다제내성 그람양성균에 대한 Linezolid(Zyvox^(�))의 시험관내 항균력 비교

박대원,정희진,엄중식,황병연,김성범,이재갑,이연주,정혜원,정성주,박재형,이진수,손장욱,김우주,김민자,박승철 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

배경 : MRSA, VRE, VRSA같은 다제 내성 그람 양성균의 등장에 따라 glycopeptide를 대체할 새로운 항생제의 개발이 필요하게 되었고 결과적으로 새로운 항생제인 linezolid라는 항생제가 개발되었다. Linezolid는 이전의 항생제와는 다른 새로운 계열의 oxazolidinone으로 경구 이용률이 우수하다. 원내 및 원외감염의 중요한 원인균이 되고 있는 MRSA, VRE에 대한 적절한 경구용 항균제가 없는 국내에서 폐렴 및 피부 연조직 감염에서 경구용으로 사용해 볼 수 있는 약제이다. 본 연구에서는 고대 구로 병원에서 분리된 MRSA, VRE 등을 대상으로 다른 여러 항균제와 비교한 linezolid의 시험관내 항균력을 조사하고자 하였다. 재료 및 방법 : 연구대상은 1998년 1월부터 2000년 12월까지 본원에서 입원 및 외래를 통하여 피부 연조직 감염증 및 호흡기 감염증, 요로감염증으로 진단된 환자들의 가검물로부터 분리된 MRSA 60균주, VRE 43균주, PRSP 25균주를 액체배지 또는 한천배지 희석법을 통하여 linezolid 및 기타 항균제에 대한 최소발육억제농도를 구하였다. 결과 : 실험에 사용한 S. aureus는 모두 MRSA였고 이들은 linezolid에 대해 MIC_(90) 2㎍/㎖(MIC 범위 1-2㎍/㎖), Enterococcus spp는 모두 VRE로 linezolid의 MIC_(90)은 2㎍/㎖로 MIC 범위는 1-4㎍/㎖였다. 한 개의 균주에서 MIC 4㎍/㎖로 중등도 감수성을 보였으나 MIC breakpoint가 (8㎍/㎖인 내성균주는 없고 모두 감수성을 보였다. S. pneumoniae의 경우 penicillin 내성이었고, linezolid MIC_(90) 1㎍/㎖ (MIC 범위 0.5-1㎍/㎖)로 전부 감수성을 보였다. 결론 : Linezolid는 MRSA를 위시한 VRE, PRSP 등의 다제 내성 그람 양성균에 대하여 우수한 시험관내 항균력을 보임을 알 수 있었다. Background : The emergence of multi-drug resistant Gram-positive cocci, such as MRSA, VRE, and VRSA, necessitated to develop new antibiotics, which could replace the glycopeptide. As a result, a new antibiotics named linezolid was developed. Linezolid is different line of oxazolidinones with a good oral bioavailability, compared to other antibiotics. Since appropriate oral antibiotics are not presently available for MRSA, which is a major cause of nosocomial and community acquired infections, the introduction of linezolid will have favorable effect on treatment of infections such as pneumonia or skin infections. In this study, we investigated the antibiotic effect of linezolid on MRSA and VRE isolated from patients who were treated in Korea University Guro Hospital. Material and Methods : By using broth microdilution and agar dilution method we measured minimum inhibitory concentration (MIC) with sixty S. aureus, forty three Enterococcus spp., and twenty five S. pneumoniae isolates from patients who were diagnosed as skin, soft tissue, respiratory, and urinary infections in Korea University Guro Hospital from January, 1998 to December, 2002. Results : All of S. aureus used in this study were MRSA, and MIG_(90) of linezolid was below 2 ㎍/㎖ (MIC ranged between 1-2 ㎍/㎖). All of Enterococcus spp. were VRE, and had MIG_(90) of 2 ㎍/㎖ (MIC ranged between 1 to 4 ㎍/㎖). One of the VRE showed intermediate susceptibility with MIC of 4 ㎍/㎖. However, none was resistant with MIC breakpoint above 8 ㎍/㎖. All of S. pneumoniae were resistant to penicillin, but they were susceptible to linezolid with MICao of 1 ㎍/㎖(MIC range 0.5-1㎍/㎖). Conclusion : In conclusions, linezolid has an excellent in vitro antibiotic effect on multi-drug resistant Gram-positive cocci, such as MRSA, PRSP, and VRE.

일 지역 노인의 규칙적 운동수행에 영향을 미치는 요인

박연환,김주현,김희자 성인간호학회 2002 성인간호학회지 Vol.14 No.3

Purpose: The purpose of this study was to identify the factors influencing regular exercise of the elderly in discriminating regular exercise and non - regular exercise groups. Method: The subjects of this study were 167 elderly over the age of 60, living in a rural city in Korea. The data was collected by interview and self report questionnaire in 1999. The Cronbach 's alpha of scales used this study were .66 ∼.97. Result: 1. There were significant differences in doing regular exercise between the perceived importance of the health(p=021), the perceived health status(p=.050), the perceived need of the exercise(p=000), the perceived importance of the exercise(p=.000), the intent of participation in the exercise program(p=.000), IADL score(p=.022), the perceived benefits of exercise (p=.000), the emotion of exercise(p=.000), HPLP(p=.000), the self efficacy(p=.001), the perceived benefits of health promoting behaviors(p= .011), the perceived barriers of the health promoting behaviors(p=.002), and the Internal locus of control (p=.021) of the elderly. 2. Variables which showed significance for discriminating regular exercise of the elderly in this study were the perceived need of the exercise(p=.000) and the perceived benefits of the exercise(p=.000). By using the combination of these variables, the possibility of proper prediction for predicting regular exercise group was 84.8%, non - regular exercise group was 93.9%, and total Hit ratio was 89.4%. Conclusion: To improve exercise behavior in older adults, health care providers should focus of developing interventions to strengthen the perceived benefits, the perceived needs of the exercise.

RE-17 : Recurrence of ovarian endometrioma in adolescents after conservative surgical treatment

( Yeon Jean Cho ),( Soo Yoon Lee ),( Mi La Kim ),( Joo Myoung Kim ),( Seok Joo Song ),( Jong Woon Bae ),( Jung Woo Park1,),( Hee Suk Lee ),( Myoung Seok Han1 ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-

목적: To evaluate the cumulative recurrence rate of endometriomas after a laparoscopic endometriotic cyst enucleation in adolescents and to find the factors associated with recurrence. 방법: A multicenter retrospective cohort study was performed at 3 gynecologic surgery centers between January 2000 and December 2010. Patients surgically treated by laparoscopic enucleation of endometriotic cysts younger than 20 years old were selected. We excluded patients who had reproductive tract anomalies. Endometrioma recurrence was considered when transvaginal or transrectal sonography indicated a cystic mass with a diameter of ≥ 20 mm. 결과: In total, 105 patients were followed up for 47.3 ± 44.3 months (range, 3 - 161 months). Seventeen patients (16.2 %) experienced recurrence after the first-line surgery and 8 patients (7.6 %) underwent a second surgery. The median time to recurrence was 51.1 ± 9.1 months (SEM) (range, 8 - 111 months). The cumulative recurrence rates of endometrioma per patient at 24, 36, 60 and 96 months after the first-line surgery were 6.4 %, 10 %, 19.9 % and 30.9 %, respectively. Surgical characteristics such as the diameter of the cyst, rAFS stage, unilateral or bilateral involvement, co-existence of deep endometriosis were not associated with the recurrence in this age group. 결론: The short-term recurrence rate in adolescent after the first-line surgery is relatively low but is appears to be higher according to the follow- up duration. Long-term and strict follow up is needed who have undergone surgical treatment for endometriosis in adolescent period.

정신분열병 환자의 병식과 임상양상의 관련성에 관한 연구

주연호,김수동,송진우,박성덕,오석배 용인정신의학연구소 1998 용인정신의학보 Vol.5 No.2

배양된 해마 조직 절편에서 Beta-Amyloid Peptide의 신경 독성 효과

박정선,조미선,정연주,이경은 이화여자대학교 의과대학 2003 EMJ (Ewha medical journal) Vol.26 No.2

Alzheimer's disease(AD) is primarily characterized by neurofibrillary tangles, senile plaques, and neurodegeneration. The major component of senile plaques is the beta-amyloid peptide(A B), Which is considered to have a causal role in AD. However, the biological activities of AB in AD has not been clearly defined. In this study we have investigated the effects of AB 25-35 fragment to neurons using organotypic hippocampal slice culture system which maintained intact hippocampal synaptic circuit and anatomy. Hippocampal slice culture is prepared from rat pos-tnatal 10-old days and after 14 days culture, slices were treated with 10uM AB 25-35 fragment. Neuronal death was measured with propidium iodide(PI) uptake and NeuN, neuronal marker, staining. After treatment of AB 25-35 fragment for 3days or 7days on hippocampal slice culture, we observed the increased PI uptake and the decreased number of NeuN-stained neuron in CA1 region of hippocampal pyramidal layer or dentate gyrus. These results suggested that AB 25-35 fragment exerts the neurotoxicity in hippocampal slice culture.

Diphenyl(N'-hydroxymethyl)ureidophosphonate의 합성과 면섬유에 대한 방염성

박주연,조용석 대구효성가톨릭대학교 응용과학연구소 1994 응용과학연구논문집 Vol.3 No.-

This is a study for a new flame retardant, Diphenyl(N'-hydroxymethyl)ureidophosphonate(DPHMUP), made from phosporous compound and urea. By the introduction of urea, it is expected that the new flame retardant has better flame re-tardancy and durability particularly on cotton fabric than other phosporous based flame re-tardants, since in urea nitrogens are contained. For he examination of the effectiveness of the flame retardancy of the new flame retar-dant the flame retardancy of cotton fabrics treated by DPHMUP through PDC process was examined. Further, in order to figure out the physical property change of the DPHMUP pro-cessed cotton fabrics, the change of drape stiffnesses, the wrinkle recoveries, and the tensile strengths, were examined. The results of this study are summarized as follows : (1) A new flame retardant, DPHMUP, for cotton fabrics was synthesized by an effective and economic method without using pyridine or tetiary amine for the removal of HCl (2) The cotton fabrics which is treated with DPHMUP has been found to have better flame retardancy than other already existing phosporous based flame retardants. (3) The optimum condition for PDC process found is that the curing temperature is 160℃, the DPHMUP concentration is 30%, and the fixing agent hexamethylolmelamine (HMM)/DPHMUP weight ratio is 1/8. (4) The drape stiffness and the wrinkle recovery of the processed fabrics increase with in-creasing DPHMUP concentration. (5) When cotton fabrics processed by the weight ratio 1/8 of HMM/DPHMUP solution, the tensile strength decreases, while the decreasing rate of the tensile strength retention ratio increases with increasing DPHMUP concentration.

마늘의 첨가가 두부의 품질과 저장성에 미치는 영향

박연주,남영란,전병록,오남순,인만진 한국응용생명화학회 2003 Applied Biological Chemistry (Appl Biol Chem) Vol.46 No.4

마늘이 함유되어 있는 기능성 두부를 제조함에 있어 마늘의 첨가량이 두부의 품질과 저장성에 미치는 영향을 조사하였다. 건조 대두를 기준으로 마늘을 5-20% 첨가하여 제조한 두부의 수율, 물성 및 저장성을 마늘을 첨가하지 않고 제조한 일반두부와 비교하였다. 두부의 수율은 마늘의 첨가량에 비례하여 다소 감소하였으나 그 영향은 미미하였다. 마늘의 첨가량이 5∼10%인 경우 두부의 물성 중 견고성이 통계적으로 유의하게 증가하였으며, 마늘을 20%사용한 두부는 견고성, 부착성, 응집성, 탄성, 씹힘성이 통계적으로 유의하게 감소하였다. 제조한 두부를 15℃로 보관하면서 pH와 총균수의 변화를 측정한 결과 마늘의 첨가량에 비례하여 두부와 두부 침지액에서 pH 하락과 미생물 생육이 효율적으로 지연되었다. 두부 제조시 마늘의 첨가량은 5∼10%가 적당하였다. The effect of garlic addition on quality and shelf-life of soybean curd was investigated. The yield of garlic soybean curd slightly decreased in proportion to amount of garlic added. In the case of texture, hardness of the garlic, soybean curd increased when 5~10% garlic wat added, whereas hardness, adhesiveness, cohesiveness, springiness and chewiness significantly decreased in the case of 20% garlic added. Microbial counts of soybean curd stored in sterilized distilled water as tofu-immersion solution increased, whereas pH decreased during storage at 15℃. During all storage periods, microbial counts of the soybean curds containing garlic were always lower than that of the ordinary soybean curd. These results imply that garlic is a useful additive in suppressing the proliferation of aerobic microorganism and has a potential use in extending the shelf-life of soybean curd. According to yield, textural properties and shelf-life data, the suitable concentration of garlic was around 5~10%.

Chlorpromazine이 백서 해마에서 전기경련 충격에 의한 MAPK 타이로신 인산화에 미치는 영향

주연호,정성훈,전송희,강웅구,김용식,김상욱,박주배 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.2

Object : In order to examine the interaction mechanisms of electroconvulsive shock(ECS) and antipsychotic drug at the level of molecular biology, we observed the effect of chlorpromazine pre-treatment on the activation of mitogen activated protein kinase(MAPK) induced by electroconvulsive shock(ECS) in rat hippocampus Method : Male Sprague-Dawley rats were divided into 2 groups. To the experimental group chlorpromazine(20㎎/㎏) was given intraperitoneally, and to the control distilled water was given instead. Thirty minutes later, ECS was given and the hippocampus was dissected out 2 minutes thereafter. Immunoblotting with antiphosphotyrosine antibody was carried out, and the signal intensity at 42kDa band was quantitized using densitometer. The obtained result was compared by student t-test between the experimental and the control group. The absolute amount of MAPK was measured by immunoblotting with anti-MAPK antibody. Result : The tyrosine phosphorylation of MAPK reached peak at 2 minutes after ECS. However, in the chlorpromazine pre-treated group, the peak level of MAPK tyrosine phosphorylation was significantly attenuated(t=-3.12, df=14, p=0.008) compared to the control. In contrast to this, the absolute amount of MAPK did not differ between the pretreated and the control group. Conclusion : Chlorpromazine attenuated the tyrosine phosphorylation of MAPK by ECS. This finding seems to be related to the fact that chlorpromazine pre-treatment changed the cfos expression by ECS in rat brain. Antipsychotic drug and ECS might interact at the level of MAPK signal transduction system, and this might explained the observed synergistic effect of two treatment modality.

Protein microarray를 이용한 Apin-단백질의 상호작용에 관한 연구

박주철,박선화,김흥중,박종태,윤성호,김지웅,이태연,손호현 대한치과보존학회 2007 Restorative Dentistry & Endodontics Vol.32 No.5

자궁경부에 발생한 배아성 횡문근육종 2예

박정열,조준식,김대연,이동헌,김종혁,김용만,김영탁,목정은,남주현 대한부인종양 콜포스코피학회 2002 Journal of Gynecologic Oncology Vol.13 No.3

횡문근육종은 소아와 청소년기에 가장 흔한 연부조직 육종이다. 발생 부위는 일반적으로 두부 및 경부, 그 다음으로 비뇨생식계이다 조직학적으로 배아성 횡문근육종, 국화상 육종, 폐포성 횡문근육종, 다형성 횡문근육종으로 나누어진다. 횡문근육종의 약 20%가 비뇨생식기에서 발생하고, 50% 이상이 배아성 횡문근육종이다. 여성 생식기의 배아성 횡문근육종은 드문 악성 종양으로,주로 유소아의 질에서 발생하며, 자궁경부에서 발생하는 횡문근육종은 청소년기에 흔하고, 질에서 기원하는 횡문근육종이 자궁경부에 기원하는 경우보다 5배 정도 많다. 폐경기여성에서는 자궁체부에서 가장 흔히 발생한다. 비뇨생식기의 횡문근육종의 치료는 과거에는 골반장기 적출술만으로 치료를 시도하였으나. 서서히 다중 항암화학요법, 방사선요법, 근치적 절제술을 포함한 병합요법으로 바뀌어가고 있으며, 이에 따라 생존율이 현저하게 향상되었다. 이에 저자들은 최근 본원 산부인과에서 자궁경부에 발생한 배아성 횡문근육종 2예를 경험하였기에 문헌 고찰과 아울러 보고하는 바이다. Rhabdomyosarcoma is the most common soft tissue sarcoma in childhood and young adult. Genitourinary tract is the econd most common site of rhabdomyosarcoma. Rhabdomyosarcoma can be classified into one of four major types; embryonal, alveolar, pleomorphic and undifferentiated. Embryonal rhabdomyosarcoma of the female genital tract is rare malignant tumor and usually occurs during childhood in the vagina. In rare cases, rhabdomyosarcoma can originate in the uterine cervix, with a peak incidence in the second decade. Recently we have experienced two cases of embryonal rhabdomyosarcoma of the uterine cervix. These cases are presented with a brief review of the literature.