Clinical Significance of Classification of Graves` Disease According to the Characteristics of TSH receptor Antibodies

(Won Bae Kim),(Hyun Kyung Chung),(Young Joo Park),(Do Joon Park),(Hong Kyu Lee),(Bo Youn Cho) 대한내과학회 2001 The Korean Journal of Internal Medicine Vol.16 No.3

N/A Background:It has been widely accepted that the epitope (s) and/or functional characteristics of thyrotropin receptor antibodies (TSHRAb) from Graves` patients are heterogenous among patients. However, the clinical significance of such heterogeneity has not been systematically evaluatedyet. We were to elucidate and find the clinical significance of heterogeneity for TSH receptor antibodies in Graves` disease. Methods:We measured stimulating TSHRAb (TSAb) activities using CHO-hTSHR cells, FRTL-5 cells and chimeric receptor expressing cells (Mc1+2 and Mc2), specific blocking TSHRAb (TSBAb) activities using Mc2 cells and TBII activities using porcine thyroid membrane in 136 patients with untreated hyperthyroid Graves` disease. Results: Based on various TSHRAb activities from each patient, the patients could be categorized into 7 subgroups by cluster analysis; 1) Group 1 (n=41) was characterized by moderate TSAb activities bothin CHO-hTSHR cells and in FRTL-5 cells, typical TSAb epitope, rare blocking antibodies and high TBII activities. 2) Group 2 (n=16) was characterized by the presence of blocking TSHRAb in most patients, albeit the other characteristics were the same as those in Group 1. 3) Group 3 (n=19) patients had low TSAb activities bothin CHO-hTSHR cells and in FRTL-5 cells, seldom had blocking TSHRAb, but they had high TBII activities. 4) Group 4 (n=30) could be categorized as `mild disease` group, as they had low activities in all kinds of TSHRAb assay and had low antim icrosomal antibody activities. 5) Group 5 (n=14) was characterized by moderate TSAb activities with atypical epitope (s), rare blocking TSHRAb and moderate TBII activities. 6) Group 6 (n=10) patients had veryhigh TSAb activities with typical epitopes, seldom blocking TSHRAb and low TBII activities. 7) Group 7 (n=6) was characterized by very high TSAb activities with atypical epitopes and high TBII activities. Pretreatment serum thyroid hormone level was low only in group 4 patients compared to the other 6 groups (p<0.05). The size of goiter was significantly larger in those in group 1 and group 3 (p<0.05) compared to the other 5 groups. The prevalence of clinically significant ophthalmopathy was higher in group 2 patients than the other 6 groups (50%vs.27.5%,p=0.06). Among 6 kinds of TSHRAb activities, only the blocking TSHRAb activity was significantly associated with the presence of ophthalmopathy in multivariate analysis. Conclusion:These results suggest that the differences inepitopes for TSAb or the presence of blocking TSHRAb is not a major factor in determining the degree of thyrotoxicosis in Graves` disease. Although the pathogenic mechanism is not clearyet, we suggest that patients with ophthalmopathy have different TSHRAb repertoire from those without ophthalmopathy in Graves` disease.

한국産 황어의 종묘생산에 관한 연구 1. 産卵習性 및 初期生活史

조재권,오성현,노병율,한경호,성기백,박준택 麗水大學校 産業基術硏究所 1999 産業基術硏究所 論文集 Vol.8 No.-

강원도 양양군에 위치한 남대천과 전라남도 섬진강에 분포하고 있는 황어의 종료생산을 위한 기초자료로 産卵習性과 初期生活史에 관하여 관찰한 결과는 다음과 같다. 황어의 産卵期는 자연상태에서 3∼6月이고, 産卵은 흐르는 하천의 자갈 밑에 하였으며, 受精된 卵은 작은 자갈의 표면에 붙어있었다. 알의 크기는 2.70∼3.20㎜(평균 3.00㎜)로 油球는 없었다. 孵化는 평균 사육수온 10.60℃에서 受精 後 300시간부터 시작되었으며, 312시간만에 완료되었다. 孵化 直後의 仔魚는 전장 6.35∼6.87㎜(평균 10.67㎜)로 난황이 거의 흡수되어 後期仔魚期로 접어들며, 입과 항문이 열려있었다. 孵化 後 7∼9일째 後期仔魚는 전장 11.35∼12.30㎜(평균 11.65㎜)로 등지느러미가 생길 부분이 융기하기 시작하였다. 孵化 後 12∼13일째 개체는 전장 12.65∼13.15㎜(평균 12.80)로 이때부터 Daphnia sp.와 Brachionus plicatilis를 攝餌하였으며, 성장이 다소 빨라졌고, 脊索의 끝부분은 45°위로 굽어져 있었다. 孵化 後 43∼45일째의 개체는 전장이 19.55∼22.85㎜(평균 21.95㎜)로 모든 지느러미 줄기가 정수에 달하여 稚魚期로 이행하였다. 孵化 後 50∼52일째의 稚魚들은 전장이 21.54∼27.35㎜(평균 24.55㎜)로 몸의 형태, 체색 및 옆줄이 완전하게 형성되어 成魚에 닮아 있었다. The spawning behavior and early life history of sea rundace, Tribolodon hakonensis were studied. Spawning of T. hakonensis occurs enmasse on bottoms of stream with a spawning season of March to June. The eggs are attached to the under surface of the gravel. The eggs riped were demersal and adhesive, and their diameter were 2.70∼3.20㎜(mean 3.00㎜). Hatching was started at 300 hours after fertilization at mean water temperature 10.60℃. Newly-hatched larvae were 6.35∼6.87㎜ in total length(TL, Mean 6.65㎜), and mouth and anus were not yet opened. 4∼5 days old larvae transformed to postlarva stage and they were 10.25㎜∼11.15㎜ in TL (mean 10.67㎜). As yolk sac were nearly absorbed, mouth and anus were opened. In 7∼9 days after hatching, total length 11.35∼12.30㎜(mean 11.65㎜). The part of the fin-fold at dorsal fin became high. 12∼13 days old larvae were 12.65∼13.15㎜ in TL(mean 12.80㎜), and they fed Daphnia sp. and Brachionus plicatilis actively. In this time the growth rate slightly increased and tip of notocord was flesed on upward. Aggregate numbers of all fin rays were completed at over 19.55∼22.85㎜ in TL(43∼45 days after hatching), at which time the larvae reached the juvenile stage. 50∼52 days old larvae(21.54∼27.35㎜ in TL) were similar in body from, lateral line and color with adult.

장기간 댄스스포츠가 혈중 지질 및 효소 활성도에 미치는 영향

조현철,김준희,한주희 龍仁大學校 體育科學硏究所 1999 體育科學硏究論叢 Vol.9 No.1

The purpose of this study was to assay effect on blood lipid and ezyme activity during 20 weeks of dance sport and acute exercise. Ten females participated in dance sport program(90min./day. 2day/week) for 20 weeks. The results were obtained as follow : 1. CHOL and TG were decreased during dance sport program but no significant, also no significant between before exercise and after. 2. Amylase, Lipase, GGT and LDH were slightly increased during dance sport program but no significant, however, GOT was significantly(p<.05) increased between after 10 weeks and after 20 weeks. Also, LDH was significantly(p<.05) increased before exercise and after 10 weeks only in acute exercise variance. Conclusively, it is showed that CHOL and TG were decreased and enzyme activity was increased induced 20 weeks of dance sport program and acute exercise. It is suggested that dance could be serviceable effectively not only leisure but also good for health.

구개열에서 비인두강의 생리해부학적 구조와 과비음과의 연관성 연구

조준희,표화영,최홍식,최병재,손흥규,심현섭 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

비인강폐쇄란 연구개, 인두측벽 그리고 인두후벽간의 움직임이 서로 조화되어 구강과 비강을 나누어주는 괄약근 기전으로서 연하, 호흡, 발음 등의 생리적기능에 중요한 역할을 한다. 이 기능에 문제가 생긴 경우를 비인강폐쇄부전이라하며 그 원인으로는 (1) 연구개의 길이 및 움직임이상 (2) 비인두강의 해부학적 공간문제 (3) 인두 후벽과 측벽의 기능이상 등이 있다. 본 연구는 구개열 환자의 측면두부방사선계측사진을 통해 비인두강을 생리해부학적으로 분석하였으며 산출된 말소리의 과비음정도를 Nasometer로 평가하였다. 이로부터 얻은 정상군과 구개열환자군의 결과를 각각 비교하였으며, 비인강폐쇄부전과의 연관성을 알아보기 위하여 Anatomic VPI와 Nasalance score의 값을 비교분석하였다. 얻어진 결과는 다음과 같았다. 1. 측면두부방사선계측사진 결과, 연구개 길이, 연구개 두께, 비인강 깊이, 비인강 면적, Adequate ratio에서 두 그룹간 유의한 차이를 나타내었다. 2. Nasometer 결과. 모음/오/와 구강공명음문장, 구강장해음문장에서 두 그룹 간 유의한 차이를 나타내었다. 3. 구개열환자군에서 비인두강의 폐쇄부전 정도를 표현해주는 Anatomic VPI와 Nasalance score는 전반적으로 연관성이 없었다. 다만, 모음/이/와 일부 구강자음으로 이루어진 문장에서 다소의 상관성을 나타내었다. 결론적으로, 측면두부방사선계측사진과 Nasometer 각각의 검사결과에서 두 그룹간 유의한 차이를 찾아볼 수 있었으나, 구개열환자군내에서 비인강폐쇄부전을 표현하는 Anatomic VPI와 Nasalance score는 모음/이/와 구강자음을 포함한 문장을 제외하고는 전반적으로 연관성이 없었다. Velopharyngeal closure is a sphincter mechanism between the activities of the soft palate, lateral pharyngeal wall and the posterior pharyngeal wall, which divides the oral and nasal cavity. It participates in physiological activities such as swallowing, breathing and speech. It is called a velopharyngeal dysfunction when this mechanism malfunctions. The causes of this dysfunction are defects in (1) length, function, posture of the soft palate, (2) depth and width of the nasopharynx and (3) activity of the posterior and lateral pharyngeal wall. The purposes of this study are to analyze the nasopharynx of cleft palate patients using cephalometry and to evaluate the degree of hypernasality using nasometry to find its relationship with velopharyngeal dysfunction. The following results were obtained : 1. In cephalometry, there were significant differences in soft palate length, soft palate thickness, nasopharyngeal depth, nasopharyngeal area, and adequate ratio between two groups. 2. In nasometry, there were significant differences between two groups in vowel /o/ and sentences including oral consonants. 3. In cleft palate patients, though no general correlation was found between Anatomic VPI and nasalance scores, vowel /i/ and sentences including oral consonants were slightly correlated. In conclusion, cephalometry and nasometer results were significantly different between the two groups. Though in the cleft palate group. Anatomic VPI and nasalance scores, which are indices for velopharyngeal closure, excluding the vowel /i/ and sentences including oral consonants show generally no significance.

파킨슨씨병에서 Selegiline HCI (MAO-B^(�))의 효과 및 안전성

조기현,김명규,김태선,김병채,이승한,황인용,김준태,김종기 全南大醫大 2000 전남의대학술지 Vol.36 No.2

서울올림픽 이후의 體育施設 活用施設 活用方案 意識實態 調査硏究

趙庚旭,金昌範,金顯俊 忠北大學校 平生體育硏究所 1990 平生體育硏究所 論文集 Vol.4 No.-

The research material of this study is randomly chosen out of an area of large cities, small and medium cities, and towns. The object persons are totaled to 852; male 519 and female 333. 1. More than falf of the answers say that they are in good health condition. And they want take part in individual and easy sport games. And they cannot take part in sports or games because they have no spare time or facilities. So, to give many chances, we have to make some effective plan to prolong the spare time and we have to locate the sports facilities near the dwelling place. And we have to make a standard for the sports facilities according to the population and have to keep it. They usually use the public sports facilities. To popularized the socio-physical training, the public sports facilities take more important role than other elements. And to make the best use of the vacant space, the adminisrtative cooperation is needed. And we have to formulate thesystem which can prepare the nongovernmental organized sports facilities. 2. Most people want the entire opening of the Olypic facilities to the individual, and they show very positive attitude to the Olympic facilities and its environment. Also, they need a guide who can help their recreation. But almost answers(about 97%) do not know the way how to use the Olypic facilities. So anouncement using mass-media, guidebooks, and newsletters and many various and active information is required. We have very good sports facilities, but if we cannot run the facilities effectively, the rate of use is lowered. So we, who have few sports facilities, have to make a concrete plan to make the best use of the Olympic facilities. And now, we have to consider who, when, and how can use the Olympic facilities, according to the potentiality of each facilities, and make it can be used more easily than now to make the national spirit more sound and give more various chance of enjoying recreation. Also, we must consider the economical aspect in order to keep a ballance in management.

수평횡파형 유도초음파 산란에 대한 혼합형 경계요소 모델링

조윤호,이준현,Rose, J. L.,정상훈,장영익,이원근 한국비파괴검사학회 2004 학술대회 논문집 Vol.- No.-

Overlap에서의 유도 초음파 산란에 대한 정량적인 예측을 가능하게 하고 유도 초음파를 이용한 효율적인 NDE가 overlap 구조물들에서 수행되어지기 위해서 혼합형 경계요소법을 이용하였다. 다양한 joint를 가진 다층 구조물에서 적절한 모드를 선택하고 주파수를 조정함으로써 수행되어졌다. 두께의 차이에 의한 전달과 반사의 값들의 변화를 살펴보고 정해진 형상에서의 주파수 증가와 다수의 파동을 포함한 긴 overlap 길이를 가진 모델에 대한 산란 선도의 변동을 보여주게 된다.

형법상 책임과 예방의 관계

김형준,조현욱 건국대학교 사회정책연구소 1999 사회과학연구 Vol.11 No.-

대학생의 레저스포츠용품 구매행동 분석

이준희,조현민 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.6

The purpose of this study was to understand university students' purchase behavior toward leisure-sports goods. The following conclusion was from this survey by conducted questionnaire and was analyzed,344 subjects are university students (155 male, 189 female) who are in 2 universities in Busan. 1) In the university students' purchase attitude toward the leisure-sports goods, most students showed the response that the attitude toward the domestic or foreign leisure-sports goods was that anything would do, but preferred foreign goods to domestic goods, it was because of the quality, color and design. The preference to the domestic goods was due to the low price. And the domestic goods needed improvement in quality, color and design. 2) In the university students' purchase behavior toward the leisure-sports goods, purchasing the shoes was highest, The purchasing factor resulted from the brand image. After purchasing the goods, satisfaction factor showed that as a whole the students were satisfied with quality, brand value, color, design, practicality and convenience but dissatisfied with the price.

저면 반사파를 이용한 피로 균열의 정량적 평가에 관한 연구

강승현,이준현,최상우,조윤호 한국비파괴검사학회 2004 학술대회 논문집 Vol.- No.-

Fatigue cracks due to thermal stratification or corrosion in pipelines of nuclear power plants can cause serious problems on reactor cooling system. Therefore, these cracks must be detected before the crack growth to ensure the reliable operation. Ultrasonic techniques have been employed for detecting and sizing these fatigue cracks propagated from the back wall of pipelines. But, it is very difficult to sizing fatigue cracks because of low amplitude of the diffracted tip signal, high noise signal and ultrasound transmission through the closed crack surface. In this study, the signal reflected from the back wall is adopted instead of weak tip signals. In addition, the rate of decrease in amplitude of reflected signals due to reflection at the crack surface and diffraction at the crack tip is used to size fatigue cracks.