야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

PCR을 이용한 국내시장에 유통중인 유전자재조합 콩 및 가공식품의 모니터링

김묘영,김재환,김현중,박선희,우건조,김해영 한국응용생명화학회 2003 Applied Biological Chemistry (Appl Biol Chem) Vol.46 No.4

본 연구에서는 PCR을 이용하여 국내시장에 유통중인 원료콩과 가공식품에 epsps 또는 pat 유전자가 삽입된 유전자재조합 콩(GMS)의 사용여부를 모니터링하였다. 이러한 GMS의 검출을 위해 3쌍의 primer set을 제작하였고, 각각의 primer들은 GMS에 삽입된 유전자와 특이적으로 반응하여 PCR산물을 생성하였다. 2001년 표시제가 시행되기 이전에 생산된 총 가공식품과 이후의 제품에 대해 각각 모니터링을 수행하였으며, 표시제 이전에 생산된 제품의 경우 대부분의 미국산 원료에서 esps가 삽입된 GMS가 검출되었으나, 표시제 이후에는 검출되지 않았다. A method using PCR was developed for the monitoring of genetically modified soybean (GMS) and GMS derived foods utilized in the market. We designed 3 pairs of specific oligonucleotide primers based on epsps and pat inserted in GMS and ferritin gene as internal standards. Template DNAs isolated from soybean and processed foods were used for multiplex PCR with 3 primer sets. PCR, used with specific primer sets for GMS detection, showed the amplified DNA fragments with GMS template DNA. In this study, GMS containing epsps was detected from soy processed foods manufactured before GM food labeling system, however, GMS containing epsps or pat was not detected from soy processed foods manufactured after GM food labeling system.

제2형 당뇨병 환자에서 체내 총항산화능 측정의 의의

윤여일,윤석기,김선규,김용현,남일송,차건영,황의원,김영선 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Background: The diabetic patients are at significantly increased risk of developing vascular disease. It's etiology may involve oxidative damage by free radiacals and protection againse such damage can be offered by antioxidants. We investigated that oxidative stress as assessed by measurement of total antioxidant status may play a role in development of diabetes mellitus. Method: We measured total antioxiant status using merchandised kit, glycated hemeglobin(HbA1c) in 46 type 2 diabetes mellitus patients and 50 healthy matched control subjects. Result: The total antioxidant status(TAS) was 2.10(±0.04) mmol/L in uncontrolled type 2 DM patients, 2.60(±0.03) in controlled type 2 DM patients and 2.70(±0.16) in healthy control subjects. TAS was significantly lower(P<0.05) in uncontrolled type 2 DM patients, but no significant association between in controlled type 2 DM patients and healthy control subjects. The TAS was 2.00(±0.17) mmol/L in complicated type 2 DM patients and 2.10(±0.29) uncomplicated type 2 DM patients. There was no significant associations between complicated type 2 DM patients and uncomplicated type 2 DM patients. Conclusion: Poor glycemic control is associated with reduced TAS in type 2 DM patients. TAS was thought indirect index that predict glycemic control of type 2 DM patients.

충남지역 활석광상에서 산출되는 금운모의 광물특성 및 기원

김건영,김수진,고용권,배대석 한국광물학회 2004 광물과 암석 (J.Miner.Soc.Korea) Vol.17 No.3

충남지역 활석광상에서 산출되는 금운도의 광물학적 특성 및 활성화 작용과 연관된 금운모의 생성기원을 연구하였다. 연구지역의 활석광상에서 산출되는 운모류는 녹니석과 더불어 활석광석의 주요 불순광물이다 화학적으로 활석과 공존하는 운모류들은 전형적인 금운모 조성을 보여주고 활석과 직접적인 관련이 없이 산출되는 운모류들은 흑운모에서부터 금운모 조성까지 광범위한 분포를 보여준다. 금운모는 주로 활석광체의 외곽부의 검은 변질대에 분포하며, 특히 괴상 활석광석에 수반되어 산출된다. 편광현미경이나 후방산란전자상에서는 금운모와 녹니석이 혼정을 이루고 있는 양상을 흔히 관찰할 수 있으며, 드물게 활석과 함께 혼정을 이루는 양상을 관찰할 수 있다. 금운모의 투과전자현경관찰결과, 일반적으로 전형전인 10Å의 격자상 내에 14 Å의 녹니석층이 불규칙하게 혼합되어 있기 때문에 금운모의 생성과정이 녹니석과 밀접한 관계가 있음을 지시하고 있다. 이러한 금운모의 산출상태와 광물학적 특성 및 금운모생성에 필요한 K의 기원을 고려하였을 때, 연구지역의 금운모는 활석화 작용의 후기단계에서, 포기 성분과는 달리 K을 충분히 함유한 열수용액과 활석 광체와의 반응에 의해서 주고 생성된 것으로 판단된다. K은 이러한 K-변질작용이 일어나기 용이한 구조조건을 가진 활석광체와 주변 화강암질 편마암과의 접촉부에서 화강암질 편마암으로부터 유입되었다. Mineralogical characteristics and genesis of phlogopite in the talc deposits of the chungnam area were studied. Mica is one of the major impurity of talc ores in the study area. Talc-related micas show typical phlogopite composition, whereas talc-unrelated micas show wide compositional variations between biotite and phlogopite. Phlogopite mainly occurs in the black-wall type zone, especially in the nodular talc ores near the outer part of talc ore bodies. Interleaving textures of phlogopite and chlorite are easily observed under the optical microscope and back-scattered electron images. Interleaving textures of phlogopite and talc are observed also. Examination of the phlogopite by transmission electron microscope reveals that 14 Å layers of chlorite are randomly interlayered within the 10 Å layers of phlogopite, which suggests that the genesis of phlogopite is closely related to chlorite. Considering the occurrence and mineralogical characteristics of phlogopite, and the possible origin of K for the formation of phlogopite, phlogopite of the study area was formed by interaction between talc ore body and hydrothermal solution containing sufficient K at the late stage of talc formation. K might be introduced from the granitic gneiss at the contact zone between the talc ore body and the granitic gneiss under favorable structural condition for the potash metasomatism.

방사성폐기물처분연구를 위한 유성지역 화강암내 심부 시추공 단열충전광물의 광물학적 특성

김건영,고용권,배대석,김천수 한국광물학회 2004 광물과 암석 (J.Miner.Soc.Korea) Vol.17 No.1

방사성폐기물의 처분연구와 관련하여 대전 유성지역 화강암내 심부 시추공 시추코아의 단열 광물들에 대한 광물학적 특성을 연구하였다. 유성지역의 심부시추공들에는 다수의 단열대가 발달해 있으며 국지적인 열수변질작용이 중첩되어 있다. YS-01 시추코아에 대한 전암분석결과 -90 m ∼-130 m 구간과 -230 m∼-250 m 구간에서 급격한 SiO₂ 함량 감소와 Al₂O₃, CaO, L.O.I 값의 증가가 관찰되며 이는 단열충전광물의 생성과 관련이 있다. 이러한 단열충전광물에 대한 XRD분석결과 불석광물(로몬타 휼란다이트), 방해석, 일라이트(2M₁1M_(d) 다형), 녹니석, 녹염석, 카올리나이트 등이 확인되었으며, 산출되되는 양은 방해석 불석광물 > 일라이트 > 녹염석 >> 녹니석 > 카올리나이트의 순이다. SEM관찰 및 EPMA 분석결과, 단열충전광물들의 심도에 따른 조직 및 화학특성 변화는 관찰되지 않는다. 연구지역은 화강암반내에 발달된 단열재가 지하수의 유동로로 작용하여 오랜 기간에 걸친 물-암석 반응이 진행되었고, 또한 저온의 열수변질작용이 중첩되었기 때문에 이들에 의한 단열충전광물의 생성기원 연구가 필요하다. Mineralogical characteristics of fracture-filling minerals from deep borehole in the Yuseong area were studied for the radioactive waste disposal project. There are many fracture zones in the deep drill holes of the Yuseong granite, which was locally affected by the hydrothermal alteration. According to the results of hole rock analysis of drill core samples, SiO2 contents are distinctly decreased, whereas A12O3 and CaO contents and L.O.I. values are increased in the -90 m∼-130 m and -230 m∼-250 m zone, which is related to the formations of filling minerals. Fracture-filling minerals mainly consist of zeolite minerals (laumontite and heulandite), calcite, illite (2M₁ and 1M_(d) polytypes), chlorite, epidote and kaolinite. The relative frequency of occurrence among the hcture-filling minerals is calcite ≥ zeolite mineral > illite > epidote >> chlorite kaolinite. Judging from the SEM observation and EPMA analysis, there is no systematic change in the texture and chemical composition of the fracture-filling minerals with depth. In the study area, low temperature hydrothermal alteration was overlapped with water-rock interactions for a long geological time through the fracture zone developed in the granite body. Therefore the further study on the origin and paragenesis of the fracture-filling minerals are required.

신체형 환자의 애착 특성

김용희,송지영,반건호,김종우,신용선 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The purpose of this study was to evaluate the relationship betseen attachment style and somatization in patients with somatoform disorder. Methods : Data was collected by self-report questionnaires. 134 normal subjects and 30 patients with somatoform disorder were enrolled in this study. All subjects completed a psychometric assessment that consisted the Revised Adults Attachment Scale(RAAS), Inventory of Parent and Peer Attachment (IPPA), Sungshin Self-concept Inventory (SSCI), and SCL-90-R. Results : 1) Somatoform patients showed more anxious attachment style than normal control. 2) Anxious attachments were combined with mistrust of their parents, emotional instability, and interpersonal mistrust which may play a significant portion of variance in somatization. Conclusion : We found that patients with somatoform disorder had more anxious attachment style than normal subjects. Insecure attachment patterns may significantly explain the phenomenon of somatization.

급성 심근 경색증과 혈장 Paraoxonase activity와의 관계

김건영,윤상준,박근호,조영신,장성종,장경식,홍순표 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

연구배경: 혈장 파라옥소나제의 감소는 HDL-cholesterol의 항 산화작용의 중요한 요소로 알려져 있어 이의 감소는 항산화작용의 저하로 인해 동맥경화의 진행을 촉진시킬 수 있어 허혈성심장병의 주요 위험인자로 추정하고 있다. 본 연구에서는 급성 심근 경색증 환자를 대상으로 혈장 파라옥소나제의 활성도를 측정하여 정상군과 비교하여 혈장 파라옥소나제 활성도의 감소가 급성 심근 경색증의 위험인자인지 알아보고자 하였다. 대상 및 방법: 급성 심근 경색증으로 입원한 39 명의 환자(남자 : 여자 = 19 : 20, 평균나이: 61±4.3세)와 정상 대조군 36명(남자 : 여자 = 17 : 19, 평균나이: 55±10세)을 대상으로 정맥혈을 채혈 후 파라옥소나제 활성도와 LDL-cholesterol, total cholesterol, HDL-cholesterol를 측정하였다. 두 군간의 비교는 Student T-test를 이용하였다. 결과: 건강 대조군과 급성 심근 경색 환자군 간에 측정치를 비교해본 결과 혈장 콜레스테롤 수치는 182.10± 12mg/dl, 194.87± 40mg/dl이고 HDL 콜레스테롤은 54±5.4mg/dl, 37.52± 13mg/dl 였다. LDL 콜레스테롤은 94.45±13mg/d1, 122±34mg/d1로 급성 심근 경색증 환자의 경우 통계학적으로 의미있는 차이를 보였다. (P<0.05). 그러나 혈장 파라옥소나제 활성도는 건강 대조군 112.35±15U/ml, 급성심근 경색증 환자군 96.10±43.50U/ml로 급성 심근 경색증 환자군이 건강 대조군에 비해 낮은 수치를 보이는 경향이 있었으나 통계학적으로 유의한 차이(P=0.071)는 보이지 않았다(Table 2참조). Background : Human plasma paraoxonase is a HDL-associated ester hydrolase that catalyzes the hydrolysis of organophosphates, aromatic carboxylic acid esters and carbamates. HDL has been implicated in the prevention of LDL lipid peroxidation. Low paraoxonase activity in the Plasma may have responsibility to the development of coronary artery disease partially because oxidized LDL has intimate relationship with atherosclerosis. We studied plasma paraoxonase activities in the plasma of acute myocardial infarction patients in order to evaluate the relationship between these enzyme activities and the acute myocardial infarction. Materials and Methods : plasma samples were obtained from 39 individuals with acute myocardial infarction(M: 19 cases, F: 20cases, mean age: 61(4.3 years) and 36 individuals of healthy control(M: 17 cases, F: 19cases, mean age: 55(10 years). We determined paraoxonase activities, total cholesterol, LDL-cholesterol &DL-cholesterol levels in the plasma samples. Paraoxonase activities were measured spectrophoto metrically in 0.1M Tris-HCl buffer (pH=7.4) at 25℃ with paraoxon as substrate(5.5mM) at 405 nm. We used student T-test to compare the results of both groups. Results : Comparison of the results between myocardial infarction patients and normal control groups revealed that plasma total cholesterol, HDL-cholesterol and LDL-cholesterol levels showed statistically significant differences between groups but plasma paraoxonase activity does not. Conclusion : Our study showed that there was no significant difference of plasma paraoxonase activity between acute myocardial infarction and normal population. So low plasma paraoxonase activity may not be a risk factor of acute myocardial infarction. but further prospective large scale study will be needed to conclude.

관상동맥색전증에 의한 급성심근경색증 4예

김민근,주혜원,강경필,최병돈,박민석,변영섭,고충원,이건주,김병옥 인제대학교 2006 仁濟醫學 Vol.27 No.-

Acute myocardial infarction(AMI) due to coronary embolism can occur in patients with normal coronary artery. Coronary embolism is believed to be a cause of acute myocardial infarction when emergent coronary angiography shows perfectly normal coronary trees, except for the finding of coronary artery occlusion. In this report, we describe four patients with AMI due to coronary embolism who were successfully treated using a thrombus aspiration device and anticoagulation, and those patients had intracardial thrombus arising from the left atrium due to chronic atrial fibrillation and valvular heart disease. Patients with chronic or paroxysmal atrial fibrillation can present with AMI due to coronary embolism, and thrombus aspiration with percutaneous aspiration device is a feasible treatment option for these patients along with anticoagulation the rapy.

간섬유화를 유동한 랫드에서 동충하초(冬蟲夏草)의 효소 활성에 과한 연구

김상덕,이건목,김기영,이기남 圓光大學校 醫科學硏究所 1999 圓光醫科學 Vol.15 No.1

Purpose: We study on the effects of Cordyceps sinensis (Dongchunghacho: DCHC) about activity of hepatic enzyme, which is presumed to be effective on the liver disease at Oriental Medicine. Methods: In the study, the antifibrotic effects of DCHC was investigated by oral applicalion on liver fibrosis induced in rats. Female Sprague Dawly rats were divided in 3 groups (control, liver fibrosis induced group, liver fibrosis induced and DCHC oral application group). For liver fibrosis induction, rats were i. p. injected in 11 weeks (0.125㎖/rat/day). Rats were treated for 10 weeks with DCHC extracts(0.16g/㎏/day). After application of DCHC, all group rats were sacrified. and collected blood and liver tissue. After centrifugation of blood, sera was used for the measurement of clinical biochemistry (ALT, AST, ALP, total bilirubin). The parameter of collagen deposition in liver tissue (hydroxyproline: HYP) was measured by a colorimetry. Results: In the result, jaundice was not observed in all groups, but was showed hepatomegaly in CCl4 treated group and CCl4/DCHC applicated group. The ratio of body liver weight of CCl4 treated rats was significantly higher than in DCHC treated rats (5.2±0.4%, 4.0±0.3%, p<0.01), but the weights of spleen and kidney in all group investigated were not changed significantly. The content of HYP was significantly lower in CCl4 with DCHC group than in CCl4 group (642.0±54.0, 688.0±30.5 ㎍/1g, p<0.05). In DCHC treated group, the values of AST, ALP, BUN, γ-GTP were very low compared with only CCl4 intoxificated group(p<0.01). This result represents that CCl4 injection induced liver fibrosis in 11 weeks. DCHC inhibited significantly the accumulation of collagen in the extracellular space and the activities of AST, ALT, ALP, γ-GTP in serum. Conclusion: It conclude that DCHC extracts is proven to protect against liver fibrosis in rat and to stimulate liver function.

3종 페라이트/고무 복합형 전파흡수체에 있어서 재료정수의 주파수 의존성

김철한,전홍배,유영준,사공건 東亞大學校 1999 東亞論叢 Vol.36 No.-

In this study, ferrite/rubber composite specimens have prepared by molding and curing the mixture of matrix silicon rubber and three kinds of filler particle Mn-Zn/Ni-Zn/Ni₂Y ferrite which are synthesized by the coprecipitation mehtod. The mixing ratio of three kinds of ferrite filler paticle gave variety to adjust the material constant of composite microwave absorbers. Material constants of composite specimens were calculated from the measured variables(s-parameter) over the frequency range from 1 to 12 GHz by means of Network Analyzer(HP8722D) with a co-axial type air line. The reflection loss was calculated from material constants on the impedance matching map utilizing simplex method. By chaging mixing ratio of three kinds of ferrite filler particle, the frequency range over than 20dB were relatively broaden and maximum reflection loss were remarkably reduced to others specimens excepted specimen D. Finally, it could make microwave absorber to be used for C-band frequency range.