HBV : Dynamic Change of HBsAg Titer during Anti-Viral Therapy in Treatment-Na?ve Patients with Chronic Hepatitis B

( Han Wook Chung ),( Yu Jin Ko ),( Sang Wook Lee ),( Hyun Woong Lee ),( Hyung Joon Kim ) 대한간학회 2013 춘·추계 학술대회 (KASL) Vol.2013 No.1

Background/Aims: Quantitative HBsAg (qHBsAg) titers are emerging as useful tools for measuring viral load and predicting predicting virologic response (VR). This study aimed to determine whether serial monitoring of HBsAg levels could predict virologic response to entecavir(ETV) & clevudine(CLV) therapy in treatment-naive patients with CHB Methods: A total of 157 treatment-naive patients with CHB, who visited Chung-Ang University Hospital between January 2007 and December 2008, were enrolled in this study (100 males). 97 patients(69 males, mean age 48) were treated with ETV for average 53 months, and 60 patients (31 males, mean age 43) were treated with CLV for 26months average. HBsAg levels were measured at baseline, week 12, 24, and 48. All patients were assessed for virological response (HBV DNA<140 copies/mL). Serum HBV DNA was quantified using the real time PCR assay (Artus HBV LC PCR Kit, Roche Diagnostics, lower limit of quantification, 140 copies/mL). Results: In 97 ETV-treated patients, the rates of virological response were 56.7% (55/97) at 48months and 60 CLV-treated patients, 30% (18/60) at 24 months, respectively. Mean reduction of baseline HBV DNA was -5.3, and -4.9 log10 copies/mL. In 55 VR patients treated with ETV, 43(78.1%) patients showed early decline of HBsAg titer and 31(56.3%) patients had lower baseline HBsAg levels (< 3.7 log IU/mL). In 18 VR patients treated with CLV, 9(50%) patients showed early decline of HBsAg titer and 11(61.1%) patients had also lower baseline HBsAg levels (< 3.7 log IU/mL) . Conclusions: Early decline of HBsAg was useful for predicting VR, and baseline HBsAg could be indicative as well in CHB patients treated with ETV than patients treated with CLV.

급성 췌장염으로 발현된 부갑상선 선종

유태양,박종빈,류한승,조미영,노혜정,박병현,조정구 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.1

저자들은 급성 훼장염 환자에서 심한 고칼슘혈증을 동반한 부갑상선 선종에 의한 원발성 부갑상선 기능항진증을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Primary hyperparathyroidism is characterized by hypercalcemia and hypophosphatemia induced by an increased level of parathyroid hormone(PTH). Patients with primary hyperparathyroidism are usually asymptomatic, but can present with symptoms of renal stones, peptic ulcer disease, muscle weakness and depression. In addition, primary hyperparathyroidism-related with hypercalcemia is considered to represent a risk factor for the development of pancreatitis. We report a case of a 66-year-old woman with primary hyperparathyroidism who was accompanied with acute pancreatitis. The chief complain was abdominal pain and general weakness. The serum levels of amylase, lipase, calcium and intact PTH were 17391U/L, 4160IU/L, 21.2mg/dL and 1836pg/mL. A parathyroid mass was detected by neck computed tomography, ultrasonography and 99m-Tc sestamibi scintigraphy. After the surgical procedure, the symptoms were improved and the calcium level was normalized.

미니 임플란트 직경에 따른 피로파절강도의 비교 연구

허유리,손미경,김희중,최한철,정재헌 大韓齒科補綴學會 2012 대한치과보철학회지 Vol.50 No.3

Purpose: This study was conducted to obtain difference in fracture strength according to the diameter of one-body O-ring-type of mini implant fixture, to determine the resistance of mini implant to masticatory pressure, and to examine whether overdenture using O-ring type mini implant is clinically usable to maxillary and mandibular edentulous patients. Materials and methods: For this study, 13 mm long one body O-ring-type mini implants of different diameters (2.0 mm, 2.5 mm and 3.0 mm) (Dentis, Daegu, Korea) were prepared, 5 for each diameter. The sample was placed at 30 from the horizontal surface on the universal testing machine, and off-axis loading was applied until permanent deformation occurred and the load was taken as maximum compressive strength. The mean value of the 5 samples was calculated, and the compressive strength of implant fixture was compared according to diameter. In addition, we prepared 3 samples for each diameter, and applied loading equal to 80%, 60% and 40% of the compressive strength until fracture occurred. Then, we measured the cycle number on fracture and analyzed fatigue fracture for each diameter. Additionally, we measured the cycle number on fracture that occurred when a load of 43 N, which is the average masticatory force of complete denture, was applied. The difference on compressive strength between each group was tested statistically using one-way ANOVA test. Results: Compressive strength according to the diameter of mini implant was 101.5 ± 14.6 N, 149 ± 6.1 N and 276.0 ± 13.4 N, respectively, for diameters 2.0 mm, 2.5 mm and 3.0 mm. In the results of fatigue fracture test at 43 N, fracture did not occur until 2×106 cycles at diameter 2.0 mm, and until 5×106 cycles at 2.5 mm and 3.0 mm. Conclusion: Compressive strength increased significantly with increasing diameter of mini implant. In the results of fatigue fracture test conducted under the average masticatory force of complete denture, fracture did not occur at any of the three diameters. All of the three diameters are usable for supporting overdenture in maxillary and mandibular edentulous patients, but considering that the highest masticatory force of complete denture is 157 N, caution should be used in case diameter 2.0 mm or 2.5 mm is used. 연구 목적: 일체형의 o-ring type 미니 임플란트 고정체의 직경에 따른 파절강도의 차이를 비교하고자 한다. 연구 재료 및 방법: 길이 13 mm의 one body o-ring type의 미니 임플란트(Dentis, Daegu, Korea)를 직경2.0, 2.5, 3.0 mm 각각 5개씩 준비하였다. Instron universal testing machine 에 수직면에서 30도 각도로 샘플을 위치시키고 off-axis loading을 가하여 영구변형이 일어난 하중 값을 파절강도로 하고 5개의 시편의 평균을 구하여 각 직경에 따른 임플란트의 고정체의 파절강도를 비교하였다. 또한, 각 직경마다 3개의 시편을 준비하고 동적하중 피로 시험기를 이용하여, 파절이 발생할 때까지 파절강도의 80%, 60%, 40%의 loading 을 가하여 파절되는 cycle수를 측정하여 각 직경의 피로 파절을 분석하였다. 추가적으로 총의치의 평균 저작력인 43 N의 하중을 가하여 파절되는 cycle 수를 측정하였다. 각 군간의 차이를 검증하기 위해서 일원분산분석(one-way ANOVA test)을 시행하였고, 통계처리는 SPSS ver.12 (SPSS Inc. Chicago, IL, USA) 을 이용하여 실시하였다. 결과: 직경 3.0 mm 의 미니 임플란트는 평균 276.0 ± 13.4 N의 압축력을 받았을 때 영구 변형이 일어났고 직경 2.5 mm 미니 임플란트가 149.0 ± 6.1 N, 2.0 mm 미니 임플란트가 101.5 ± 14.6 N일 때 영구 변형이 일어났다. 각 군간의 파절강도에는 유의한 차이가 있었다(P<.001). 총의치의 평균 저작력 하중에서 실시한 피로 파절 실험 결과, 세직경 모두 5×106 cycle까지 파절이 일어나지 않았다. 결론: 미니 임플란트의 정적 하중 하에서 최대 압축강도는 직경이 증가할수록 유의적으로 증가하였다. 최대 압축강도는 세 직경 모두 총의치의 평균 저작력 보다는 크나 최대 교합력보다는 직경 3.0 mm에서만 크게 나타났다. 총의치의 평균 저작력 하중에서 실시한 피로 파절 실험 결과, 세 직경 모두 파절이 일어나지 않았다.

CMOS 전압표준을 이용한 온도보상 전류표준 회로

양한유,홍국태,정강민 成均館大學校 科學技術硏究所 1992 論文集 Vol.43 No.2

본 연구는 외부조건의 영향을 적게 받고 일정한 전류를 발생시켜 주는 CMOS 전류표준 회로를 설계하였다. 이 회로에서 기존에 통상 사용되어 왔던 PTAT 전압원 대신에 특히 온도변화에 독립적인 구조로서 부동전압원에 CMOS 전압표준을 사용한 구조를 제시하였다. 이로서 회로의 정확성, 간결성을 향상시킬수 있다. 시뮬레이션을 통하여 회로의 작동을 검증하고 성능을 토의 하였다. In this work, a CMOS current reference circuit is designed, which is independent of variations of external parametters. A circuit configuration using CMOS voltage reference is suggested and it is shown that this circuit is less sensitive, especially to the temperature variations, compared to the PTAT voltage source. Through simulations, the operation of the circuit is verified and its performance is discussed.

하악 전돌증 환자의 구내 하악골 상행지 골절단술전후의 하악골 운동양상 및 저작근 근전도 변화에 관한 연

박영철,황충주,유형석,한희경 대한치과교정학회 1997 대한치과교정학회지 Vol.27 No.2

악구강계는 측두하악관절, 근육신경계, 치아, 그리고 지지조직의 복합적 구성체로 되어있어 다양한 구조를 이루고 있으며, 밀접한 생리적 관계를 유지하고 있다. 특히 하악은 저작근을 포함한 여러 근육을 운동원으로 하여 각종 기능을 수행하고 있으며, 이들 근기능의 활성도는 치근막을 비롯한 악관절과 근육 등의 여가 가지 형태의 수용기를 거쳐 말초 신경계와 중추신경계의 복잡한 경로와 기전에 의해서 조절되어지는데, 교정치료, 특히 교정을 동반한 악교정 수술시에는 이러한 악구강계의 변화와 구강내 여러감각 수용기의 변화, 근활성도의 변화가 심하게 나타나며, 이는 하악골의 기능변화를 초래하게 된다. 이에 저자는 최근 급증하는 악교정수술환자의 하악골 근육의 생리적 활성도나 하악골의 운동변화를 분석하여 보다 r객관적인 술전 및 술후의 평가기준을 제시하고자, Biopak을 이용하여 정상교합자와 하악전돌증을 주소로 내원하여 악교정수술을 시행받은 골격성 III급 부정교합자의 하악기능 양상을 총괄적으로 비교분석하여 다음과 같은 결과를 얻었다. 1. 각 군간의 근활성도 비교시 resting시에는 술전군이 정상군에 비해 더 큰 근활성도를 나타내었고, 수술후 그 측정치가 점차 감소함을 볼 수 있었다. clenching시에는 술전군의 교근과 전측두근의 근활성도가 정상군에 비해 더 감소되어 있었고 수술후 다시 증가하여 수술전과 술후 6개월군 사이에 통계적 유의차가 관찰되었다. 2. 각 근육 활성도 간의 비교시 resting시에는 전측두근의 활성도가 나머지 근육에 비해 다소 증가된 양상을 보였으나 통계적 유의차는 없었고, clenching시네는 모든 group에서 전측두근과 교근의 활성도가, swallowing시에는 악이복근의 활성도가 통계적 유의차를 보이며 크게 나타났다. 3. 하악운동범위의 비교시 전반적으로 술저군에서 제한된 운동 범위를 나타내었으며 최대개구량은 술후 6개월에, 전방 운동량은 술후 3개월에 유의성 있는 증가를 보였다. Stomatognathic system is a complex one that is composed of TMJ, neuromuscular system, teeth and connective tissue, and all its components are doing their parts to maintain their physiological relationships. Mandible, in particular, performs various functions such as mastication, speech, and deglutition; the muscular activities that determine such functions are signalled by numerous types of proprioceptors that exist in periodontal membrane, TMJ, and muscles to be controlled by complicated pathways and mechanics of peripheral and central nervous system. Orthodontic treatment, especially when accompanied by orthognathic surgery, brings dramatic changes of stomatognathic system such as intraoral proprioceptors and muscle activities and thus, changes in patterns of mandibular function result. The author tried to analyze changes in patterns of mandibular movement and physiologic activities of surrounding muscles in Skeletal Class III orthognathic surgery patients who presently show a great increase in numbers. The purpose of this study was to draw some objective guidelines in evaluation functional aspects of orthognathic surgery patients. Mandibular functional analysis using Biopak was performed for skeletal Class III prognathic patients who underwent IVRO(Intraoral Vertical Ramus Osteotmy), and the following results were obtained: 1. Resting EMG was greater in pre-surgical group than the control group, and it showed gradual decrease after the surgery. Clenching EMG of masseter and anterior temporalis of pre-surgical group was smaller than those of control group; they also increased post-surgically, and significant difference was found between pre-surgical and post-surgical(6 months) groups. 2. Resting EMG of anterior temporalis was greater than that of all the other muscles, but there was no significant difference. Clenching EMG of anterior temporalis and masseter were greater than those of the other muscles with statistical difference. In swallowing, digastric muscle showed the highest EMG with statistical significance. 3. Limited range of mandibular movement was shown in pre-surgical group. Significant increase in maximum mouth opening was observed six months post-surgically, and significant increase in protrusive movement was observed three months post-surgically.

사후분해 시체에 대한 법의학적 접근

최영식,이상용,김유훈,조갑래,이봉우,양경무,정낙은,서중석,이한영,이원태,강현욱 大韓法醫學會 2000 대한법의학회지 Vol.24 No.2

Disposal of a homicide victim by dismemberment is rare, but individual cases are on record in most major medicolegal departments. Recognition of postmortem mutilation may be of importance in the interpretation of certain murders committed by sexual perverts and other mentally deranged individuals and sometimes performed for the sole reason of easier disposal of the body. Postmortem dismemberment is usually readily recognizable as such; The edges of the injuries are dry and lack evidence of bleeding. The joints may be disarticulated without fracture, or the use of an axe or saw may be evident from examination of bones. Parallel horizontal or oblique furrows in the bone surface are caused by skipping of the saw prior to establishing depth. Such patterns on the bone may assist in identifying the particular saw involved. So we report 25 dismembered corpses that autopsied in National Institute of Scientific Investigation. This paper can help in attempting to establish not only the first criminal investigation steps but also the medicolegal approach methods in unidentified and dismembered deaths.

中學 科學敎育의 探究學習에 대한 評價問項 開發 (Ⅱ)

閔庚德,楊洪準,李善行,鄭遠佑,이병교,金裕漢,羅長薰 경북대학교 과학교육연구소 1985 科學敎育硏究誌 Vol.9 No.-

This study was accomplished to develope the evaluation items for inquiry learning in the 2nd grade Middle School Science for the consecutive study of the evaluation items for inquiry learning in the 1st grade Middle School Science(U-Hang Ki et al, 1984). In this study, paper and pencil test items and performance test items are made by analyzing the abilities of inquiry according to the contents and four basic experiments from each unit in the 2nd grade Middle school science. These evaluation items were applied to tke five classes of the 2nd grade of middle school to test their validity. It is desirable that performance test schuld be used for the evaluation for the abilities of inquiry which can not be evaluated by paper and pencil test. In the evaluation methods of performance test, tester evaluation, peer evaluation and self-evaluation can be applied to the science class in a multi-student class. In higher grade, however tester evaluation is more desirable than peer and self evaluation. It is found that peer evaluation and self-evaluation make possible the perfect study by feedback.

주사(注射)를 통한 파라쿼트 중독사 : 부검 3예

김윤신,이호,정유경,정익조,한백희 대한법의학회 2000 대한법의학회지 Vol.24 No.1

Paraquat is a bipyridilium nonselective contact herbicide and well-known pulmonary toxicants. Concentrated solution of paraquat may causes severe corrosive injury and multiple system organ failure. It is poorly absorbed from GI tract, but is extremely toxic and so one swallowed mouthful of Gramoxone(about 5ml) will be fatal. We experienced 3 cases of paraquat poisoning through injection and examined pathologic findings, medical records and concentration of paraquat in blood and tissues. We reviewed the mechanism of action of paraquat. pathologic changes of organ system, concentration of compound in the various organ and cause of death in autopsy cases.

中學 科學敎育의 探究學習에 대한 評價問項 開發(Ⅰ)

奇宇恒,權炳奎,朴德圭,이병교,鄭遠佑,金裕漢 경북대학교 과학교육연구소 1984 科學敎育硏究誌 Vol.8 No.-

The purpose of this study is to achieve the individualized inquiring learning which is centered on students by improving the method of the evaluation of the inquiry learning in the science class in a multi-student class. Therefore the author made the table of specification for scientific achievements of the abilities of inquiring by analyzing the abilities of inquiring according to the content of science and five basic experiments of each unit inthe first grade of of middle school, ant then made the paper and pencil and performance test items for the evaluation of the abilities of inquiring. The paper and pencil test was taken after the experimental and observational class, and performance test was taken in the way of the students' self evaluation, peer evaluation and Tester evaluation. The results are as follows: 1) In operation of the inquiry learning by two experiments, performance test items and 13 the paper and pencil test items made for evaluation of the abilities of inquiring could be applied usefully. 2) Correlation coefficient between paper and pencil test and performance test is .362 and it is very low. Therefore it is desirable that performance test be used for the evaluation for the abilities of inquiring which cannot be evaluated by paper and pencil test. 3) In evaluation of the abilities of inquiring by performance test on five basic experiments, it is more desirable that 'the use of microscope' is presented in the way of peer evaluation or peer and Tester evaluation, 'the observation on epidermis of onion cell' in the way of peer evaluation, and self-evaluation. 4) Skill of the abilities of inquiring in experimental and observational class can be evaluated correctly through performance test.

Characteristics of Localized Surface Plasmon Resonance of Nanostructured Au Patterns for Biosensing

Yu, Jeong Seon,Kim, Minsik,Kim, Sanghoon,Ha, Dong Han,Chung, Bong Hyun,Chung, Sang Jeon,Yu, Jong-Sung American Scientific Publishers 2008 Journal of nanoscience and nanotechnology Vol.8 No.9

<P>Periodic arrays of pseudotetrahedal-shaped gold nanoparticles were fabricated using nanosphere lithography (NSL) and examined for localized surface plasmon resonance (LSPR). The dependence of the LSPR on particle size of the periodic gold nanostructures was explored for potential application as a new biosensor. With increasing size and height of the Au nanoparticles, the absorption peak of the LSPR shifts to the longer wavelength and becomes relatively sharper. With thinner metal deposition or finer Au nanostructure, the absorption signal varies more sensitively for the changes in the Au particle size. The binding affinity study for biotin-streptavidine system on the Au nanopatterns resulted in blue-shifted absorption signal, opening up the possibility of the nanostructured Au pattern as a new LSPR biosensor.</P>