정신분열병 환자의 주관적 증상과 객관적 정신병리와의 관련성

주연호,김용식,정성훈,신민섭,이창인 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.4

연구목적 : 주관적 증상평가도구인 K-FBF(Kyung Hee-Frankfurter Beschwerde-Fragebogen)가 정신분열병 환자의 어떤 증상 영역을 반영하는지, 특히 정신분열병의 병태생리와 밀접한 관련을 가지며 객관적 평가도구로는 파악이 어려운 음성 증상 또는 인지 장애의 측면들을 반영하는지 조사하고자, 정신분열병 환자의 K-FBF 결과를 객관적 정신병리 평가도구인 PANSS(Positive and Negative Syndrome Scale for Schizophrenia), 대표적인 자기보고식 다차원 증상목록(multidimensional self-report symptom inventory)인 간이정신진단검사(SCL-90-R)의 평가 결과와 비교 분석하였다. 방 법 : 고졸이상의 학력으로 DSM-IV진단기준에 의한 정신분열병 환자 중 급성기가 경과한 66명을 대사으로 연구를 수행하였다. K-FBF, SCL-90-R을 시행한 날, 두 명의 정신과 의사가 PANSS를 수행하였다. K-FBF의 질문항목에 대한 반응양상을 조사하고, 10개 소척도에 대하여 요인분석을 시행하였다. K-FBF와 연령, 성별, 병식과의 상관관계를 조사하였다. 또한, K-FBF, PANSS, SCL-90-R제반 척도간에 상관관계 분석을 시행하였다. 결 과 : K-FBF는 높은 연령일수록 호소하는 항목의 수나 그 정도가 감소하였으며, 유병기간을 조절변수로 삼았을 때도 동일한 결과를 보였다. K-FBF의 소척도를 요인분석하여 두개의 합산척도를 추출, 각각 자각된 고통(RD, Recognized Distress)과 지각왜곡(PA, Perceptual Alteration)으로 명명하였다. 위의 합산척도와 PANSS의 상관관계에서, K-FBF 표준화 총점을 조절변수로 하여 편상관을 조사한 결과 PA척도와 PANSS 음성척도가 상관관계를 보였다. 이는 Huber의 기본증상이란 정신분열병의 음성증상을 주관적 측면에서 접근한 것이라는 평가와 관련된다. 한편, K-FBF표준화 총점과 SCL-90-R총점은 강한 상관관계를 나타낸 반면, SCL-90-R총점과 PANSS총점은 비록 통계적으로는 유의하지만 매우 미미한 상관관계만을 보였다. 따라서 평가척도의 상관성은 그 내용보다는 평가하는 주체에 더 큰 영향을 받는다고 판단되었다. 결 론 : 본 연구결과 K-FBF로 측정된 Huber의 기본증상은 정신분열병의 음성증상을 보다 더 반영하는 것으로 평가되었으며, 또 객관적 평가도구인 PANSS보다는 자기보고형 도구인 SCL-90-R과 더 높은 상관관계를 보인 것으로 나타났다. 그러나, 본 연구결과의 일반화를 위해서는 다른 질병단계, 다른 인구학적 변인을 가진 환자들을 대상으로 한 연구가 계속되어야 할 것이다. Objectives : Kyung Hee-Frankfurter Beschwerde-Fragebogen(K-FBF) is a representative subjective symptom measuring tool of schizophrenic patients. We performed psychopathology measurements using K-FBF, Positive and Negative Syndrome Scale(PANSS) and Symptom Checklist-90-Revised(SCL-90-R) in patients with schizophrenia and then compared the results of these three examinations one another, in order to examine which psychopathologic aspects K-FBF might reflect and to measure the possibility whether this instrument reflect the negative symptoms or cognitive impairments, which are difficult to measure by conventional objective instruments measuring psychopathology. Methods : All 66 patients satisfying DSM-IV criteria for schizophrenia, were approached. Their education level was more than high school and they were not in the acute stage of schizophrenia. They performed K-FBF and SCL-90-R, and at the same day, they were interviewed by one of both psychiatrists using PANSS. We examined the patterns of K-FBF response and performed facor analysis about 10 subscales. We examined the correlation between K-FBF and age, sex and insight. Also, we performed correlation analysis among the K-FBF, PANSS and SCL-90-R. Results : As for K-FBF, with increasing age, the number of positive response items and the symptom severity were decreased. Even when controlling prevalence period as control variable, the correlation remained unchanged. Performing factor analysis to the K-FBF subscales, we created 2 factors, ie summation subscales. We named those recognized distress(RD) and perceptual alteration(PA) each. Using K-FBF standardized total scores as controlling variable, we performed partial correlation between PA and PANSS negative symptom scale. The result was PA and PANSS have statistically significant correlation. This correspons with the view that Huber's basic symptoms are reflecting subjective approach of negative symptoms of schizophrenia. While K-FBF standardized total scores and PANSS total scores had statistically strong correlations, SCL-90-R total scores and PANSS total scores had statistically significant, but very mild correlations. So, we had the judgement that the correlations among the psychopathology measurement tools are more influenced by the rater than the contents of tools. Conclusion : We concluded that Huber's basic symptoms, measured by K-FBF, reflect more negative symptoms of schizophrenia than other symptoms. And K-FBF has more correlation with the PANSS, objective psychopathology. Measuring tool, than the SCL-90-R, self-report quetionnaire. But, more studies using patients with another disease stages and another demographic variables are needed in order to generalize the results of this study.

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.

Optimization of Growth Medium and Fermentation Conditions for the Production of Laccase3 from Cryphonectria parasitica Using Recombinant Saccharomyces cerevisiae

( Yong-seob Jeong ),( Kum-kang So ),( Ju-hee Lee ),( Jung-mi Kim ),( Gie-taek Chun ),( Jeesun Chun ),( Dae-hyuk Kim ) 한국균학회 2019 Mycobiology Vol.47 No.4

Statistical experimental methods were used to optimize the medium for mass production of a novel laccase3 (Lac3) by recombinant Saccharomyces cerevisiae TYEGLAC3-1. The basic medium was composed of glucose, casamino acids, yeast nitrogen base without amino acids (YNB w/o AA), tryptophan, and adenine. A one-factor-at-a-time approach followed by the fractional factorial design identified galactose, glutamic acid, and ammonium sulfate, as significant carbon, nitrogen, and mineral sources, respectively. The steepest ascent method and response surface methodology (RSM) determined that the optimal medium was (g/L): galactose, 19.16; glutamic acid, 5.0; and YNB w/o AA, 10.46. In this medium, the Lac3 activity (277.04 mU/mL) was 13.5 times higher than that of the basic medium (20.50 mU/mL). The effect of temperature, pH, agitation (rpm), and aeration (vvm) was further examined in a batch fermenter. The best Lac3 activity was 1176.04 mU/mL at 25 _C, pH 3.5, 100 rpm, and 1 vvm in batch culture.

Membrane Transport and Ethanol Production in Sandwiched Membrane Bioreactors

Jeong, Yong Seob 한국산업미생물학회 1992 생물산업 Vol.5 No.1

Variables Affecting the Evolution of the {100}<0vw> Texture Induced by Surface Nucleation During γ → α Phase Transformation in Fe–Si Electrical Steel

Yong‑Kwon Jeong,Yong‑Keun Ahn,Soo‑Bin Kwon,Tae‑Young Kim,Hyo‑Kyu Kim,In‑Seob Kim,Chan‑Hee Han,황농문 대한금속·재료학회 2023 METALS AND MATERIALS International Vol.29 No.7

Previously, it was shown that the {100}<0vw> texture could be evolved when the specimen is under the appropriate stressduring γ → α phase transformation. Here the effect of the various process conditions on the evolution of the {100}<0vw> texturewas examined. The texture evolution was affected by the magnitude of tensile stress, the furnace atmosphere, the heattreatment time (or grain size) and the cooling rate. In Fe–1 wt% Si, the {100}<0vw> texture was 78.3% under the H2atmospherewith a flow rate of 1000 standard cubic centimeter per minute (sccm) whereas it was 16.2% under the N2atmospherewith a flow rate of 1000 sccm. The marked decrease in the percentage of the {100}<0vw> texture under the N2atmosphereis believed to be related with the surface oxidation of the specimen. In Fe–2 wt% Si–1 wt% Ni, the {100}< 0vw > texture was8.9% when the specimen was heat treated at 1100 °C for 5 min whereas it increased to 66.0% when the specimen was heattreated for 6 h. This increase of the {100}<0vw> texture is believed to be related with the increase in the grain size. Under theoptimum processing condition, the {100}<0vw> texture could be increased to as high as 92.6% in Fe–2 wt% Si–1 wt% Ni.

The prevalence and antimicrobial resistance of Salmonella spp. isolated from chicken meat produced by different integrated broiler operations in Korea

Myeong-Seob Kim(김명섭),Jun-Hyuk Jang,Dong-Hun Lee,Byoung-Yoon Kim,Jung-Hoon Kwon,Soo-Won Choi,Jin-yong Noh,Young-Ho Hong,Si-Yong Yang,Hyun-Jeong Lee,Joong-Bok Lee,Seung-Yong Park,In-Soo Choi,Chang-Seon 한국가금학회 2011 한국가금학회 정기총회 및 학술발표회 Vol.28 No.-

Antioxidant Activity of Extracts from Submerge-Cultured Laetiporus sulphureus Mycelia

Min-Jeong Seo,Min-Jeong Kim,Hye-Hyeon Lee,Kang Byoung-Won,Hak-Seob Lim,Woo-Hong Joo,Yong-Kee Jeong 한국생명과학회 2008 한국생명과학회 심포지움 Vol.49 No.-

Antifungal Effect of Commercial Essential Oils on Fungal Isolated from Cheese

Eun-Jeong Jeong,Nam-Keun Lee,Yu-Ri Lee,Na-ri Lee,Yong-Seob Jeong 한국식품영양과학회 2012 한국식품영양과학회 학술대회발표집 Vol.2012 No.10

Aspergillus terreus 에 의해 생합성되는 이타콘산의 생산성 증가를 위한 통계적 생산배지 최적화

장용만(Yong-Man Jang),신우식(Woo-Shik Shin),이도훈(Do-Hoon Lee),김상용(Sang-Yong Kim),박철환(Chulhwan Park),정용섭(Yong-Seob Jeong),전계택(Gie-Taek Chun) 한국생물공학회 2009 KSBB Journal Vol.24 No.1

Aspergillus terreus에 의한 이타콘산 생산 발효공정에서 생산균주의 성장을 어느 정도 제한시킴으로써 배양생리적 특성이 이타콘산 생합성 쪽으로 치우치도록 통계적 방법을 적용하여 itaconic acid의 생산배지 조성을 최적화하는 연구를 수행하였다. 이타콘산은 TCA회로를 거쳐 합성된 cis-aconitic acid의 디카르복실화 반응에 의해 생합성되는 고부가 화학원료물질이다. 우선 One factor at a time (OFAT) 방법을 이용하여 이타콘산의 생산성 증가에 크게 영향을 미치는 중요한 탄소원들로 sucrose, glucose, fructose와 soluble starch를 확인할 수 있었고, 질소원들로는 cottonseed flour와 soybean meal을 찾을 수 있었다. Fractional factorial design을 통하여 이들 6가지 요인들 간의 상호작용의 정도를 확인한 결과 sucrose와 cottonseed flour간의 상호작용의 정도가 가장 컸고, 나머지 요인들 간의 상호작용의 정도는 작거나 혹은 이타콘산 생산에 오히려 부정적인 결과를 나타냈다. 또한 full factorial design (FFD) 실험을 통해 생산배지에 KH2PO4와 MgSO4 가 과량 첨가되면 이타콘산의 생산성이 심각하게 저해됨을 알 수 있었다. FFD의 1차모델식을 근간으로 하여 최급 상승법 (steepest ascent method, SAM)을 적용하여 sucrose, cottonseed flour, KH2PO4 및 MgSO4의 최적 농도로 향하는 가장 가파른 기울기를 구함으로써, 신속하고 효율적으로 최적 농도지점에 대한 정보를 얻을 수 있었다. SAM이 제시해주는 농도 부근에서 반응표면분석 (response surface method, RSM)을 적용하여 각 배지성분의 농도를 최적화 시키기 위해, 2개의 중요한 요인인 sucrose와 cottonseed flour를 이용하여 중심합성계획 (central composite design, CCD) 실험을 수행하였다. 그 결과 이타콘산의 최적 배지조건은 sucrose 90.4 g/L, cottonseed flour 53.8 g/L인 것으로 관찰되었고, 이 농도에서 이타콘산의 생산성은 초기 사용된 배지에서의 생산성에 비해 약 7배 증가한 4360 mg/l로 나타났다. 이로부터 탄소원 (C)으로 사용한 sucrose와 질소원 (N)으로 사용한 cottonseed flour 간의 C/N 비율이 이타콘산의 생산성에 큰 영향을 미친다는 것을 확인할 수 있었다. Statistical optimization of the production medium was carried out in order to find an optimal medium composition in itaconic acid fermentation process. Itaconic acid utilized in the manufacture of various synthetic resins is a dicarboxylic acid biosynthesized by fungal cells of Aspergillus terreus in a branch of the TCA cycle via decarboxylation of cis-aconitate. Through OFAT (one factor at a time) experiments, six components (glucose, fructose, sucrose, soluble starch, soybean meal and cottonseed flour) were found to have significant effects on itaconic production among various carbon- and nitrogen-sources. Hence, using these six factors, interactive effects were investigated via fractional factorial design, showing that the initial concentrations of sucrose and cottonseed flour should be high for enhanced production of itaconic acid. Furthermore, through full factorial design (FFD) experiments, negative effects of KH2PO4 and MgSO4 on itaconic acid biosynthesis were demonstrated, when excess amounts of the each component were initially added. Based on the FFD analysis, further statistical experiments were conducted along the steepest ascent path, followed by response surface method (RSM) in order to obtain optimal concentrations of the constituent nutrients. As a result, optimized concentrations of sucrose and cottonseed flour were found to be 90.4g/L and 53.8g/L respectively, with the corresponding production level of itaconic acid to be 4.36 g/L (about 7 fold higher productivity as compared to the previous production medium). From these experimental results, it was assumed that optimum ratio of the constituent carbon (sucrose) and nitrogen (cottonseed flour) sources was one of the most important factors for the enhanced production of itaconic acid.

Enhancement of 1-deoxynojirimycin in mulberry leaf using various fermenting microorganisms

Jong Hoon Jeong,Nam Keun Lee,Jisun Oh,Seong-bin Jeon,Elijah Nyakudya,Do Youn Jeong,Yong Seob Jeong 한국식품영양과학회 2013 한국식품영양과학회 학술대회발표집 Vol.2013 No.11