신경섬유종증과 병발된 말단비대증 1예

김현만,홍욱균,한지영 대한내분비학회 1991 Endocrinology and metabolism Vol.6 No.4

Although it has been well recognized that the neurofibromatosis frequently associates with endocrine anomalies such as pheochromocytoma, thyroid tumor and hyperparathyroidism, there are very few instances of neurofibromatosis associated with acromegaly. The etiological basis of this association is not clear. We report one case of neurofibromatosis concurrently occurenored with acromegaly in a 17-year-old man. A diagnosis of neurofibromatosis had been made by typical skin manifestation on physical examination followed by pathological findings of biopsied tissue from the lesion. A diagnosis of acromegaly had been made by elevated serum growth hormone level followed by detection of mass lesion on brain CT scan. His growth hormone level became lower after bromocriptine therapy. The tumor will be regularly checked up by brain CT scan for growing or changing in nature. (J Kor Soc Endocrinol 6:371~376, 1991)

제2형 당뇨병 외래 환자의 비만도에 따른 미세혈관합병증

이성규,조남한,김현만,이관우,정윤석,채봉남,김윤정,이미덕,노혜림,홍은경,조현경 대한당뇨병학회 2000 Diabetes and Metabolism Journal Vol.24 No.1

Background: Korean type 2 diabetic patients who are frequently non-obese, may be genetically different from Western type 2 diabetics who are frequently obese. Therefore, the diabetic complications of type 2 diabetes mellitus in Korea may be also different from those of Western countries. Until now, most studies reported in Korea did not analyse the microvascular complications of type 2 diabetes mellitus according to obesity, and also the criteria in the diagnosis of microvascular complications were different in each study. We investigated the microvascular complications and its relationship with obesity, in type 2 diabetic patients visiting an outpatient clinic. Methods: The study subjects were type 2 diabetic patients visiting an outpatient clinic of Ajou University Hospital. We selected patients participating in a 75 g oral glucose tolerance test, retrospectively. Type 2 diabetes was diagnosed according to the WHO/NDDG classification of diabetes. Biochemical studies including lipid profile, plasma insulin and C-peptide levels were done. Anthropometric measurements were performed. Based on BMI (㎏/㎡), the patients were divided into the following groups: the lean group, when the BMI was less than 20 ㎏/㎡ the ideal body weight (IBW) group, if the BMI was between 20 ㎏/㎡ and 25 ㎏/㎡ in women and 20 ㎏/㎡ and 27 ㎏/㎡ in men; and the obese group, when the BMI was $gt;25 ㎏/㎡ in women and $gt;27 ㎏/㎡ in men. Results: 1. Neuropathy (45.2%) was the most frequent among the microvascular complications, and the frequency of retinopathy was 15.1%, and that of nephropathy was 4.9%. Within 5 years of diabetes duration, the frequency of neuropathy, retinopathy, and nephropathy was 43.2%, 11.8%, and 2.9%, respectively. 2. Glycosylated hemoglobin (HbA_(1c)) and fasting blood glucose levels were not different among the three groups. Beta cell function{Δ (insulin 30min - insulin Omin)/Δ(glucose 30min - glucose 0min)} was the highest in the obese group. However, beta cell function(ΔI/ΔG) divided by the basal insulin level, considered insulin resistance, was not different among the three groups. 3. Within 5 years of diabetes duration, retinopathy tended to be the most frequent in the lean group, whereas neuropathy tended to be the most frequent in the obese group, and body mass index influenced the retinopathy and neuropathy, statistically significantly. Conclusion: Diabetic neuropathy was the most frequent among microvascular complications of type 2 diabetes mellitus in our study subjects. At the time of presentation within 5 years of diabetes duration, the lean group of type 2 diabetics had a tendency of the more frequent retinopathy, the obese group had a tendency of the more frequent neuropathy. These results suggest that type 2 diabetes mellitus in Korea is also not a single disease entity, as in Western countries and is a heterogenous group of disorders with a diversity of microvascular complications. However, the more studies about this will be required.

RT-LAMP를 이용한 콩황화일반모자이크바이러스의 진단

배대현, 이영훈, 김봉섭, 윤영남, 강범규, 최만수, 구성철, 김현태, 윤홍태, 이수헌, 백인열 忠北大學校 農業科學硏究所 2014 農業科學硏究 Vol.30 No.2

Soybean yellow common mosaic virus (SYCMV) has been recently reported, it has been occurred a lot with Soybean mosaic virus (SMV) and Soybean yellow mottle mosaic virus (SYMMV) in soybean field. SYCMV belongs to genus of Sobemovirus and induced viral symptoms with yellowing, mottle and mosaic. A reverse transcription loop-mediated isothermal amplification (RT-LAMP) method allowed one-step detection of gene amplification by simple procedure and needed only a simple incubator for isothermal template. This RT-LAMP method allowed direct detection of RNA from virus-infected plants without thermal cycling and gel electrophoresis. In this study, we designed RT-LAMP primers named SYCML-F3/B3/FIP/BIP from coat protein gene sequence of SYCMV. After the reaction of RTLAMP, products were identified by electrophoresis and with the detective fluorescent dye, SYBR Green I. under daylight and UV light. Optimal reaction condition was at 63 for 60min and the primers of RTLAMP showed the specificity for only SYCMV tested in this study.

진행성 폐 종양 환자에서 종양 내 OK-432 주입술의 효과

정수현,김성빈,박진희,탁희상,옥철호,장태원,정만홍,천봉권 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2

Background: Intratumoral injection of OK-432 produced significant antitumor effects. There are reports that OK-432 was injected directly into tumor tissue on gastrointestinal tracts and HCC tissue, producing decrease in serum alpha-fetoprotein level. We adopted this technique for treating locally advanced lung cancer. The object of this study is to evaluate the local therapeutic efficacy, side effects of injection for treating symptomatic mass. Methods: Twenty lung cancer patients (13 males and 7 females) underwent sonography guided OK-432 injection. We analyzed relationships between response of OK-432 and response of skin test, histology and age. Pain that patients feel was evaluated by VAS (Visual Analog scale). Results: A significant decrease of tumor size was observed. The mean pre-injection diameter of the lesions was 54.7±11.3mm, PR rate were 15.0% (3/20) and minimal change (50%<tumor size decreased.) patients were 35.0% (7/20). The VAS score before injecting OK-432 into the lesion was 5±3, this was decreased to 2.5±1.5 (p=0.04). Object response was significantly correlated with skin response, adenocarcinoma, and age. Conclusion: A significant decrease of tumor size and pain was observed. So OK-432 is a valuable treatment option for patients with symptomatic lesion from advanced lung cancer who are not amenable to further therapy.

톨루엔 노출 근로자에서 유전자적 요인, 생활습관 및 식이가 요중 마뇨산 배설에 미치는 영향

임현우,박정일,노영만,이강숙,이정민,이원철,이세훈,정치경 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.3

목 적 : 본 연구는 생물학적 지표 특성 연구를 위한 단면조사 연구로서 톨루엔 노출과 톨루엔의 생물학적 모니터링으로 이용되는 요중 마뇨산 농도간의 양-반응 관계에서 효과 변경인자로서 작용하는 유전자 ALDH2, CYPIAI, CYP2El의 다양성 분포를 조사하고, 이들 유전자가 요중 마뇨산 배설 농도에 미치는 영향을 알아보고자 하였다. 방 법 : 연구대상자는 경인지역에 위치한 22개의 사업체에서 페인트 제조 72명, 제조업에서 도장작업 50명, 인쇄업 12명, 접착작업 12명, 벽지의 코팅작업 14명등 160명의 근로자이었다. 성, 연령, 유기용제 작업장 근무경력, 흡연습관, 음주습관, 검사일 이전 밤에 음주 여부, 시료 채취전 6시간 이내에 섭취한 식품조사, 측정일 개인보호구의 착용 여부에 대하여 설문조사를 시행하였다. 톨루엔에 대한 개인노출량은 passive air sampler로 측정하였고, 요중 마뇨산은 요중 크레아틴으로 보정하여 측정하였다. 또한 aldehyde dehydrogenase 2 (ALDH2) , cytochrome P45O IAI(CYPIAI), 그리고 cytochrome P45O 2El(CYPfEl)의 유전적 다양성은 혈액으로부터 백혈구의 DNA를 추출하여 제한 효소 절단 길이 다양성 (restiction fragment length polymorphism, RFLP)법으로 검사하여 다음의 결과를 얻었다. 결 과 : 연구대상자의 요중 마뇨산 농도의 기하평균은 0.44g/g creatinine, 기하표준편차 2.80이었다. 톨루엔 노출 농도, 개인 보호구 착용여부, 안식향산이 함유된 식품의 섭취여부중 요중 마뇨산 배설농도에 영향을 미치는 인자는 톨루엔 노출 농도뿐이었다. ALDH2, CYPIAI, CYPfEl, 연령, 흡연, 근무기간에서 회귀계수간에 차이를 보이는 경향이 있었다. 요중 마뇨산 농도에 대한 다중회귀분석에서 톨루엔, ALDH2, CYPIAI, CYP2El유전자형의 회귀계수가 통계적으로 유의하였다. 결 론 : 톨루엔 노출로 인한 요중 마뇨산 배설 농도는 ALDH2, CYPIAI, CYP2El유전자 다양성에 의해 영향을 받기 때문에, 유전자형의 대사능의 차이를 고려하여 마뇨산 기준 농도를 찾는 연구가 이루어져야 하겠다. Objectives The purpose was to investigate the distributions and the effects of genetic polymorphism of aldehyde dehydrogenase 2(ALDH2), cytochrome P45O IAI (CYPIAI), and cytochrome P45O 2El (CYPfEl) on the toluene metabolism. Methods : The subacts consisted of 160 workers who were exposed to toluene in different industries such as paint manufacturing, painting on steel and wood products, printing, bonding, and coating. The exposed toluene level was monitored by passive air sam paler, and the questionnaire variables were age, sex, smoking, drinking, previous night's drinking, use of personal protectlve equipment, work duration, and taking benzoic acid containing food. The urinary hippurric acid collected in the end of shift was corrected by urinary creatinine concentration. The genotypes of ALDH2, CYPIAI, and CYP2El were investigated using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) methods with DNA extracted from venous blood. Results'The geometric mean and the geometric standard deviation of urinary hippuric acid concentration were 0.44 g/g creatinine and 2.80. The urinary hippuric acid concentration was significantly related to personal exposed toluene level among personal exposed toluene level, use of personal protective equipment, and benzoic acid containing food diet. The slope differences of the regression for ALDH2, CYPIAI, and CYP2E1 genetic polymorphism, age, smoking, and work duration tended to be significant. In multiple regression analysis, the regression coefficient of toluene, ALDH2, 7YPIAl, CYP2E1 genetic polymorphism were significant. Conclusions : From the above results, urinary hippuric acid level after toluene exposure was significantly affected by the genetic polymorphism of ALDH2, CYPIAI, CYPfEl. It is needed further investigation of the urinary hippuric acid level considering the effect of genetic polymorphism.

대학복싱선수의 심리적 경쟁상태불안(Competitive State Anxiety)에 관한 연구

김현권,유종만 한국학교체육학회 2001 한국학교 체육학회지 Vol.11 No.2

본 연구는 복싱선수의 시합 전 제기되는 경쟁불안(competition anxiety)에 대한 연구에 그 목적을 두고 있다. 특히 경쟁불안이 높은 종목은 단체종목보다 개인종목으로서, 복싱종목은 타종목보다 이의 연구에 가장 타당하리라 사료된다. 복싱선수들의 심리적 불안정도를 분석하기 위해 생리적 측정방법인 Heart Rate, SCAT, IRT를 측정도구로 사용해 28명의 복싱선수들을 대상으로 안정시와 경기전 SCAT, IRT 그리고 Heart Rate를 측정하여 분석한 결과 본 연구자는 다음과 같은 결론을 얻었다. 1. 복싱선수들의 경기진 SCAT에 의한 불안정도는 높지도 낮지도 않은 중간정도였다. 2. 복싱선수들의 IRT에 의한 불안정도는 안정시와 경기전 IRT의 차가 심하지 않아 역시 인지적 불안정도도 낮지 않은 것으로 나타난다. 3. 복싱선수들의 심박수에 의한 심리적 불안정도는 안정시와 경기전 그 차가 심해 높게 나타났다. 4. 복싱선수들의 불안항목간 상관정도는 SCAT와 심박수간 매우 높은 상관을 보였으며 기타 항목간에는 상관이 낮았다. 이러한 결과를 종합하여 보면 선수들의 정확한 불안정도를 측정하기 위해서는 많은 측정항목과 과학적 기자재가 필요하며 선수 개인의 특성을 고려한 종단적 연구가 필요하다고 사료된다. The purpose of this study was to investigate the psycholo8ical competition anxiety tendency on Boxers(28) who were participated in the College Amateur Sexing Toumement. This test used SCAT(Sports Competition Anxiety Test) scores, IRT(Impatience Reaction Ti-me), and HR(Heart Rate) before the game as psychological tendency by using IRT and Heart Checker (108 system). IRT was measured 3 times after presented 5 seconds as basic intervals. The results were as follows: 1) Competition Anxiety levels of Boxers using SCAT scores showed middle level in comparison with Martens' Standard Index. 2) The differences of IRT between rest and before game showed nonsignificant, then, cognitive competition anxiety level on Boxers was little changes according to situations. 3) Tle differences of HR between rest and before game showed signfificant at P < .001, then, psychological competition anxiety level on Boxer was very high before game. 4) There is nonsignificant correlation between SCAT and IRT, and HR before game as competition anxiety levels.

수치모형을 이용한 사행수로의 하상특성 분석

김이현,이만석 경복대학 2004 京福論叢 Vol.8 No.-

지구촌 곳곳에서 최근의 기상이변으로 인한 수해를 방지하기 위한 많은 대책들이 나오고 있다. 그 중 국지적인 호우로 인하여 국내의 많은 하천들의 사행수로 구간에서 편수위 및 홍수위 상승에 따른 피해가 심각하여 이에 대한 연구가 증가하고 있다. 본 연구에서는 사행수로의 하상특성을 분석하기 위하여 기본적인 수치모형 방정식의 이해와 이를 바탕으로 한 최근 국내의 사례를 예로 들었다. 수치 모형으로는 현장에서 범용되고 있는 것을 채택하되, 1차원 모형으로는 HEC-RAS를 2차원 모형으로는 RMA-2모형을 이용하였다. 분석 결과 유속의 경우는 2가지 모형 공히 사행구간의 변화를 알 수 있었으나, 수위는 1차원 모형 자체의 한계성이 나타났다. 사행 구간에서는 홍수시 만곡부 외측으로의 편수위 상승과 같은 외수의 월류로 인한 위험을 가중시키는 현상이 발생하게 되므로 제반계획의 수립시 이러한 사항을 충분히 고려하여야 한다. In every globe village, numerous methods appear for detection flood damage caused by unusual change of wether lately. Due to local storm, in nationwide meandering rivers disaster of increased superelevation and flood level is seriously. In this study, for analysis bed state in meandering channel the basic numerical model equation be understand and introduced an example domestic case. In numerical models, selecting used in field adopted HEC-RAS for one-dimensional model and RMA-2 for two-dimensional model. Results of analysis, case of flow velocity recognized variation of meandering channel in two computational models, but in case of water level we find out one-dimensional model's limitations. Occasion of flood, in outside section of meandering bend, because of added overflow existing state like increasing of superelevation is occurrence, in making various plan enough consideration is needed.

Mo¨nckeberg 중막 석회화로 인해 초기자궁내막암이 진행성 자궁내막암으로 판독되었던 1례

김승만,배철성,김동훈,김정란,이현경,윤혜원 동국대학교 경주대학 1997 東國論集 Vol.16 No.1

Mo¨nckeberg 중막 석회화는 크거나 중간크기의 근육성 동맥(large and medium-sized muscular arteries)의 중막(media)에 노화와 관련되어 퇴행성 과정인 윤상석회화가 특징적으로 나타나는 동맥경화증의 일종으로, 근본적으로 폐쇄성 죽상경화증(occlusive atherosclerosis)과는 다른 과정으로 동맥의 관강(lumen)을 막는 경우는 드물어 상대적으로 임상적 의의는 적거나 거의 없다. 저자들은 Mo¨nckeberg 중막 석회화때문에 초음파 및 컴퓨터 단층촬영에 의한 병기결정에 혼란을 초래하였던 초기 자궁내막암 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The Mo¨nckeberg medial calcification is aging change rather than disease entity. The Mo¨nckeberg medial calcification involve muscular arteries of limb, head, and genital track and cause fibrosis change associated with hyalinization and fine basophilic staining, suggesting early calcification with little or no clinical significance but is demonstrable on roentgenograms as regular and diffuse radiopaque shadow under intima. We experienced one case of mis-staging of early endometrial cancer due to the Mo¨nckeberg medial calcification therefore, we report this case with a brief review of the literature of the Mo¨nckeberg medial calcification.

효소 단백 가수분해물의 항균 활성

주정현,이상덕,이정옥,오만진,이기춘 충남대학교 농업과학연구소 2002 농업과학연구 Vol.29 No.2

밀 단백질에 효소가수분해 할 때 생산되는 peptide의 항균활성과 천연항균제로서의 이용가능성을 검토하기 위하여 실험을 행하였다. 밀 단백질에 7종의 단백질가수분해효소를 작용시켜 생성된 가수분해물의 항균활성을 측정하고 한외여과, membrane filtration, HPLC를 이용하여 항균성peptide를 분리 정제한 후 분자량과 아미노산 결합 순서를 측정한 결과는 다음과 같다. 밀 단백질에 7종의 단백질 분해효소를 적용시켜 제조한 가수분해물중 Asp. saito protease를 적용시켜 얻어진 peptide 만이 항균활성을 나타내었다. Asp. saito protease는 37 ℃, pH 6.0에서 작용시킨 경우에 항균활성이 가장 높았으며, 50℃ 이상에서는 활성을 나타내지 않았다. 밀단백 효소가수분해물은 membrane filtration 에 의하여 분자량 1.000~3.000에서 항균활성이 나타났다. Membrane filtration으로 얻어진 항균활성분획을 HPLC로 분리한 결과 retention time 31.1~31.8 min에서 항균활성을 나타내었다. 밀단백 효소가수분해물은 121℃에서 15분간 가열하여도 효소활성이 유지되는 매우 안정한 화합물이었다. 항균활성분획을 MALDI-mass로 질량을 분석한 결과 1.633이었다. 항균성 peptide의 아미노산 결합순서는 cysteine, glycine, prolin, prolin, polin, valine, valine, alanine, alanine, arginine의 순서였다. This study was carried out to investigate whether peptide produced from wheat protein by enzyme hydrolysis can be used as a natural antimicrobial agent. Antimicrobial peptide was obtained form wheat protein by protease of 7 species. The produced antimicrobial peptide was purified through ultrafiltration membrane filtration and HPLC, and molecular weight and amino and sequence of the purified antimicrobial peptide were determined. Among hydrolysate produced from wheat protein by protease of 7 species, antimicrobial activity was observed for the peptide obtained from Asp. satio protease. The Asp. satio protease did production antimicrobial hydrolysate showing the highest antimicrobial activity at reaction condition of 37℃ and pH 6.0, but not at reaction condition above 50℃. Wheat protein hydrolysate was fractionated by membrane filtration and showed antimicrobial activity between molecular weight 1,000 - 3,000. The antimicrobial activity fraction obtained by membrane filtration was separated through HPLC and showed antimicrobial activity in the peak of retention time 31.1 - 31.8 min. Since after wheat protein protease hydrolysate was heated during 15 min at 121℃, antimicrobial activity was maintained we could be conviction as heat-stable peptide. Molecular weight of antimicrobial peptide identified by MALDI-mass was 1,633. Amino acid sequence of antimicrobial peptide was cysteine, glycine, prolin, prolin, prolin, valine, valine, alanine, alanine and arginine.

브라켓 간접부착시 레진 베이스의 재료에 따른 전단결합강도와 파절양상 비교

전만배,황현식,김종철 대한치과교정학회 1998 대한치과교정학회지 Vol.28 No.2

본 연구의 목적은 브라켓 간접부착술식에서 레진 베이스의 재료에 따른 전단 결합강도와 파절양상을 비교해 봄으로써 광중합형 레진 베이스 사용의 타당성을 평가해보는데 있다. 소의 하악 중절치를 포매하여 만든 시편의 석고 모형에 화학중합형 레진 접착제인 Excel과 광중합형 레진 접착제인 Light-Bond 및 열중합형 레진 접착제인 Therma Cure를 이용하여 금속 브라켓을 위치시킨 후 transfer tray를 사용하여 시편에 옮겨 부착한 다음 만능물성 시험기를 이용하여 전단결합강도를 측정하고, 파절양상을 관찰하여 다음과 같은 결과를 얻었다. 1. 평균 전단결합강도가 화학중합형 레진 베이스를 사용한 군에서 154.20±35.53 kg/㎠로 나타났으며, 세군간에 유의한 차이가 없었다(P>0.05). 2. 접착제 잔류지수를 통하여 파절양상을 비교 관찰한 결과 세 군간에 유의한 차이를 보이지 않았다(P>0.05). 이상의 실험결과는 브라켓 간접부착술식에서 레진 베이스의 재료로 화학중합형, 열중합형 레진과 함께 광중합형 레진도 사용될 수 있음을 시사하였다. The purpose of this study was to evaluate the propriety of making use of light-cured resin base in indirect bracket bonding technique by study of shear bond strength and failure patterns according to the material of resin base. Metal brackets were bonded to the stone models of specimens involving bovine lower incisor with chemical-cured(Excel), light-cured(light-Bond)and thermal-cured(Therma-Cure)resin. They were transferred to the specimens and bonded using sealant. The shear bond strength was tested on Instron. After bracket removal, the bracket base was examined and assessed with the adhesive remnant index(ARI), The result were as follows: 1. No significant differences in shear bond strength were found among the three groups(P>0.05). 2. No significant differences in ARI score were found among the three groups(P>0.05). The above results suggest that light-cured resin base in addition to chemical-cured and thermal-cured resin bases is useful in the indirect bonding technique.