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      • Development of a noninvasive KIM-1-based live-imaging technique in the context of a drug-induced kidney-injury mouse model

        Tae-Jun Kwon,Da-Sol Lee,Md. Enamul Haque,Rang-Woon Park,Byungheon Lee,Dongkyu Kim,Yong-Hyun Jeon,Kil-Soo Kim,Sang Kyoon Kim 한국실험동물학회 2021 한국실험동물학회 학술발표대회 논문집 Vol.2021 No.7

        The development of reliable methods to diagnose acute kidney injury is essential to allow the adoption of early therapeutic interventions and evaluate their effectiveness. Based on the fact that kidney injury molecule-1 (KIM-1) expression levels in kidneys are markedly upregulated early after a damage event, here we developed a noninvasive KIM- 1-based molecular imaging technique to detect kidney injury. First, we took advantage of a phage-display platform to select small peptides demonstrating a specific high binding affinity to KIM-1. The promising candidate was conjugated with fluorescent probes, and its imaging potential was validated in vitro and in vivo. This peptide, with the sequence CNRRRA, not only showed a high imaging potential in vitro, allowing a strong detection of KIM-1 expressing cells by microscopy and flow cytometry but also generated a strong kidney-specific signal in live-imaging in vivo experiments in the context of a drug-induced kidney-injury mouse model. Our data overall suggest that the CNRRRA peptide is a promising probe to use in the context of in vivo imaging for the detection of KIM-1 overexpression in damaged kidneys.

      • KCI등재

        東皐 李浚慶의 國政運營論 硏究

        김준태(Kim, Jun-Tae) 한국동양철학회 2015 동양철학 Vol.0 No.43

        This study aims to look into the theory of governance of Lee Jun-kyung who had been Yeongeuijeong (Premier of the Joseon Dynasty) through King Myeongjong and King Seonjo regimes. Lee Jun-kyung is a character with intellectual and political capabilities, who solved several challenges like overcoming the crisis of a political vacuum, evaluated as a leader who opened the so-called ‘Age of Politics by Sarim (Confucian Scholars).’ Based on his own recognition of the major philosophical concepts of Confucianism such as ‘Tian Ren He Yi (Heaven-man Unity)’ or ‘Zhonghe (The Golden Mean),’ Lee Jun-kyung postulated that the king should take the responsibility for the realization. He thought that the political chaos and crisis of the times, like the massacre of scholars was caused by the king’s lack of the cultivation of his own moral character. In other words, the king did not set his mind straight, and made wrong decisions. Thus, according to his judgment, in order to prevent such a calamity from recurring and allow stable governance, most of all, the king should cultivate his own moral character. Lee Jun-kyung emphasized ‘the acceptance of admonition’ because of that. Along with this, Lee Jun-kyung thought that Confucian scholars’ discussion about radical and excessive reform might throw the administration of state affairs into confusion and furthermore, cause a counteroffensive of impure forces. This is the reason why he took a position prioritizing stabilization on major political issues. In other words, political confrontation and conflict should be settled by proceeding step by step gradually, and variables that could cause risks should be prevented in advance. Thus, his argument means that it could bring complete success to affairs, even if it takes time. Lee Jun-kyung’s theory of governance like this marks ‘stability’ with a side dot. The king should cultivate his own moral character for the ‘stability’ of governance and should manage policies and reforms gradually also for ‘stability.’ This line may delay reforms and may cause missing the best time; however, it can exhibit a power to make the reforms have timeliness and minimize side effects on reality. 본고는 명종과 선조 대에 걸쳐 영의정을 지낸 동고 이준경의 국정운영론을 살펴보는 데 목적이 있다. 이준경은 학문과 정치적 역량을 겸비한 인물로, 권력 공백의 위기를 극복하는 등 여러 가지 난제들을 해결하고 소위 ‘사림정치의 시대’를 연 주역으로 평가받는다. 이준경은 ‘天人關係’나 ‘中和’와 같은 儒學의 주요한 철학적 개념들에 대한 나름의 인식을 바탕으로, 그 실현의 책임을 임금에게 상정했다. 그는 士禍 등 당시의 정치적 혼란과 위기의 책임이 임금의 수신이 부족한 데서 기인한다고 생각했다. 임금이 자신의 마음을 바로잡지 못했기 때문에 잘못된 결정을 내렸다는 것이다. 따라서 그러한 참화가 재발하지 않도록 하고 국정이 안정적으로 운영될 수 있도록 하기 위해서는, 무엇보다 임금이 수신에 힘써야 한다는 것이 그의 판단이다. 이준경이 納言을 강조한 것도 그래서이다. 아울러 이준경은 사림의 급진적이고 과격한 개혁 논의가 국정을 혼란에 빠트리고, 나아가 小人들의 역공을 유발할 수 있다고 생각했다. 문소전 배향, 삭훈, 붕당 등 주요 정치적 이슈들에 있어서 그가 안정 우선의 입장을 취한 이유이다. 점차적으로 단계를 밟아감으로써 정치적 대립과 알력을 해소하고, 위험을 일으킬 수 있는 변수들을 사전에 차단해야 한다는 것이다. 그래야 비록 시간이 걸리더라도 일을 온전히 성공시킬 수 있다는 것이 그의 주장이다. 이러한 이준경의 국정운영론은 安定에 방점이 찍혀있다. 군주가 수신을 해야 하는 이유도 국정의 ‘안정’을 위해서고, 정책이나 개혁을 점진적으로 운용해야 하는 것도 ‘안정’을 위해서인 것이다. 이러한 노선은 개혁을 지연시키고 자칫 最適期를 놓치게 할 우려도 있지만, 개혁이 시의성을 갖추고 현실에서의 부작용을 최소화하도록 하는 힘을 발휘할 수 있다.

      • KCI등재

        정신분열병에 대한 리스페리돈의 효과 및 안정성

        이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

        연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

      • 간문부 담관암 환자에서 경피경관 양측성 금속 배액관의 효과

        김금래,김주형,박원규,장재천,조재호,김태년,김준화,장병익 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

        Background: The purpose of this study was to determine the effectiveness of percutaneously place self-expanding metallic stent for the relief of biliary obstruction in patients with hilar cholangiocarcinoma. Materials and Methods: From November 2001 to December 2004, 48 patients with hilar cholangiocarcinoma were prospectively studied. After percutaneous placement of bilateral self-expanding, uncovered metallic stents, follow-up evaluation was carried out until July 2005. Results: There were 4 cased of Bismuth type Ⅱ,21 cases of Bismuth typeⅢa 8 cases of Bismuth type Ⅲb and 15 cases of Bismuth type Ⅳ. Stent placement was technically successful in all patients All patients had satisfactory biliary drainage, resulting in one week drainage rate of 72.8% and final drainage of 91.9% There were 12 cases (21.3%) of abdominal pain requiring analgesics and 1 case (7.1%) of cholangitis; both were successfully managed with conservative treatments. Late complications occurred in four patient (8.3%), including two patients with cholangitis, one patient with liver abscess, and one patient with biloma; all were appropriately managed by percutaneous drainage. The average length and median durations of stent patency and median survival time were 303 days (range, 60~815) and 338 days (range, 60 ~1175), respectively. Conclusion: Placement of a percutaneous metallic stent is an effective and safe method of palliation of patients with hilar cholangiocarcinoma.

      • KCI등재

        시화호의 계절변화에 따른 지화학적 환경요인 특성 연구

        김태하,박용철,이효진,김동화,박준건,김성준,이미연 한국환경과학회 2004 한국환경과학회지 Vol.13 No.12

        Seasonal variation of biogeochemical characteristics was determined in Lake Shihwa from October 2002 to August 2003. When the lake was artificially constructed for the freshwater reservoir in 1988, the development of the strong haline density stratification resulted in two-layered system in water column and hypoxic/anoxic environment prevailed in the bottom layer due to oxidation of accumulated organic matters in the lake. Recently, seawater flux to the lake through the sluice has been increased to improve water quality in the lake since 2000, but seasonal stratification and hypoxic bottom layer of the lake still developed in the summer due to the nature of artificially enclosed lake system. As the lake is still receiving tremendous amount of organic matters and other pollutants from neighboring streams during the rainy summer season, limited seawater flux sluicing into the lake may not be enough for the physical and biogeochemical mass balance especially in the summer. The excess of accumulated organic matters in the bottom layer apparently exhausted dissolved oxygen and affected biogeochemical distributions and processes of organic and inorganic compounds in the stratified two-layered environment in the summer. During the summer, ammonia and dissolved organic carbon remarkably increased in the bottom layer due to the hypoxic/anoxic condition in the bottom layer. Phosphate also increased as the result of benthic flux from the bottom sediment. Meanwhile, dissolved organic carbon showed the highest value at the upstream area and decreased along the salinity gradient in the lake. In addition to the sources from the upstream, autochthonous origin of particulate organic carbon from algal bloom in the lake might be more important for sustaining aggravated water quality and development of deteriorated bottom environment in the summer. The removal of trace metals could be attributed to scavenging by strong insoluble metal-sulfide compounds in the hypoxic/anoxic bottom layer in the summer.

      • 서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1994)

        김재홍,안진균,정성재,김영태,김중환,김시영,이석종,이홍렬,서호석,김경훈,권혁진,정우권,고우석,이용석,안필수,오준규,오용섭 대한화학요법학회 1996 대한화학요법학회지 Vol.14 No.1

        Background : In recent years gonorrhoea has been panendemic and remains one of the most common Sexually Transmitted Diseases in the world, especially in developing countries. Objective & Method : For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria Gonorrhoeae(PPNG), Ive have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1994, 168 strains of N. gonorrhoeae were isolated, among which 109 (64,9% ) were PPNG. Conclustion : Our results suggests that the prevalence of PPNG in Seoul is still increasing.

      • KCI등재후보

        하악골에 발생한 골막 골육종

        김태우,김승범,권혁찬,문선재,윤정훈,김형준,차인호,육종인,김진 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.1

        Periosteal osteosarcoma is a distinct entity of malignant bone tumor with characteristic clinical, morphological, and histological features within the group of juxtacortical osteosarcoma. Periosteal osteosarcoma is predominantly located in the tubular long bones, and extremely rarely involving the jaws. A case of periosteal osteosarcoma of the right mandible is presented. A 27-year-old woman complained of the gingival swelling and bleeding tendency of the right posterior mandible. Clinical examination revealed a reddish brown strawberry-like swelling on the affected mucosa, which measured 1.5㎝×1.5㎝. The tumor was located on the lingual cortex of the mandible and extended into the surrounding soft tissues. Microscopically, the tumor consisted exclusively of atypical chondroblastic cells with a small osteoblastic area. A minimal bone marrow involvement was noted and the adjacent cortex was free of tumor. These findings suggested that the tumor originated from the periosteal cambium layer, which lies between the periosteal fibrous layer and the cortex of mandible.

      • WMI 기술을 이용한 컴퓨터 원격제어 시스템

        김정규;김형준;전용화;최병문;서재현;김태공 인제대학교 2012 仁濟論叢 Vol.27 No.1

        In organization and company managing a lot of computers, it is difficult to manage the computer system, because it is not easy to recognize exceptions of distributed workplace such as departments and laboratories. Existing computer management systems control many computers through manager using server computer for management in field. Therefore they have the characteristic of strong locality. In this paper, we develop computer remote control system which supports convenient features and non-locality to managers by broadening effective ranges of computer management. We use Web-Site and Android Platform to develop the environment of client management regardless of multiple clients and locality. Moreover, we use WMI (Windows Management Instrumentation) to recognize and control the status of client PC without a impact on computer users.

      • KCI등재

        하악골 절제술후 재이식된 돌결자가골 재이식 : 치험 3례

        김 식,김수관,김운규,김수민,류종희,이준길,조경안,김수흥,정태영,여환호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

        We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

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