청각장애인의 근무만족도와 관리자의 고용만족도 조사 : 광주지역을 중심으로

성민아,정은희 한국장애인고용촉진공단 고용개발원 2008 장애와 고용 Vol.18 No.2

이 연구는 청각장애인의 근무만족도와 청각장애인을 고용한 고용주 또는 관리자의 고용 만족도를 알아보고자 청각장애인 29명 관리자 19명을 대상으로 한 조사연구이다. 연구결과 첫째, 청각장애인의 근무환경에 대한 논의를 통해 얻은 결론을 요약하면 다음과 같다. 청각장애인은 대부분이 50인 이상의 사업장에서 월급제로 제조업에 종사하고 있으며 구직은 친구나 선후배를 통해 하고 있고, 정확한 출퇴근시간과 휴일보장이 근무조건의 1순위이면서 동시에 가장 큰 이직사유이기도 하였다. 이직은 1-2번 정도 있었고 이직 시 친구나 선후배의 영향이 크다고 할 수 있으며, 직업훈련 경험이 직무에 도움이 되고 있다고 느끼고 있으나 직업훈련경험이 적으므로 체계적인 직업전 교육이 필요하다고 사료된다. 둘째, 청각장애인의 고용환경으로 관리자들은 대부분 장애인 고용의무제를 계기로 채용을 하고 있으며, 청각장애인의 고용에 대해서 효과적이라고 생각하고 만족하고 있다고 할 수 있다. 또한 고용에 대해서 만족하고 있는 점은 학교직업교육에서도 관리자들의 요구와 필요를 파악하여 직업능력을 개발하고 인간관계 기술과 적응지도를 심화시켜 좀 더 현장에 부합하도록 노력할 필요가 있음을 시사해 준다. 셋째, 보수와 안전시설, 복지, 전반적인 만족도 면에서 종사자들은 만족하고 있었고, 관리자 역시 적정하다고 보고 있는 점이 상호 부합되고 있다. 다만 근무시간과 휴무보장에 대해서는 종사자와 관리자가 다소 다른 평가를 하고 있다는 점에 대해서는 신중한 검토를 하여야 할 것으로 보인다. 마지막으로 관리자의 청각장애 종사자에 대한 요구를 보면 고졸이상의 학력이 필요하다고 보았으며 동료와 상사와의 원활한 관계형성과 언어능력을 요구 하였으며 취업 전 진로상담과 직업훈련이 우선되어야 한다고 하였다. 따라서 학교와 직업훈련기관에서는 다양하고 체계적인 직업전 교육과 의사소통 능력 배양, 인성교육 등을 통해 단순노무와 생산으로 제한된 직종과 업무를 넓힐 수 있도록 해야 할 것이다. On this research I grasp company's object which plan to employee a person with hearing impaired and improvements after employment to maintain employment security so researches manager's satisfaction and a person's with hearing impaired desire after employment and education of human nature and vocational training before employment and present work condition for them so I hoped to be an indication for improvement of work condition. The object of subjects is based on the questionnaire from 29 person with hearing impaired who works on and 19 managers on 9 company excluding company which had closed and bankruptted. The conclusion from the research are below. First, in case of a person's with hearing impaired work satisfaction, choice condition was narrow from choice of a types of business to be compared with the general public. Most respondent were work on the manufacturing industry and a way of looking for job was not various just choose a job by friends or seniors and juniors. Also reason of defections by overwork and holiday work was high so work time and holiday is important factor on holding down a job. The overall of work satisfaction was good and had a positive mind about manger's concern, safety facilities, welfare facilities and consult with manager when in trouble. On the one hand experience on vocational training was helpful to work so they need educational system before a job and vocational training. Secondly, managers were satisfied mostly on a person's with hearing impaired employment and had a extra plan to employee them. They had a positive mind on communications, refered a institution and a special school for employment and satisfied with skill of work. Employer and manager who employee a person with hearing impaired require a high school graduate and making a good relation with a manager and a fellow and linguistic ability. To develop making a good relation and linguistic ability requires person's with hearing impaired effort by oneself and effective seat arrangement and a regular counsel and manager or employer's continuous concern and elevation on conversation by writing will lead to more good work activity. Also manager said that one´s course counsel and vocational training must be proceeded before employment.

<모함을 이겨낸 황대감의 딸>의 문학치료적 효용

서은아 서울여자대학교 여성연구소 2007 여성연구논총 Vol.22 No.-

This study analyzed the content of narration in the six folk-tales of "HwangDaeGam's daughter who overcomes of false incrimination," and how this story could be used for the literature therapy. First of all, the stories of "HwangDaeGam's daughter who overcomes of false incrimination" made up of five different sequences such as 1) when the step-mother got married, her step-daughter was already in the right age for marriage and the step-mother made a false accusation that the step-daughter had an abortion; 2) the father tried to kill his daughter so she herself moved to a new place with a help from her servant and her younger brother; 3) when the step-daughter moved to a new place, she met a man who was in conversations with a view to introducing prospective marriage partners or who was closely bound up together. Then she got married; 4) the step-daughter's husband passed the government service examination and she suggested her husband to stay for a day at her parental home. While she was at her parental house and she wrote a letter to her father to explain about what happened before; 5) the step-daughter met up with her father again. Second, the author analyzed how the story of "HwangDaeGam's daughter who overcomes of false incrimination" could be used from the perspective of literature therapy. Five out of six folk-tales showed that the step-daughter was already in the right age for marriage when her father got married again. At that time, the step-daughter took care of her house and her father so it looked like the step-daughter was a mistress in the house. In addition, her father really loved his daughter so it made his new wife felt stressed out. She also felt jealous and envy over her step-daughter. Accordingly, the step-mother made a false accusation that the step-daughter had an abortion and then, her father tried to kill his daughter because it would leave a blot on his family. When the step-daughter found out this, she was dressed like a man and paid a visit to a man who was in conversations with a view to introducing prospective marriage partners. The meaning of this event could be interpreted as the step-daughter was in the realm of her father before the event of false accusation of abortion and she followed her father obediently; however, now she moved to another realm from the realm of son and daughter epic. This meant that the step-daughter received recognition from other people because of her own ability not by her father or family. Also, it represented that now She is in the active role in her life to choose a right man and get married. This showed that the step-daughter who was in the realm of son and daughter epic now moved to the realm of man and woman epic or the realm of husband and wife epic. Later when the step-daughter's husband passed the government service examination and she suggested her husband to stay for a day at her parental home. While she was there, she wrote a letter to her father and explained what happened. When her father read the letter, he visited her house to meet her. Even though her father tried to kill his own daughter because of a false accusation, she understood her father and restored her relationship with her father. The third, the author discussed how this story of "HwangDaeGam's daughter who overcomes of false incrimination" could be used in the literature therapy. By using this story, the people who are in the situation of the step-daughter could realize that father's companion is a new step-mother and people had to live his/her own life instead of depending on their parents. In addition, the behavior of the step-daughter who had active and positive attitude provided people a full of positive suggestions.

DACUM 기법에 의한 병원 임상영양사의 직무기술서 개발

차진아 ( Jin A Cha ),김강은 ( Kang Eun Kim ),김은미 ( Eun Mi Kim ),박미선 ( Mi Sun Park ),박유경 ( Yoo Kyoung Park ),백희준 ( Hee Joon Baek ),이송미 ( Song Mi Lee ),최수경 ( Soo Kyong Choi ),서정숙 ( Jung Sook Seo ) 대한영양사협회 2013 대한영양사협회 학술지 Vol.19 No.3

본 연구에서는 DACUM 기법을 통해 국내 병원 임상영양사의 직무를 조사 및 분석하고 그 결과를 바탕으로 도출된 임상영양사의 직무기술서를 평가함으로써 병원 임상영양사를 위한 직무기술서를 개발하고자 하였다. 2011년 7월초에 DACUM 워크숍을 통해 1차적으로 직무기술서를 도출하고 전문가 집단의 자문회의와 Delphi 조사 방법을 적용한 표적집단 면접을 통해 수정 및 보완 작업을 거쳐 직무기 술서를 도출하였다. DACUM 위원회의 패널로는 3차 의료기관에 종사하고 있는 현직 임상영양사 9인과 임상영양학을 전공하는 교수 4인, 직무분석을 담당하는 교수 1인 등 총 14명이 참여하였다. 전문가 자문단을 별도로 구성하였으며, 의사 1인, 간호사 1인, 임상영양분야 실무자 및 교수 5인이 포함된 전문가의 의견을 추가적으로 수렴하였다. 도출된 직무기술서는 2011년 7∼8월까지 전국 500병상 이상의 종합 병원 90개 중 설문조사에 응답한 46개 병원에서 각각 임상영양 실무책임자 1인으로부터 수집한 자료를 분석하여 현장 적합성을 평가하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 본 연구에서 DACUM 기법에 의해 처음 도출된 직무는 총 8개의 직무, 33개의 과업, 114개의 과업요소였으나 수정 보완작업을 거쳐 총 7개의 직무, 27개의 과업과 93개의 과업요소로 재분류되었다. 최종적으로 병원 임상영양사의 직무는 영양판정(A), 영양진단(B), 영양중재(C), 영양모니터링ㆍ평가(D), 자문ㆍ협력(E), 영양연구(F), 자기계발(G)로 도출되었다. 2. 각 직무영역별로 세부내용을 보면, (A) 영양판정은 A1. 영양 초기평가하기, A2. 식품영양관련 자료 수집·평가하기, A3. 의학적 자료 점검하기, A4. 신체계측 자료 수집·평가하기, A5. 신체증상 자료 점검하기, A6. 개인력 및 과거력 점검하기, A7. 영양 요구량 결정하기, A8. 영양판정 기록하기의 8개의 과업으로 구분하였다. (B) 영양진단은 B1. 영양진단 도출하기, B2. 우선순위 정하기, B3. 영양진단 기록하기로 나뉘었고, (C) 영양 중재는 C1. 영양중재 계획하기, C2. 영양처방 관리하기, C3. 영양상담하기, C4. 영양교육하기, C5. 영양집중지원하기, C6. 영양중재 기록하기로 구분 하였다. (D) 영양모니터링·평가는 4개의 과업으로 D1. 영양상태 모니터하기, D2. 영양중재과정 모니터하기, D3. 영양중재 결과 평가하기, D4. 영양모니터링·평가 기록하기로 구분하였다. (E) 자문·협력은 E1. 영양자문하기, E2. 협력관계 구축 및 유지하기로 (F) 영양연구는 F1. 질 향상 활동하기, F2. 연구 활동하기로 분류하였다. 마지막으로 (G) 자기계발은 G1. 전문성 향상, G2. 자기관리가 포함되었다. 3. 도출된 임상영양 직무기술서에 대한 평가를 위해 설문조사에 참여한 대상 병원의 유형은 상급종합 병원이 65.2%를 차지하였으며, 종합병원은 34.8%였다. 병원의 재원일수는 8.0±1.5일이었으며 병원 조직에서 영양부서는 6곳을 제외한 39개의 병원에서 진료부서 또는 진료지원부서에 속하였다. 또한 병원에서 영양부서가 단독으로 편제되어 있는 경우가 93%로 높은 비율을 보였다. 병원 임상 영양사의 성별은 여자가 100%로 나타났으며, 연령별 분포는 40∼49세가 가장 높은 비율을 보였다. 근무경력은 10년 이상인 경우가 50% 이상을 차지하였고 최종학력은 석사졸업이 가장 높은 것으로 나타났다. 4. 전체 과업요소의 인지된 중요도를 비교하면 6개의 과업요소를 제외한 대부분의 과업요소들이 4.0점 이상이었고 총 7개 직무영역에 대한 중요도는 ‘영양중재’가 4.6±0.6점으로 가장 중요도가 높게 나타났으며, ‘영양진단’과 ‘영양모니터링·평가’의 직무가 4.5점 이상으로 비교적 높게 조사 되었다. 전체 과업요소 중 수행도가 4.5점 이상으로 매우 자주 수행되는 과업요소가 13개, 4.0점 이상의 자주 수행되는 과업도 29개의 과업요소로 나타났으며, 직무영역 중 ‘영양중재’가 4.2±1.0점으로 높게 나타났다. 직무영역별 난이도를 조사한 결과에서는 ‘영양연구’ 업무가 4.1±0.9점으로 가장 높게 조사되었다. ‘영양진단’과 ‘자문·협력’은 각각 3.8±1.0점, 3.7±0.9점으로 비교적 어렵게 인식되는 직무로 나타났다. 직무영역별 과업요소 전체의 중요도, 수행도, 난이도의 평균은 각각 4.5±0.8점, 3.7±1.3점, 3.5±1.0점으로 나타났으며 유의적인 차이가 나타났다(P<0.001). 5. 임상영양사 업무의 중요도와 수행도 사이의 관계를 나타낸 격자도 분석에서 영양 초기평가하기, 영양요구량 결정하기, 영양판정 기록하기, 영양진단 도출하기, 영양중재 계획하기, 영양처방 관리하기, 영양교육하기, 영양집중지원하기, 영양중재 기록하기, 영양상태 모니터하기, 영양중재 과정 모니터하기는 중요도와 수행도가 모두 높은 영역(doing great)에, 식품영양관련 자료수집·평가하기, 의학적 자료 점검하기, 신체계측 자료수집·평가하기, 신체증상 자료 점검하기, 개인력 및 과거력 자료 점검하기, 영양진단의 우선순위 정하기, 영양진단 기록하기, 영양상담하기, 영양 모니터링·평가 기록하기는 수행도는 높으나 중요도가 낮은 영역(overdone)에 속하였다. 중요도가 높으나 수행도가 낮은 영역(focus here)에는 협력관계 구축 및 유지하기, 질 향상 활동하기가 속하였고, 중요도와 수행도가 모두 낮은 영역(low priority)은 영양중재 평가하기, 영양 자문 활동하기, 연구 활동하기, 전문성 향상하기, 자기관리하기가 속하는 것으로 나타났다. 이상의 결과를 볼 때, 본 연구에서 DACUM 기법에 의해 개발된 병원 임상영양사의 직무기술서는 현장에서 임상영양서비스를 수행하는데 가이드라인으로 사용될 수 있을 것으로 여겨지며, 인지된 중요도가 평균 이상으로 높지만 그에 비해 수행도가 미흡한 과업들에 대하여는 임상영양사에 대한 교육 실시, 업무 분담, 적정인원 배치 등 제도적인 뒷받침을 마련하여 수행도를 높일 수 있는 방안이 강구 되어야 할 것이다. 또한 질병별 맞춤형 임상영양 업무에 관한 후속연구를 통하여 보다 전문적인 환자 영양치료가 가능할 것으로 여겨진다. The present study was conducted to develop a standardized job description for clinical dietitians working in hospitals. A developing curriculum (DACUM) method was used for the job analysis of clinical dietitians. Based on DACUM analysis with 14 members, including clinical dietitians and professors majoring in clinical nutrition and job analysis, information on the duties, tasks, and task elements of clinical dietitians was determined. To verify the job descriptions derived from DACUM analysis, a total of 46 tertiary and general hospitals with over 500 beds were recruited for the survey. The final developed job description for clinical dietitians included 7 duties, 27 tasks, and 93 task elements. The duties consisted of nutritional assessment, nutrition diagnosis, nutrition intervention, nutrition monitoring·evaluation, consultation·cooperation, nutrition research, and self-development. The mean scores of perceived importance, performance, and difficulty on the clinical dietitian`s task elements (out of a maximum score of 5.0) were 4.5, 3.7, and 3.5, respectively, with significant differences between the items (P<0.001). The perceived importance and performance grid of clinical dietitian`s tasks showed that “construction and maintenance of collaboration” (E2) and “activity of quality improvement” (F1) received relatively low scores for performance despite their high importance scores; thus the performance of these tasks requires significant improvement. In conclusion, the job descriptions of clinical dietitians developed from this study are useful for the qualitative improvement of clinical nutrition services in hospitals.

Base-pair opening dynamics of the microRNA precursor pri-miR156a affect temperature-responsive flowering in Arabidopsis

Kim, Hee-Eun,Kim, Wanhui,Lee, Ae-Ree,Jin, Suhyun,Jun, A.Rim,Kim, Nak-Kyoon,Lee, Joon-Hwa,Ahn, Ji Hoon Academic Press 2017 Biochemical and biophysical research communication Vol. No.

<P><B>Abstract</B></P> <P>Internal and environmental cues, including ambient temperature changes, regulate the timing of flowering in plants. Arabidopsis miR156 represses flowering and plays an important role in the regulation of temperature-responsive flowering. However, the molecular basis of miR156 processing at lower temperatures remains largely unknown. Here, we performed nuclear magnetic resonance studies to investigate the base-pair opening dynamics of model RNAs at 16 °C and investigated the <I>in vivo</I> effects of the mutant RNAs on temperature-responsive flowering. The A9C and A10CG mutations in the B5 bulge of the lower stem of pri-miR156a stabilized the C15∙G98 and U16∙A97 base-pairs at the cleavage site of pri-miR156a at 16 °C. Consistent with this, production of mature miR156 was severely affected in plants overexpressing the A9C and A10CG constructs and these plants exhibited almost no delay in flowering at 16 °C. The A10G and A9AC mutations did not strongly affect C15∙G98 and U16∙A97 base-pairs at 16 °C, and plants overexpressing A10G and A9AC mutants of miR156 produced more mature miR156 than plants overexpressing the A9C and A10CG mutants and showed a strong delay in flowering at 16 °C. Interestingly, the A9AC mutation had distinct effects on the opening dynamics of the C15∙G98 and U16∙A97 base-pairs between 16 °C and 23 °C, and plants expressing the A9AC mutant miR156 showed only a moderate delay in flowering at 16 °C. Based on these results, we propose that fine-tuning of the base-pair stability at the cleavage site is essential for efficient processing of pri-miR156a at a low temperature and for reduced flowering sensitivity to ambient temperature changes.</P> <P><B>Highlights</B></P> <P> <UL> <LI> A mutation in pri-miR156a B5 affected base-pairing stability at the cleavage site. </LI> <LI> Mutations in the B5 bulge increased base-pair stabilities and decreased miR156. </LI> <LI> The A9AC mutation affected opening dynamics between 16 and 23 °C. </LI> <LI> Cleavage site base-pair stabilities reflected miR156 levels and flowering time. </LI> </UL> </P>

존 키츠의 「그리스 항아리에 부치는 송시」 : 그리스 항아리의 진실, 그리고 그 이면

이은아(Lee Eun-A) 새한영어영문학회 2011 새한영어영문학 Vol.53 No.1

This paper will examine the negative poetic fiction in John Keats’s “Ode on a Grecian Urn” by analyzing the theory of Jacques Lacan’s object a. This focuses on the fictional nature of an idealized object. Keats longs for an idealized and perfect world without suffering, but he recognizes it is nothing but a fantasy and a fiction. He knows that nature is no longer construed as a mediator of the transcendental, but as a constant reminder of life’s mutability and mortality. This negative poetic fiction is Keats’s strategy to embrace tragedy through a series of negating images. It is used to disclose the fictional nature of an idealized object and the horror of a mundane reality. In “Ode on a Grecian Urn”, Keats elevates the disused utensil, a grecian urn, to a sublime object of artistic worth. What is important here is that object a is not the object itself but functions as the thing masking what it lacks. An idealized urn conceals the truth that it is nothing but an urn possessing the remains of an agitated, changeable, and ultimately failed human being. Desiring subject constantly seeks something nearly impossible to obtain, the urn, but in the end fails to grasp it. This is because desire is always a desire for something missed. In spite of this impossibility, fantasy can be a means of realizing a subject’s desire. Usually fantasy is considered a means to bring about a subject’s desire even if it is based on an illusion. A subject must realize that such a thing is merely fantasy because subjectification takes place only after the fact.

한국인에서 5,10-Methylenetetrahydrofolate Reductase 유전자 다형성 분석 및 임신의 결과에 미치는 영향

김아리 ( Ari Kim ),강은지 ( Eun Ji Kang ),이경아 ( Kyung A Lee ),박세나 ( Se Na Park ),박종순 ( Jong Soon Park ),박보현 ( Bo Hyun Park ),박혜숙 ( Hyesook Park ),박미혜 ( Mi Hye Park ),전선희 ( Sun Hee Chun ),안정자 ( Jung Ja Ahn ) 대한주산의학회 2006 大韓周産醫學會雜誌 Vol.17 No.3

목적: 본 연구는 한국인 임신 여성에서 MTHFR 유전자형 변이와 혈청내 호모시스테인 및 엽산의 농도와 이들이 임신에 미치는 영향을 알아보고자 하였다. 방법: 임신부 600명에게서 혈액을 채취하여 얻어진 DNA로 MTHFR C677T와 A1298C 유전자의 다형성을 PCR-RELP로 분석하였고 혈청내 호모시스테인은 HPLC 방법으로, 엽산은 RIA 방법으로 측정하였다. 결과: 혈청내 호모시스테인은 MTHFR C677T 유전자형이 C/C형이나 C/T인 군에 비해 T/T인 군에서 유의하게 높았으며 MTHFR A1298C 유전자형이 A/C형이나 C/C인 군에 비해 A/A인 군에서 역시 유의하게 높았다( p<0.05). 혈청 호모시스테인은 모든 MTHFR 유전자형에서 혈청 엽산농도와 역상관관계를 보였으나, 변이형 유전자형(T/T와 A/A유전자형)에서 더 큰 역 상관관계를 보였다. 15?mol/L 이상의 고호모시스테인혈증의 임신부에서 임신 주수와 출생체중이 36.1주, 3053.8 g으로 15 ?mol/L미만인 군의 38.3 주, 3215.3 g 보다 유의하게 낮았다( p<0.05). 결론: 혈청 호모시스테인의 농도는 MTHFR C677T와 A1298T 유전자의 다형성에 의해 영향을 받으며, MTHFR C677T와 A1298T 유전자의 다형성과 혈청 호모시스테인은 모두 임신주수와 신생아의 체중에 영향을 미친다. Objective: The purpose of this study was to analyze MTHFR polymorphism among the Korean population and to evaluate the relationship between serum levels of homocysteine and MTHFR polymorphism and also to investigate the effect on pregnancy outcomes. Methods: DNA was extracted from whole blood of 600 pregnant women. All samples were genotyped for the C677T and A1298C polymorphisms in MTHFR gene by PCR-RELP assay. Serum levels of homocysteine and folate were measured by high performance liquid chromatography for homocysteine and radioassay for folate. Pregnancy outcomes were estimated by gestational weeks and birth weights of newborns. Results: Serum homocysteine was higher in women with the T/T genotype than those with the C/T or C/C genotype of the MTHFR C677T polymorphism (p<0.05). And also serum homocysteine was higher in women with the A/A genotype than those with the A/C or C/C genotype of the MTHFR A1298C polymorphism (p<0.05). Serum homocysteine was negatively correlated with serum folate in all MTHFR genotypes, especially prominent in T/T genotype of MTHFR C677T polymorphism and A/A genotype of MTHFR A1298C polymorphism. Gestational age and the birth weight of infant from hyperhomocysteinemic mothers whose homocysteine levels higher than 15 μmol/L were 36.1 weeks, 3053.8 g, respectively, which were significant lower than those from normohomocysteinemic mothers (38.3 weeks, 3,215.3 g) (p<0.05). Conclusion: Serum homocysteine was influenced significantly by MTHFR C677T polymorphism and MTHFR A1298C polymorphism. MTHFR C677T and A1298C polymorphism and serum homocysteine levels affect pregnancy outcomes, although not mainly by serum folate level.

한국인 좌심실 비대증 환자들에서 파브리병 선별검사의 의의

박형두,조성윤,이수연,전은석,박승우,이상훈,이상철,최진오,박성지,장성아,김형관,기창석,김종원,진동규,Park, Hyeong-Du,Jo, Seong-Yun,Lee, Su-Yeon,Jeon, Eun-Seok,Park, Seung-U,Lee, Sang-Hun,Lee, Sang-Cheol,Choe, Jin-O,Park, Seong-Ji,Jang, Seong-A,K 대한유전성대사질환학회 2014 대한유전성대사질환학회지 Vol.14 No.2

목적: 파브리병(Fabry disease)은 alpha-galactosidase A의 결핍으로 인하여 리소좀에 globotriaosylceramide(Gb3)가 축적되어 여러 장기에 이상을 일으키는 질병이다. 본 연구에서는 파브리병의 만성 합병증 중 심장 질환을 주로 보이는 환자들, 그 중에서도 좌심실 비대증을 보이는 한국인 환자들을 대상으로 파브리병의 빈도를 알아보고자 하였다. 방법: 좌심실비대증을 진단받은 환자 257명을 연구대상으로 선정하였고, 남성이 172명(평균 56세, 범위 30-81세), 여성이 84명(평균 66세, 범위 45-85세)이었다. 파브리병 선별을 위하여 고성능액체크로마토그래피-탠덤질량분석기를 이용하여 소변 Gb3 농도를 측정하였다. 확진은 형광분석법에 의한 말초혈액의 alpha-galactosidase A 활성도와 염기서열분석법에 의한 GLA 유전자 돌연변이 유무를 검사하여 이루어졌다. 결과: 소변 Gb3 검사에서 cutoff (25 ug/mmoL creatinine)를 초과하는 환자는 4명이었지만, 최종적으로 추가 검사를 통해 진단된 파브리병 환자는 여성 환자 한 명이었다(1/257명, 0.4%). 확진된 환자는 54.3 ug/mmoL creatinine의 Gb3 농도와 15.5 nmole/hr/mg protein (참고범위, $55.2{\pm}12.7nmole/hr/mg$ protein)의 alpha-galactosidase A 활성도를 보였다. GLA 유전자에서는 c.796G>A (p.D266N) 돌연변이가 이형접합체로 관찰되었다. 추가로 시행한 가족검사에서 환자의 딸은 아직 파브리병의 증상을 보이지 않았지만, 엄마와 같은 GLA 돌연변이(c.796G>A)를 가지고 있었으며, alpha-galactosidaseA 활성도는 42.5 nmole/hr/mg protein, 소변 Gb3 농도는 25.5 ug/mmoL creatinine을 나타냈다. 결론: 한국인 좌심실 비대증을 가진 환자들에서 파브리병의 유병율은 0.4%였다. 유병율이 낮아 보임에도 불구하고, 파브리병 진단 전 환자와 가족 구성원을 발견할 수 있는 장점 덕분에 선별검사의 의의가 있는 것으로 사료된다. Objectives: Fabry disease (FD) is a lysosomal storage disease caused by the inappropriate accumulation of globotriaosylceramide (Gb3) in tissues due to a deficiency in the enzyme ${\alpha}$-galactosidase A. Hypertrophic cardiomyopathy is one of the chronic complications of FD. We tried to evaluate the prevalence of Fabry disease in the Korean patients with left ventricular hypertrophy (LVH). Methods: A total of 257 patients with LVH were recruited and they were 172 males (mean 56 years, range 30-81 years) and 84 females (mean 66 years, range 45-85 years). Urinary Gb3 was used to screen FD by high performance liquid chromatography-tandem mass spectrometry. Confirmatory tests were done by alpha-galactosidaseA activity using fluorometric assay and by GLA mutation analysis using sequencing. Results: Four patients were screening positive by urinary Gb3 analysis (cutoff, 25 ug/mmol creatinine). But, one female patient was diagnosed with FD confirmed by enzyme analysis in leukocytes as well as by genetic analysis (1/257 patients, 0.4%). She showed 54.3 ug/mmoL creatinine of Gb3 and 15.5 nmole/hr/mg protein (reference range, $55.2{\pm}12.7nmole/hr/mg$ protein) of alphagalactosidase A activity. And she had a heterozygous GLA mutation of c.796G>A (p.D266N). Her daughter was found to be a carrier for FD confirmed by GLA mutation analysis. Asymptomatic carrier showed 25.5ug/mmol creatinine of Gb3 and 42.5 nmole/hr/mg protein (reference range, $55.2{\pm}12.7nmole/hr/mg$ protein) of alpha-galactosidase A activity. Conclusions: The prevalence of FD in Koran patients with LVH was detected as 0.4%. Although the prevalence seems to be low, screening studies are of great importance for detecting hidden cases as well as for identifying other effected family members.

조기분만진통 임부와 만삭 전 조기양막파열 임부의 정맥혈장내 산화 스트레스 지표

김윤하 ( Yoon Ha Kim ),노은지 ( Eun Ji Noh ),백주아 ( Ju A Back ),김종운 ( Jong Woon Kim ),송태복 ( Tae Bok Song ) 대한주산의학회 2015 Perinatology Vol.26 No.4

목적: 조기분만진통 및 만삭 전 조기양막파열 임부의 정맥혈장내 산화능과 항산화능의 차이를 비교하고 산화 스트레스가 조기양막파열의 병태생리에 어떤 역할을 하는가를 규명하고자 하였다.방법: 75명의 임부를 대상으로 정맥혈을 채취하고 원심분리 후 혈장을 얻었다. (1) A군, 정상 임부 24명, (2) B군, 조기분만진통 임부 25명, (3) C군, 만삭 전 조기양막파열 임부 26명. thiobarbituric acid 반응을 이용하여 지질과산화물 농도를 측정하였고, 2,4-dinitrophenylhydrazine 방법을 이용하여 단백질의 carbonyl 기 함량을 측정하였으며, oxygen radical absorbance capacity assay (ORAC)로 총 항산화능을 측정하였다. Mann-Whitney U test, Kruskal Wallis test를 이용하여 분석하였다. 결과: B군과 C군의 정맥혈장내 지질과산화 치는 A군에 비해 의미있게 높았으며(B군: 4.59±0.30, C군: 5.40±0.22 vs. A군: 3.90±0.26 nmol/mg protein, P<0.05), C군의 정맥혈장내 지질과산화 치는 B군에 비해 의미있게 높았다. C군의 정맥혈장내 carbonyl기 함량은 A군에 비해 의미있게 높았으며(C군: 5.68±0.42 vs. A군: 5.43±0.41 nmol/mg protein, P<0.05), A군과 B군간의 carbonyl기 함량에는 차이가 없었다. 항산화능에 있어서는 B군과 C군이 A군에 비해 의미있게 낮았으며(B군: 117.91±0.48, C군: 111.68±1.23 vs. A군: 119.14±1.12 mM/mL, P<0.05), C군이 B군에 비해 의미있게 낮았다(P<0.05). 결론: 만삭 전 조기양막파열시 조기분만진통에 비해 정맥혈장에서 산화적 변화가 증가되어 있었으며 항산화능은 감소되어 있었다. 이는 조기양막파열시 산화적 스트레스가 증가되어 있을 가능성을 시사한다. Purpose: This study was performed to investigate the oxidation and antioxidation capacity in the maternalvenous plasma of preterm labor with intact membranes, and premature rupture of membranes (PPROM), andalso to evaluate their roles in the pathophysiology of PPROM. Methods: Seventy five women in the following categories had venous blood retrieved: (1) Group A, normal pregnancy (n=24). (2) Group B, preterm labor with intact membranes (n=25). (3) Group C, preterm premature rupture of membranes (n=26). Malondialdehyde (MDA) levels as a marker of lipid peroxidation by thiobarbituric acid reaction, protein carbonyl content by 2,4-dinitrophenylhydrazine reaction, and total antioxidant capacity by oxygen radical absorbance capacity assay (ORAC) were measured. Mann-Whitney U test, Kruskal-Wallis test were used for statistical analysis. Results: Lipid peroxide levels in the venous plasma of group B and C were significantly higher than those of group A (group B: 4.59±0.30, group C: 5.40±0.22 vs. group A: 3.90±0.26 nmol/mg protein, P<0.05). Lipid peroxide levels in the venous plasma of group C were significantly higher than those of group B (P<0.05). Protein carbonyl levels in the venous plasma of group C were significantly higher than those of group A (group C: 5.68±0.42 vs. group A: 5.43±0.41 nmol/mg protein, P<0.05). There was no significant difference of protein carbonyl levels in the venous plasma between group A and B. ORAC levels in the venous plasma of group B and C were significantly lower than those of group A (group B: 117.90±0.48, group C: 111.68±1.23 vs. group A: 119.14±1.12 mM/mL, P<0.05). ORAC levels in the venous plasma of group C were significantly lower than those of group B (P<0.05). Conclusion: In the blood of the women with preterm premature rupture of membranes, the lipid peroxidation was increased and the antioxidant capacity was decreased compared to women with normal pregnancy and preterm labor with intact membranes. These results suggest that oxidative stress was increased in preterm premature rupture of membranes.

청가시덩굴 추출물의 기능성 원료 표준화를 위한 지표성분 Resveratrol, trans-Scirpusin A의 분석법 개발 및 검증

권진관(Jin Gwan Kwon),정연우(Yeon Woo Jung),최윤혁(Yun-Hyeok Choi),이지은(Ji Eun Lee),정원식(Wonsik Jeong),이정아(Jung A Lee),최춘환(Chun Whan Choi),안은경(Eun-Kyung Ahn),최용문(Yongmun Choi),홍성수(Seong Su Hong) 한국식품영양과학회 2022 한국식품영양과학회지 Vol.51 No.11

본 연구는 HPLC를 이용하여 청가시덩굴 추출물을 개별인정형 건강기능식품의 기능성 원료로 개발하기 위한 원료 표준화의 일환으로, 청가시덩굴 추출물의 지표성분을 resveratrol과 trans-scirpusin A로 설정하고 이에 대한 HPLC 분석법을 확립하여 유효성의 검증을 실시하였다. 분석법 유효성 검증은 특이성, 직선성, 정확도, 정밀도, 검출한계 및 정량한계 등을 통해 분석법의 신뢰성을 검증하였으며, 그 결과 표준용액과 청가시덩굴 추출물 간의 HPLC 크로마토그램 및 UV spectrum의 일치 여부 등의 비교를 통해 다른 물질과 간섭 없이 피크가 분리된 것으로 특이성을 확인하였다. 또한 표준용액 검량선의 상관계수(R²)는 0.9999로 매우 우수한 직선성으로 관찰되어 분석에 적합한 것으로 확인되었으며, 검량선의 기울기 및 표준편차를 이용한 검출한계는 resveratrol이 0.98 μg/mL, trans-scirpusin A는 0.49 μg/mL였고 정량한계는 resveratrol이 2.98 μg/mL, trans-scirpusin A는 1.48 μg/mL로 각각 확인되었다. 청가시덩굴 추출물에 표준물질을 3개 농도 첨가하고 분석한 회수율은 resveratrol이 98.77~99.24%, trans-scirpusin A는 98.45~99.45%로 나타나 정확성이 있는 것을 확인할 수 있었다. 청가시덩굴 추출물의 조제 농도 2.2, 4.4 및 6.6 mg/mL에서 반복성은 resveratrol이 0.99~1.22%, trans-scirpusin A는 1.12~1.32%를, 실험실 내 정밀성에서는 일내 정밀성은 resveratrol이 0.67~0.87%, trans-scirpusin A는 1.18~1.33%로 나타났고 일간 정밀성은 resveratrol이 0.93~1.22%, trans-scirpusin A는 1.33~2.27%로 확인되어 본 분석법은 정밀성이 있음을 확인할 수 있었다. 이상의 분석결과를 통해 확립된 청가시덩굴 추출물의 지표성분인 resveratrol과 trans-scirpusin A의 HPLC 분석법은 적합한 시험법으로 검증되었으며, 본 시험법은 향후 청가시덩굴 추출물의 건강기능식품 기능성 원료 개발과 표준화를 위한 기초자료로 활용될 것으로 사료된다. This study was undertaken to establish an analytical method using high-performance liquid chromatography (HPLC). HPLC for the standard determination of resveratrol and trans-scirpusin A as functional ingredients in Smilax sieboldii extract. We evaluated the specificity, linearity, accuracy, precision, limit of detection (LOD), and limit of quantitation (LOQ) of various analytical methods for detecting resveratrol and trans-scirpusin A using HPLC. The specificity was confirmed by the chromatogram obtained using the HPLC analytical method. Also, the results of UV and the coefficient of correlation (R²) obtained was 0.999, which confirmed that this was a suitable analysis with high linearity. The LOD was 0.98, 0.49 μg/mL, and LOQ was 2.98, 1.48 μg/mL, which was confirmed as a suitable limit level for the analysis of resveratrol and trans-scirpusin A content in the S. sieboldii extract. The recovery of resveratrol and trans-scirpusin A content was determined to be 98.77±0.73∼99.24±1.47% and 98.45±1.18∼99.45±1.66%, respectively, indicating high accuracy. The intra-day repeatability and the intra-laboratory precision of the daily repetition were confirmed to be 0.67∼0.87%, 1.18∼1.33% and 0.93∼1.22%, 1.33∼2.27%, respectively, for trans-scirpusin A, for the relative standard deviation. These results indicate that the reported HPLC method is simple, reliable, and reproducible for the detection of resveratrol and trans-scirpusin A in S. sieboldii extract.

Upregulation of NAD(P)H:quinone oxidoreductase by radiation potentiates the effect of bioreductive beta-lapachone on cancer cells.

Choi, Eun K,Terai, Kaoru,Ji, In-Mi,Kook, Yeon H,Park, Kyung H,Oh, Eun T,Griffin, Robert J,Lim, Byung U,Kim, Jin-Seok,Lee, Doo S,Boothman, David A,Loren, Melissa,Song, Chang W,Park, Heon Joo Stockton Press 2007 Neoplasia Vol.9 No.8

<P>We found that beta-lapachone (beta-lap), a novel bioreductive drug, caused rapid apoptosis and clonogenic cell death in A549 human lung epithelial cancer cells in vitro in a dose-dependent manner. The clonogenic cell death caused by beta-lap could be significantly inhibited by dicoumarol, an inhibitor of NAD(P)H:quinone oxido-reductase (NQO1), and also by siRNA for NQO1, demonstrating that NQO1-induced bioreduction of beta-lap is an essential step in beta-lap-induced cell death. Irradiation of A549 cells with 4 Gy caused a long-lasting upregulation of NQO1, thereby increasing NQO1-mediated beta-lap-induced cell deaths. Although the direct cause of beta-lap-induced apoptosis is not yet clear, beta-lap treatment reduced the expression of p53 and NF-kappaB, whereas it increased cytochrome C release, caspase-3 activity, and gammaH2AX foci formation. Importantly, beta-lap treatment immediately after irradiation enhanced radiation-induced cell death, indicating that beta-lap sensitizes cancer cells to radiation, in addition to directly killing some of the cells. The growth of A549 tumors induced in immunocompromised mice could be markedly suppressed by local radiation therapy when followed by beta-lap treatment. This is the first study to demonstrate that combined radiotherapy and beta-lap treatment can have a significant effect on human tumor xenografts.</P>