40세 이하 관상동맥 질환자에서 장기적 임상 관찰

이승욱,정명호,박종철,박형욱,조상희,김원,김계훈,이상현,강경태,조장현,김남호,김건형,안영근,조정관,박종춘,강정채 全南大醫大 2001 전남의대학술지 Vol.37 No.2

Elderly kidney transplant recipients have favorable outcomes but increased infection-related mortality

임정훈,Lee Ga Young,Jeon Yena,Jung Hee-Yeon,Choi Ji Young,CHO, JANG-HEE,Park Sun Hee,김용림,Kim Hyung-Kee,Huh Seung,유은상,Won Dong Il,Kim Chan-Duck 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.3

Background: The number of elderly patients with end-stage kidney disease has been increasing, but the outcomes of kidney transplants (KT) remain poorly understood in elderly patients. Therefore, we evaluated the clinical outcomes of elderly KT recipients and analyzed the impact of elderly donors. Methods: This retrospective cohort study included patients who underwent KT between 2000 and 2019. KT recipients were divided into four groups according to a combination of recipient and donor age (≥60 or <60 years); elderly recipients: old-to-old (n = 46) and young-to-old (n = 83); young recipients: old-to-young (n = 98) and young-to-young (n = 796). We compared the risks of mortality, graft failure, and acute rejection between groups using Cox regression analysis. Results: The incidence of delayed graft function, graft failure, and acute rejection was not different among groups. Annual mean tacrolimus trough level was not lower in elderly recipients than young recipients during 10-year follow-up. Mortality was significantly higher in elderly recipients (p = 0.001), particularly infection-related mortality (p < 0.001). In multivariable Cox regression analysis, old-toold and young-to-old groups had increased risk of mortality (adjusted hazard ratio [aHR], 2.89; 95% confidence interval [CI], 1.14– 7.32; p = 0.03; aHR, 3.06; 95% CI, 1.51–6.20; p = 0.002). However, graft failure and acute rejection risks were not increased in elderly recipients. Conclusion: In elderly recipients, graft survival and acute rejection-free survival were not inferior to those of young recipients. However, mortality, especially risk of infection-related death, was increased in elderly recipients. Thus, low immunosuppression intensity might help decrease mortality in elderly recipients.

청소년 인터넷 중독 검사 방법의 통계적 고찰 및 개선 -Young의 척도를 중심으로

박찬정 ( Chan Jung Park ),김형철 ( Hyung Chul Kim ),고영민 ( Young Min Ko ),현정석 ( Jung Suk Hyun ),김철민 ( Cheol Min Kim ) 한국컴퓨터교육학회 2010 컴퓨터교육학회 논문지 Vol.13 No.4

국내외에서 이루어진 기존의 인터넷 중독 검사에 대한 연구는 다양하며 방대하지만, 대부분의 연구가 중독도 검사를 위한 항목추출이거나 항목들을 이용한 중독도 분석이었지 항목간의 분석을 통한 차별화는 이루어지지 않았다. 본 논문에서는 리즈렐과 데이터마이닝 기법을 이용하여 Young의 인터넷 중독 검사방법을 고찰하고 문제점을 지적한 후, 검사 방법에 대한 대안을 제안한다. 이를 위해 Young의 척도를 이용하여 청소년 440명을 대상으로 설문을 실시하고, 요인분석을 통해 Young 척도의 문제점을 분석한다. 또한, 데이터 마이닝 알고리즘인 J48 및 PART를 이용하여 설문문항들 중에서 인터넷 중독도를 구분 지을 수 있는 항목들을 선별하고 이를 기반으로 인터넷 중독 학생들을 진단하고 처방하는데 활용하는 방법을 제안한다. So far, the researches about the Internet addiction testing are diverse and enormous. However, since the testing factors have the same importance, there is no discrimination among the factors. In our paper, we analyze the problems of the existing researches by using Lisrel and data mining algorithms. Next, we propose an alternative for the Internet addiction testing. In order to accomplish these, we make an questionnaire consisted of Young`s test and then, we asked to 440 primary and secondary school students. In addition, we analyzed the problems of Young`s test with factor analysis and then, we distinguish more important items from others with J48 and PART. Finally, based on this analysis, we propose a method to diagnose addicted students and prescribe them.

청소년층에서 형성되는 요추 후방골각의 발생기전

김영수,오성훈,박형천,정태섭 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5

The bony spur formation without degenerative change in the lumbar spines in the young age group is quite interesting and is not uncommon. This bony spur is different from the degenerative spur in the old age group in shape and mechanism of formation. The authors analyzed 25 patients below 29 years old with such posterior lumbar bony spur. We concluded that posterioly lacated Schmorl's node is main cause of the bony pour in young age group at lumbar region.

P087 : Adverse effects of oral cyclosporine in the treatment of various skin diseases

( Hyung Il Kwon ),( Eun Jin Kim ),( Hyun Woo Kim ),( Hyun Chul Park ),( Jeong Eun Kim ),( Joo Yeon Ko ),( Young Suck Ro ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2

Background: Cyclosporine (CS) has been used for various skin diseases including psoriasis and atopic dermatitis. However, dermatologists are reluctant to use CS in clinics because of the adverse effects. Objectives: To investigate the adverse effects of CS for dermatological uses. Methods: A retrospective study of 1,335 patients with CS treatment was performed. Results: 15.6% of patients showed adverse effects. Gastrointestinal (GI) symptoms were the most common adverse effect. Other adverse effects included hypercholesterolemia, hypertrichosis, headache, hypertension, hypertriglyceridemia in order of frequency. Hypercholesterolemia was more often in men, but GI symptoms and hypertrichosis in women. Hypercholesterolemia, hypertriglyceridemia and GI symptoms were more common in adults, but hypertrichosis in young. GI symptoms and headache occurred more often within three months of CS treatment, but hypertension, hypercholesterolemia and hypertriglyceridemia after three months. Hypertrichosis was more often in group with low initial dose. GI symptoms occurred more often with lower CS cumulative dose group and hypertension and hypertriglyceridemia in higher CS cumulative dose group. Conclusion: Comparing to previous studies, the frequency of adverse effects of CS was proven to be low. Therefore, in dermatologic field, we suggest that CS is relatively safe with periodic follow-up.

石炭, 洋灰關聯産業이 嶺東地域經濟에 미치는 波及效果 分析

박형래,강영갑,양정식,류한천 강릉대학교동해안지역연구소 1994 東海岸硏究 Vol.5 No.1

본 논문의 목적은 지역산업연관표를 이용하여 영동지역의 산업연관 관계를 계량적으로 분석하는데 있다. 이러한 산업연관 분석방법은 영동지역의 산업상호간 경제활동과 구조적 특징을 체계적으로 분석하고 장래의 산업 변화에 대한 예측을 가능하게 한다. 본연구의 결과에 나타난 몇가지 중요한 점은 다음과 같다. 첫째, 석탄, 양회산업은 지역산업연관효과가 매우 높은 수준으로 측정됨으로써 이들 특화산업이 지역발전의 선도산업으로서 중요한 역할을 수행하고 있음을 보여주고 있다. 둘째, 이들 두 산업이 영동지역내에서는 중요한 산업이지만 양회산업의 경우 지역전체 생산에서 차지하는 비중이 매우 높은 산업임에도 불구하고 고용승수로 측정되는 고용효과 측면에서는 그 영향이 그리 크지 않은 것으로 나타났다. 이것은 시멘트 산업이 자본집약적인 장치산업으로서 자본의 규모에 비해 고용자를 많이 사용하지 않기 때문인 것으로 평가된다. The purpose of this study is to analyze the quantitative characteristics of the Young-Dong regional economy in industrial interleatedness by using the 1990 I-O table. The analysis of this structural character and industrial interrelatedness makes it possible to estimate the current structural problems and future prospects of Young-Dong regional economy. The findings of this study can be summarized as follows: 1)The coal mining and cement industries sector have relatively high and wide-spreading positive impacts on the regional output and income. 2)Above two sectors showed different impacts pattern on the employment. Coal mining sector gives relatively higher impacts on the regional employment but cement industry sector gives lower impacts on the regional economy because cement industries sector is labor saving industries with large equipment requirement.

장기간 체중부하 운동훈련이 흰쥐 노화 심근에 미치는 영향

조현국(Hyung Gug Cho),이영실(Young Sil Lee),정형재(Hyeung Jae Chung),이용덕(Yong Deok Lee),박원학(Won-Hark Park) 대한의생명과학회 1998 Biomedical Science Letters Vol.4 No.2

장기간 체중부하운동아 흰쥐의 심근에 미치는 효과를 규명하기 위하여 생후 3개월, 10개월 및 20개월된 흰쥐를 5개월간 운동 시킨 후 각각의 비운동군과 비교하여 심근의 조직학적ㆍ세포학적 변화를 관찰하고, 심근세포내 미세구조적 변화를 입체해석학적으로 비교ㆍ분석하였다. 운동 15개월군부터 노화색소의 양이 현저히 증가되었고 사립체의 변성, 공포화 현상 그리고 간질조직의 증식이 뚜렷하였으며, 25개월군에서는 윤반분리, 근원섬유의 소실 및 과수축대 출현빈도가 증가되었다. Glucose-6-phosphatase의 활성도는 15개월 운동군에서 감소하여 25개월 운동군에서는 활성도가 거의 나타나지 않았다. 업체해석학적 결과에서도 장기간 체중부하운동으로 인해 15개윌, 25개월군에서 모두 사립체와 근원섬유의 체적밀도는 감소되었고, 간질조직의 체적밀도는 증가되었다. 본 연구의 결과로 볼 때 장기간 체중부하운동은 3개월군에 있어서 심장에 미치는 역효과가 없으나 10개월군과 20개월군에서는 심근 기능강화에 역효과를 초래할 우려가 큰 것으로 판단된다. There is considerable interests in the effect of regular, vigorous exercise, in particular weight training as a possible measure in improving myocardial function. The present investigation aimed to examine possible effect of a long-term weight training program on the heart in aging rats. Male rats aged 3-, 10-, and 20-month-old were divided at random into a control (sedentary) and the exercise group. The training group was exercised for 5 days a week by 1 RM of ten times with weight training apparatus. This investigation examined the changes of the heart muscle relative to histological, ultrastructural, cytochemical, and stereo logical studies in rats. Quantity of lipofuscin pigments was clearly increased in the weight training group of 15-month-old rats, and mitochondrial degeneration, vacuolization, and interstitial proliferation were observed as well. In the weight training group of 25-month-old rats the frequency as separated intercalated discs, fraying myofibrils and hypercontraction band increased in number compared with the same 15-month-old group. From the experimental result of glucose-6-phosphatase activity, the enzyme activities decreased in the weight training group of 15-month-old rats, and more decreased in the same 25-month-old group. In stereological study, both 15-and 25-month-old training groups, mitochondrial and myofibrilar volume densities significantly decreased, whereas interstitial volume density significantly increased. From the experimental results obtained in the present study, it is suggested that long-term weight training exercise do not cause any significantly qualitative and quantitative ultrastructural change of the heart muscle in the young. On the contrary, long-term weight training exercise stress may actually induce degenerative changes in the heart muscle in the old age.

Shelf Life Determination of Precooked Frozen Meat Dumplings

Lee, Young-Chun,Yang, Hyung-Sub,Kim, Dong-Ho 한국산업식품공학회 2002 산업 식품공학 Vol.6 No.3

Quality of frozen foods is significantly affected by the storage temperature and tie, and the consumers' demand for safe quality frozen foods is increasing. The objective of this research was to estimate the shelf life of frozen cooked meat dumplings, based on the changes in the selected physico-chemical and sensory quality attributes. Precooked frozen meat dumplings sampled from the same lot produced at a frozen food company in Seoul were stored at -10, -15, and -20℃. The meat dumplings sampled at 3- to 4-week intervals were subjected to the determination of volatile basic nitrogen (VBN), thiobarbituric acid (TBA), peroxide value (POV), surface color and shear value after thawing at 5℃ for 15 h. High quality life (HQL) was determined through the triangle test and practical quality life (PQL) through the scoring test. VBN, TBA and POV increased as the storage period was increased. HQL of the frozen meat dumplings were 189 and 252 days at -10 and -15℃, respectively. The estimated PQL were 349, 475, and 491 days at -10, -15, and -20 ℃, respectively. Statistical analysis indicated that there were significant relationships between sensory scores and VBN and POV of the stored meat dumplings. VBN was selected as the most reliable objective quality index for the shelf life determination (PQL) of the precooked frozen meat dumplings.

간승격(肝勝格) 혈위(穴位)에 시술된 침자(鍼刺)와 침습(侵襲) 및 비침습(非侵襲) 레이저 침요법(鍼療法)이 간손상(肝損傷) 회복에 미치는 영향

신형진 ( Hyung Jin Shin ),김영선 ( Young Sun Kim ),윤대환 ( Dae Hwan Youn ),이석희 ( Suk Hee Lee ),오광환 ( Gwang Hwan Oh ),정성호 ( Sung Ho Jeong ),나창수 ( Chang Su Na ) 대한경락경혈학회 2010 Korean Journal of Acupuncture Vol.27 No.1

Objective: This study was performed to investigate the effect of manual acupuncture, invasive laser acupuncture and laser skin irradiation at LU8, LR4, HT8 and LR2(Liver Seunggyeok) on D-galN-induced liver injury in rats. Method: Liver injury was induced with D-galN. The experimental rats were divided four groups(Control group, EXP-1, EXP-2, EXP-3). In the Control group, liver injury-induced and not treated. EXP-1 group was liver injury-induced and carried out manual acupuncture with Young-Su(against the meridian course and following the course of the meridian) & Won-Bang(by twisting and rotating the needle) acupuncture method at Liver Seunggyeok. EXP-2 group was liver injury-induced and carried out invasive laser acupuncture at Liver Seunggyeok. EXP-3 group was liver injury-induced and carried out laser skin irradiation at Liver Seunggyeok. Result: In the change of body weight(in 1 week), EXP-1, EXP-2 and EXP-3 groups were significantly increased as compared with control group. In the change AST & ALT, EXP-1 and EXP-2 groups were significantly decreased as compared with control group. In the change of SOD, EXP-1, EXP-2 and EXP-3 groups were significantly increased as compared with control group. In the change of WBC, EXP-2 group was significantly increased as compared with control group. Conclusion: Manual acupuncture, invasive laser acupuncture and laser skin irradiation at Liver Seunggyeok had hepatotherapeutic effect on the treatment of hepatocytotoxity. Invasive laser acupuncture was as effective as manual acupuncture on the treatment of hepatocytotocity.

Nifedipine 투여가 선천성 고혈압 쥐의 CYP1A1과 2B1 유도에 미치는 영향

홍영숙,김형래,박혜영,배영숙,박상신 梨花女子大學校 醫科大學 醫科學硏究所 1995 EMJ (Ewha medical journal) Vol.18 No.3

Cytochrome P-450(CYP) enzymes are important in catalyzing the hiotransffrmation on manyendogeneous compounds and xenobiotics, including drugs and carcinogens. In the presentstudy, effect of nifedipine a voltage dependent calcium channel blocker on the induction ofCYP1A1 and 2B1 was investigated. Change of CYP1A1 and 2B1 activities were measuredby using specific enzyme activities and Western blot analysis. CYP1A1, as quantified by ethoxyresorufin-0-deethylase activity and Western blot with monoclonal antibody 1-7-1, increasedin liver microsome of nifedipine-treated spontaneous hypertensive rat(SHR. 30mg/kg.b.w, twicea day for 3days) but not in kidney microsome. CYP2B1, as quantified by benzyloxyresorufin-O-dealkylase activity and Western blot wit]1 monoclonal antibody 2-66-3, markedly increasedin liver microsome of nifedipine-treated SHR but slightly in kidney microsome. The resultsdemonstrate that nifedipine is a potent inducer of CYP2B1 in SHR.