정상 및 재생간의 Cytosol이 흰쥐의 대사기능에 미치는 영향

윤창식,손기섭 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

Extensive hepatic resection for massive injury and malignant tumor of liver has been markedly increased during past a few decades. Liver regeneration has been shown following partial hepatectomy by many authors with clinical and experimental studies, and considerable experiments have done to find out what is the real property of restoration, when it initiates, when it is most active and when it terminates after partial removal of liver, but still it is uncertain. The purpose of this paper is to provide to focus on the metabolic function, biochemical changes, following administration of cytosol extract from normal and regenerating livers in the normal and partially hepatectomized liver in rats. The results of this experimental study were summerized as follows: 1. The values of SGOT were increased remarkably in all groups (P<0.01). 2. The values of SGPT were elevated significantly in all groups as high as four times or six and a half times (P<O.01). 3. The values of glucose were seen considerably increasing rate in all groups except I -B, II -B, III-B and I.-D. Group I and II were seen very significant changes statistically as P<0.01 and group III were seen considerable change as P<0.05. 4. The values of BUN were seen considerable changes in group II only (P<0.05). 5. The values of total bilirubin were seen very remarkable changes in group II only (P<0.01). 6. The values of total protein were revealed very significant decreasing rate in group I and group II (P<0.01). 7. The values of alkaline phosphatase and albumin were revealed no significant changes in all groups. 8. The group II were revealed most significant changes. It was supposed that maximum response after partial resection of liver was seen at 12 hours in the rat.

급성 심근허혈에 따른 심실활성시간(Ventricular Activation Time)의 변화

한성욱,김윤년,김기영,남창욱,김기식,김권배 대한순환기학회 2001 Korean Circulation Journal Vol.31 No.3

다국소 망막전위도를 통한 특발성 망막전막제거술 전후의 황반 기능 평가

윤창기(Chang Ki Yoon),김태훈(Tae Hoon Kim),김현웅(Hyun Woong Kim) 대한검안학회 2016 Annals of optometry and contact lens Vol.15 No.1

Purpose: To assess macular function after vitrectomy and membrane removal in eyes with idiopathic epiretinal membrane by means of multifocal electroretinogram (mfERG). Methods: Visual acuity, macular thickness measured by optical coherence tomography, and mfERG recordings were achieved for 14 eyes of 14 patients who having idiopathic epiretinal membrane. All exams were performed before epiretinal membrane surgery and 1, 3, and 6 months after surgery. Results: Amplitude of mfERG were 139.18 ± 73.63 nV/deg2, 114.25 ± 29.16 nV/deg2 and 134.66 ± 69.64 nV/deg2 at before surgery, after 1 month and 3 months, respectively. Implicit time were 75.23 ± 31.34 nV/deg2, 66.20 ± 25.04 nV/deg2 and 74.79 ± 15.47 nV/deg2 at before surgery, after 1 month and 3 months, respectively. There were no significant changes in amplitude and implicit time measured by mfERG before and after the surgery (p>0.05). There were no significant correlations between the changes of amplitude and implicit time and visual acuity and macular thickness change. Conclusions: Changes in mfERG recordings were not concluded to be useful for predicting clinical prognosis after epiretinal membrane surgery in this study.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

풍동실험을 통한 수평축 풍력터빈 모델의 공력성능 연구

유기완(Ki-Wahn Ryu),윤성준(Seong-Jun Yoon),이창수(Chang-Su Lee),최성옥(Seong-Ok Choy) 한국항공우주학회 2007 韓國航空宇宙學會誌 Vol.35 No.11

공기역학적으로 최대동력계수를 얻을 수 있도록 최적화된 블레이드를 장착한 수평축 풍력터빈 모델을 아음속 풍동에 장착하여 공력특성을 실험하였다. Upwind 방식과 downwind 방식의 풍력 터빈 로터의 공력 특성을 비교하였을 때, 후자가 전자에 비해 측정토크의 교란이 더 크게 나타났으며, 이는 지지대에서 발생된 후류와 블레이드의 상호간섭이 원인으로 작용한다고 여겨진다. 블레이드 설치각이 0°인 경우에 설계 속도비 6에 해당하는 위치에서 최대 동력계수를 보여주고 있어 설계 조건을 잘 만족함을 알 수 있었다. 또한 음의 피치각 변화가 같은 값의 양의 피치각 변화에 비해 더 커다란 동력 감소가 발생되는 결과를 보여주었다. Wind turbine experiment was carried out for the horizontal axis wind turbine with the aerodynamically optimized blade. From the comparison of aerodynamic performance between upwind and downwind type wind turbine rotor, the measured torque fluctuation of the latter is larger than that of the former. This phenomenon is owing to the interaction of wake generated from support column and blades. The wind turbine model satisfies the design condition in that the measured result of the power coefficient at zero pitch angle shows maximum peak at the designed tip speed ratio, λ= 6. It also shows that the decrease in aerodynamic power due to negative pitch change is more sensitive than that of the same positive pitch change.

출산에 따른 그레이브스병의 재발 및 관련이자

임창훈,최현아,한승석,김해성,이창욱,정호연,한기옥,장학철,박원근,윤현구,한인권 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.2

Background: Pregnancy affects the course of Graves' Disease (GD), and patients who initially maintain euthyroid function into their middle trimester with minimum doses of antithyroid drugs become exacerbated after delivery. Even patients who are completely cured, requiring no treatment during pregnancy, can relapse after delivery. In this study, we examined the postpartum changes in the thyroid functions of patients with GD, and attempted to determine the factors contributing to these changes. Methods: The study subjects were recruited from pregnant women visiting our outpatient clinic for routine prenatal evaluations. 45 women previously diagnosed with GD, who had been treated and cured with hyperthyroidism, and were no longer taking any thyroid medications, were evaluated for 1 year post delivery. Results: Among 45 patients, 20 (44.4%) developed thyroid disorders following delivery. Postpartum thyroiditis (PPT) developed in 8 patients (17.8%), and GD developed in 12 (26.0%). The onset of the PPT disease 3.1 ± 1.4 months following delivery, which was significantly earlier than the 6.7 ± 2.7 months required for the post delivery onset of GD (p=0.003). The TBII values, measured during the thyrotoxic state in each womaen, were negative in women with PPT and positive in 71.4% of women with GD (p=0.030). The duration of treatment for hyperthyroidism prior or pregnancy, the number of recurrences, and the time interval without treatment, were not associated with the development of postpartum thyroid disorders. Whereas, the mean number of past pregnancies for women who developed PPT was 3.9 ± 2.1, and was significantly higher than the 2.2 ± 1.7 for women developing no thyroid dysfunctions (p=0.044). In 13 women their initial onset of GD occurred within one year postpartum, 7 (53.8%) having had a recurrence, which was significantly higher than in women whose disease onset occurred unrelated to delivery (5 of 32 women: 15.6%). Conclusion: Women with GD developed postpartum thyroid dysfunctions in 44.4% of cases. Women whose initial disease onset occurred within one year postpartum had higher recurrences of GD, and women who developed PPT had a history of higher gravidity compared to the euthyroid women postpartum. Therefore, if women with GD develop postpartum thyroid dysfunctions, the diagnosis should be made, and a treatment modality planned, following careful considerations of the patients' past obstetric history, changes in clinical manifestations and the TBII values

Purification and Characterization of Thermostable β-Glucosidase from the Brown-Rot Basidiomycete Fomitopsis palustris Grown on Microcrystalline Cellulose

Jeong-Jun Yoon,Ki-Yeon Kim,Chang-Jun Cha 한국미생물학회 2008 The journal of microbiology Vol.46 No.1

An extracellular β-glucosidase was purified 154-fold to electrophoretic homogeneity from the brown-rot basidiomycete Fomitopsis palustris grown on 2.0% microcrystalline cellulose. SDS-polyacrylamide gel electrophoresis gel gave a single protein band and the molecular mass of purified enzyme was estimated to be approximately 138 kDa. The amino acid sequences of the proteolytic fragments determined by nano-LC- MS/MS suggested that the protein has high homology with fungal β-glucosidases that belong to glycosyl hydrolase family 3. The Kms for p-nitorophenyl-β-D-glucoside (p-NPG) and cellobiose hydrolyses were 0.117 and 4.81 mM, and the Kcat values were 721 and 101.8 per sec, respectively. The enzyme was competitively inhibited by both glucose (Ki= 0.35 mM) and gluconolactone (Ki= 0.008 mM), when p-NPG was used as substrate. The optimal activity of the purified β-glucosidase was observed at pH 4.5 and 70°C. The F. palustris protein exhibited half-lives of 97 h at 55°C and 15 h at 65°C, indicating some degree of thermostability. The enzyme has high activity against p-NPG and cellobiose but has very little or no activity against p-nitrophenyl-β-lactoside, p-nitrophenyl-β-xyloside, p-nitrophenyl-α-arabinofuranoside, xylan, and carboxymethyl cellulose. Thus, our results revealed that the β-glucosidase from F. palustris can be classified as an aryl- β-glucosidase with cellobiase activity.

A Multicenter Analysis of Clinical Features and Long-Term Outcomes of POEMS Syndrome in Korea

Kook Hye Won,Jang Ji Eun,Min Chang-Ki,Yoon Dok Hyun,Kim Kihyun,Bang Soo-Mee,Park Yong,Lee Jae Hoon,Yoon Sung-Soo,Kim Jin Seok 대한의학회 2024 Journal of Korean medical science Vol.39 No.2

Background: POEMS syndrome is a rare form of plasma cell dyscrasia characterized by polyneuropathy, organomegaly, endocrinopathy, monoclonal proteins, and skin changes. Owing to its low incidence, there are few reports regarding this syndrome. This multicenter study included 84 patients diagnosed with POEMS syndrome in South Korea. Methods: We retrospectively evaluated 84 patients diagnosed with POEMS syndrome at 8 hospitals in South Korea between January 2000 and October 2022. The clinical characteristics and treatment outcomes were analyzed. Results: The median patient age was 53 years (range, 26–77 years), and 63.1% of the patients were male. All patients had peripheral neuropathy, and 81 (96.4%) had monoclonal plasma cell proliferation. Plasma vascular endothelial growth factor levels were available for 32 patients with a median of 821 pg/mL (range, 26–12,900 pg/mL). Other common features included skin changes (54.2%), volume overload (71.4%), and organomegaly (72.6%). Of the 84 patients, 75 received initial treatment (local radiotherapy, 6 [8.0%]; chemotherapy, 17 [22.7%]; both chemotherapy and local radiotherapy, 9 [12.0%]), upfront autologous stem cell transplantation (ASCT), 43 (57.3%; with induction chemotherapy, n = 12, 16.0%; without induction chemotherapy, n = 31, 41.3%). The median follow-up duration was 40.7 months. The 5-year overall survival (OS) was 78%, and the 5-year progression-free survival (PFS) was 55%. Patients who underwent upfront ASCT and were diagnosed after 2014 had a longer OS and PFS. Conclusion: The demographics of Korean patients with POEMS syndrome were similar to those reported previously. Because of the introduction of new treatment agents and the reduced rate of transplant-related mortality related to ASCT, the treatment outcomes of Korean patients with POEMS syndrome have improved in recent years.

HBsAg 양성 환자의 혈청에서 branched DNA 신호 증폭 방법을 이용한 B형 간염바이러스 DNA의 정량

기창석,양윤선,김종원 대한임상병리학회 1997 대한임상병리학회지 Vol.17 No.5

만성 C형 간염바이러스 감염 환자에서 혈청 soluble Interleukin-2 receptor와 바이러스 RNA의 정량

양윤선,기창석,김종원 대한임상병리학회 1997 대한임상병리학회지 Vol.17 No.5