathogens such as S. aureus, S. pneumoniae, K. pneumoniae, P. aeruginosa, which are common respiratory microorganisms. The use of these agants could affect the result of bacterial culture.

항갑상선제로 치료한 그레이브스병 환자의 관해예측인자

남일송,윤여일,김선규,김용현,이주영,목지오,윤석기,김철희,김영선,변동원,서교일,유명희 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Background: Most cases of Graves' disease have been treated by antithyroid drugs in Korea. The major drawbacks of antithyroid drugs are the relative high rate of relapse and the inconvinience of long term therapy. Measurement of TBII and TRH stimulation test have been considered as the most reliable tests predicting relapse, but the predictive power is not high enough to use in clinical situation. This study was performed to find good prognostic indicators in Graves' disease patients after the discontinuation of antithyroid drug therapy. Subjects and methods : We restrospectively evaluated 96 patients with Graves' disease who showed normal TRH test at the end of antithyroid drug therapy and were followed for more than one year. Serum T3, T4, T3/T4 ratio, TBII, Anti-TPO Ab and TGAb levels were measured at the time of diagnosis and at the end of therapy. Two to three months after withdrawal of antithyroid medication, serum TSH and free T3 responses to TRH were examined. These parameters were compared between the relapse group and the remission group. Results : Among the 96 patients, 22 patients(22.9%) relapsed(Group Ⅱ) and 74 patients(77.1%) remained in remmision(Group Ⅰ). No significant difference was observed between the relapse and the remission group in clinical parameters, serum T3, T4, TSH, T3/T4 ratio, TBⅡ and Anti-TPO Ab determined before and after treatment. Serum TSH and free T3 levels measured after TRH stimulation were also similar in both groups. Serum TGAb levels determined at the end of treatment were significantly higher in the remission group(p<0.05). Relapse following the discontinuation of therapy occured within 24 months in 72.7% of the relapsed cases. After 24 months, relapse rate was reduced significantly. Conclusion : These results suggest that high serum TGAb levels could be a favorable prognostic indicator for the long term remission of Graves' disease treated with antithyroid drugs, and may suggest that Hashimoto's thyroiditis is combined with Graves' disease in those patients.

급성심근경색증에서 운동부하 심전도상 유발된 ST절 변화와 심근관류와의 관계

임도선,김영훈,김병회,김미양,김수미,황교승,안정천,송우혁,박창규,서홍석,심완주,오동주,노영무 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.5

급성심근경색증을 가진 한국인에 있어 Chlamydia Pneumoniae 감염의 영향에 대한 연구

이은미,오동주,황교승,안정천,송우혁,임도선,박창규,김영훈,서홍석,심완주,노영무,정희진,김우주,김종헌,송기준 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4

사회과에서 지역화 교육의 유형과 지역교재활용의 방식

김영석 한국사회과교육연구학회 2003 사회과교육 Vol.42 No.1

본 연구에서는 학습자와 세계의 관계에 비추어 사회과의 수업원리를 유형화하는 방식에 따라 지역화 교육의 전통을 설명해 보고 각각의 전통에서 추구하는 고유한 인식론적 배경 및 학습원리를 살펴보았다. 사회과 수업의 원리를 주체와 객체의 관계에 따라 직관ㆍ이해의 원리, 사고의 원리, 설명의 원리로 분류해 보았을 때, 이들 원리에 대응하는 지역화교육의 전통으로는 향토과 교육의 전통, 지역사회학교육운동의 전통, 신 사회과의 전통을 생각해 볼 수 있다. 나아가 본 연구에서는 이들 원리를 바탕으로 각각의 전통에 따라 지역 교재를 활용하는 방식이 어떻게 달라질 수 있는지 구체적 활용 유형을 유추해 보았다. 즉 지역을 교재로 하여 단원을 구성하였을 때, 단원의 목적 및 목표, 내용 선정 및 구성 방법, 전체 교육과정에서의 위치, 그리고 교재의 형태가 각 전통 별로 어떻게 달라질 수 있는지를 살펴보았다. The purpose of this study is to identify the traditions of regional studies in social studies curriculum and to discover underlying logics of instruction in these traditions. Utilizing the framework of learner-world relationship this study found three traditions of regional studies: exemplars of these traditions are Heimatkunde of Germany, Community School in the United States and Neighbourhood Study in Japan. The first tradition emphasizes the psychological attachment of leaner to their hometown. The second tradition originates from the philosophical tradition of pragmatism represented by John Dewey. In this tradition, the community is important for student as a place for training the skills of problem solving. Third, the third tradition is closely related to the tradition of the new social studies movement in the 1960s. In this tradition, region is utilized as a place of survey and research. These traditions are also differentiated by their way of curriculum development. The first two traditions prefer a separated course for regional study while the third traditions prefer a comparative study.

Phage Ф FSV가 Lactobacillus casei의 증식에 미치는 영향

김경태,이정준,서인영,나석환,백영진 한국산업미생물학회 1991 한국미생물·생명공학회지 Vol.19 No.2

Phage Φ FSV가 유산종균의 배양에 미치는 영향을 조사하기 위하여 prophage Φ FSV를 보유한 L. casei YIT 9018 균주나 prophage cured strain인 L. casei HYM 1213 균주에 phage Φ FSV(Lac S21)나 wild type phage Φ J-1(Lac J-1)을 임의의 농도로 각각 감염시켜 이들 균주의 증식을 비교하였다. Lac S21 phage를 L. casei YIT 9018 균주에 감염시켰을 경우, 초기 감염농도가 6.0×10 exp(6) pfu/㎖ 미만인 시료에서는 균주의 성장 및 유산생성능이 정상적이었으며, 오히려 phage수는 감소하였다. 그러나 L. casei HYM 1213균주는 Lac S21 phage에도 민감하게 반응하여, 감염된 균주는 감염시킨 농도에 상관없이 모두 2일균에서 phage가 10^9∼10^10 pfu/㎖로 급격히 증가하였으며, 계속 배양함에도 phage는 감소되지 않고 6일균에서 10^7∼10^9 pfu/㎖로 유지되었고, 이로 인하여 유산균은 정상 발효를 못하였다. 따라서 phage Φ FSV는 모균주인 L. casei YIT 9018 균주에는 어떠한 영향도 미치지 못하고, 오히려 prophage cured strains에는 민감하게 작용하여 비정상 발효를 유도함을 알 수 있었다. 또한, Lac J-1 phage는 prophage Φ FSW를 보유한 L. casei YIT 9018 균주와 prophage cured strain인 L. casei HYM 1213 균주에 모두 민감하게 감염되어 phage의 농도가 급증하고, 이로 인해 균주의 이상발효를 야기시켰다. In order to study effect of the phage Φ FSV on the growth of lactic acid bacteria, Lactobacillus casei YIT 9018 (wild type strain with prophage) or L. casei HYM 1213 (prophage cured strain) was infected with various concentrations of phage Φ FSV (called Lac S21) or wild type virulent phage (called Lac J-1). When L. casei YIT 9018 was infected with Lac S21 under the concentration of 6.0×10 exp(6) pfu/㎖, the growth and lactic acid production of the strain were normal and the number of phages decreased. But L. casei HYM 1213 was susceptible to Lac S21. Regardless of the concentration of the phage infection, the number of phages increased rapidly into 10^9 to 10^10 pfu/㎖ at 2 day cultures and was maintained 10^7 to 10^9 pfu/㎖ phages until 6 day cultures. The lactic acid production of L_n casei HYM 1213 infected with Lac S21 was abnormal. Therefore, phage Φ FSV had an evil effect on growth of L. casei HYM 1213, but not L. casei YIT 9018. On the other hand Lac J-1 caused abnormal fermentation to either L. casei YIT 9018 or L. casei HYM 1213.

전립선대비증 평가에서 이행대 용적지수와 증상점수 및 요류속도와의 상관관계

김철성,전상준,정치영,소영석,노준,장대수 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Purpose : otal prostate volume has been known to be poorly correlated with other parameters used to assess benign prostatic hyperplasia(BPH), including international prostatic symptom score(IPSS), peak flow rate(Qmax). This study was aimed to investigate the possible correlation between transition zone index(TZI), IPSS and Qmax in patients with clinical benign prostatic hyperplasia(BPH). Materials and methods : From September 1999 to December 2000, A total of 95patients with clinical BPH were evaluated total prostate volume(TV), transition zone volume(TZV), TZI, IPSS and Qmax. TZI was determined as the ratio between transition zone volume(TZV) and total prostate volume(TV). Results : The relationships between IPSS and TV, TZV, and TZI were not statistically significant. A statistically significant relationship was observed between TZV, TZI and Qmax and between TV, TZV, TZI and age. Conclusion : These results suggest that TZV, TZI may not be a useful method to assess symptom severity in BPH patients but may be limited clinical parameters.

ESO 기법을 이용한 외팔보의 신뢰성 기반 위상최적설계

김상락,박재용,이원구,유진식,한석영 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

This paper presents a Reliability-Based Topology Optimization (RBTO) using the Evolutionary Structural Optimization (ESO). An actual design involves uncertain conditions such as material property, operational load and dimensional variation. The Deterministic Topology Optimization (DTO) is obtained without considering of uncertainties related to the uncertainty parameters. However, the RBTO can consider the uncertainty variables because it has the probabilistic constraints, In order to determine whether the probabilistic constraint is satisfied or not, simulation techniques and approximation methods are developed, In this paper, the reliability index approach (RIA) is adopted to evaluate the probabilistic constraint, In order to apply the ESO method to the RBTO, a sensitivity number is defined as the change in the reliability index due to the removal of ith element. Numerical examples are presented to compare the DTO with the RBTO.

공기압 실린더의 위치제어기 선정에 관한 연구

김일수,김기우,정영재,손준식,송창재,박주석 한국공작기계학회 1999 한국생산제조학회지 Vol.8 No.6

This paper concentrates on the position control of a pneumatic cylinder under parameter variation. A closed-loop control is proposed to design the different controllers(P, PI, PID, PD controller) in order to choose the best controller based on the fast and accurate control of the system. It is shown that the control algorithm is robust and effective in attaining the fast and accurate position control of system under time-dependent parameter variation. Experimental results showed that PD controller law is effective to obtain the fast response and to increase the stability of the system. The method is a useful control algorithm which always automatically adjusts the position control in accordance with the error, using carrier wave of triangle type regardless of changes on the operating condition and physical differences between components.