일차성 Streptococcus pneumoniae 균혈증에 동반된 흉부 하행 대동맥염 1예

전민혁,고옥배,정우진,최영준,이정훈,최상호,김미나,김양수,우준희,류지소 대한감염학회 2005 감염과 화학요법 Vol.37 No.5

페렴구균에 의한 대동맥염은 국내에서 1예만 보고될 정도로 매우 드문 감염증이다. 저자들은 원발성의 폐렴구균혈증에 합병된 페렴구균 대동맥염 환자 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Bacterial aortitis is rare and without surgical intervention, it usually leads to uncontrolled sepsis or catastrophic hemorrhage, ultimately, resulting in death. In the postantibiotic era, the dominant infecting organisms are Staphylococcus aureus and Salmonella spp.. In spite of frequent pneumococcal bacteremia, vascular seeding is rare and there is only one published report in Korea. We describe a 77-year-old female with primary pneumococcal bacteremia followed by aortitis of the descending aorta, which was successfully treated by aneurysmectomy, wide excision of periaortic tissue, aortobiiliac bypass via prosthetic graft, and antibiotic therapy.

한국산 감잎의 Polyphenol 화합물의 생리활성물질의 화학구조 및 효소저해효과

안봉전,최희진,손준호,우희섭,한호석,박정혜,손규목,최청 한국식생활문화학회 2003 韓國食生活文化學會誌 Vol.18 No.5

The lyophilization of the solution extracted from 60 percent of acetone applied to persimmon leaves, the compounding process in accordance with the solution's concentration, and the gel filteration through Sephadex G-50 of biologically activated substances obstructing enzyme activity, such as tyrosinase, xanthine oxidase, and angiotesin converting enzyme (ACE) led to the assumption that polyphenol was the compound serving as biologically activated substances obstructing enzyme activity. Xanthine oxidase involved in pruine metabolism oxidizes hypoxanthine to xanthine and xanthine to uric acid. In the continuous study for natural compound, nine flavan-3-ois have been isolated from the persimmon leaves. The structures of (+)-catechin, (+)-gallocatechin, procyanidin B-1, pyrocyanidin C-1, prodelphinidin B-3, gallocatechin-(4α→8)-catechin, procyanidin B-7-3-O-gallate, procyanidin C-1-3'-3''-3'''-O-trigallate and (-)-epigallocatechin-(4β→8)-epigallocatechin-(4β→8)-catechin were established by NMR and their inhibitory effect on xanthine oxidase activity was investigated. Procyanidin C-1-3'-3''-3'''-O-trigallate showed 94%, 90.69%, 80.90% inhibition at 100(μ)M and inhibited on the angiotension converting enzyme respectively. Procyanidin B-7-3-O-gallate and procyanidin 1-3'-3''-3'''-O-trigallate showed 66%, 63% inhibition at 100(μ)M and inhibited on the xanthine oxidase competitively. Procyanidin C-1-3'-3''-3'''-O-trigallate showed 70% inhibition at 100(μ)M inhibited on the thyrosinase competitively.

골반내에 발생한 Proximal-type 유상피성 육종 1예

길준철,이상수,전병화,김성훈,손우석,목정은,박양순,강길현 대한부인종양 콜포스코피학회 2003 Journal of Gynecologic Oncology Vol.14 No.4

유상피성 육종은 매우 드문 악성 연조직 육종으로, 전형적인 경우들은 주로 젊은 남성의 수부, 전완부와 같은 신체의 원위부에 피하 혹은 심재성 피부 종괴로 발생하며, 조직학적 소견상 적은 비정형성을 나타내는 유상피성 세포와 방추형 세포의 증식에 의한 다발성 결절 형태의 배열을 보인다. 최근에 전형적인 유상피성 육종과 조직학적 유사성을 가지나 더 공격적인 형태인 proximal-type 유상피성 육종이 보고되었으며, proximal-type은 전형적인 유상피성 육종에 비하여 현저한 유상피성 세포의 발현과 매우 심한 비정형성을 나타내며, 세포가 매우 크고, 소포성 핵과 뚜렷한 핵소체를 보이며, 자주 rhabdoid 세포의 양상을 띈다. 임상적으로는 전형적인 형태에 비하여 호발 연령이 조금 늦고, 주로 체간부에, 특히 골반, 회음부, 생식기 등과 같은 심부에 발생하고, 더욱 공격적인 양상을 나타낸다. 저자들은 13세 소녀에서 원발부위를 알 수 없는, 골반내에 발생한 proximal-type 유상피성 육종 1예를 경험하여, 문헌 고찰과 함께 보고하는 바이다. Epithelioid sarcoma is a rare malignant soft-tissue sarcoma with an unknown histiogenesis, typically presenting as a subcutaneous or deep dermal mass lesion in the distal portions of the extremities of young adults. Recently, a more aggressive, so-called 'proximal-type' epithelioid sarcoma has been reported. In contrast to conventional epithelioid sarcoma, the proximal type is characterized by a predominantly large cell epithelioid cytomorphology, marked cytologic atypia, and frequent occurrence of rhabdoid features in most patients. Proximal-type epithelioid sarcoma has a predilection for appearing in the genitalia, especially the vulva, penis, pelvis and buttocks. Also this lesion appears to be somewhat more aggressive or at least metastasizes earlier than the conventional epithelioid sarcoma. We report a 13-year-old girl who presented with a buge mass filling the pelvic cavity which was painful, hard and fixed on palpation, and was radiologically diagnosed as a malignant germ cell tumors on the CT scan. The mass was surgically excised and pathologically proved to be an proximal-type epithelioid sarcoma of unknown origin.

사용자 만족에 영향을 미치는 웹 스토리지 서비스 품질에 대한 연구

김준우,전동진 한국정보사회진흥원 2005 정보화정책 Vol.12 No.3

인터넷과 정보기술의 급격한 발전에 따라 이를 응용한 다양한 정보의 저장 매체가 나타났으며, 이에 대표적인 것이 인터넷 웹 스토리지 서비스라 할 수 있다. 웹 스토리지 서비스는 사이버 저장 공간의 제공 및 디지털 자료를 타인과 상호 공유할 수 있는 점과 고가의 저장 매체를 소유할 필요가 없다는 장점으로 개인 및 기업차원에서의 수요가 급증하고 있어, 학계에서도 이러한 서비스에 대해 체계적으로 연구가 필요한 시점이라 할 수 있다. 본 연구에서는 인터넷 웹 스토리지 서비스가 사용자에게 디지털 정보에 대한 저장 공간을 대여해주는 일종의 서비스라는 전제하에, 사용자 만족을 이끌 수 있는 웹 스토리지 서비스 품질 요인에 대해 실증연구를 수행하였다. 본 연구로서 사용자 만족에 영향을 미치는 웹 스토리지의 서비스 품질은 사이트의 유형성과 신뢰성, 대응성 요인임을 밝혔다. 또한 웹 스토리지 서비스를 제공하는 기업은 서비스에 대한 시각적인 디자인과 사이트의 기술수준을 높여야 하고, 사이트 구조에 대해 사용자 측면에서 편리하게 이용할 수 있도록 구성하여야 할 필요가 있으며, 사용자가 신뢰할 수 있도록 개인 정보 및 공유 자료의 보안성 및 보유 정보의 체계화에 비중을 둘 필요가 있다는 시사점을 제시하였다.

노인 인구에서 신경인지기능저하와 혈청 지질농도와의 상관성

유영선,최석주,정성수,김지은,윤성욱,전동욱,백준형,박성우,이정구,추일한,김영훈 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.6

Objectives : In this study, the authors evaluated the correlation between eurocognitive impairments and serum lipids levels among Korean elderly over the age of 65. Methods : A total of 609 elderly individuals participated in this study. Screening for cognitive impairments were carried out using the Mini-Mental Status Examination-Korean version (MMSE-KC). There were 197 subjects above 1.5SD Of MMSE- KC and they were evaluated using the Korean versions of the Consortium to Establish a Registry for Alzheimer's Disease (AD) (CERAD-KC) and Geriatric Depression Scale (GDS-K). Results : There was a correlation between old age/low levels of education and AD (p<0.05, P<0.01). There was an inverse correlation between the serum level of total cholesterol and the word list recognition test scores. The serum levels of LDL cholesterol were inversely correlated with the scores on the constructional praxis test, word list recall test and word list recognition test. Inverse correlations between the serum level of triglyceride and scores on the word list recall test and word list recognition test were also observed. Conclusion : There were inverse correlations between the serum levels of lipids and language/memory function in subjects with AD.

Methazolamide 복용 후 발생한 Stevens-Johnson Syndromex

정종호,이은정,김태형,전원선,우광진,양미연,강병일,은준영,추은주,전민혁 순천향의학연구소 2010 Journal of Soonchunhyang Medical Science Vol.16 No.1

..

정신보건관련시설 입원(소)자의 주요 정신장애 유병률 : 전국 20개 시설의 입원(소)자를 대상으로

조성진,조맹제,서동우,함봉진,홍진표,배재남,이준영,이동우,박종익,전홍진,김성주,김용익 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.6

Objectives : One of the objectives of this study is to estimate the prevalence rates of psychiatric diagnoses in the combined populations of psychiatric hospitals, psychiatric nursing facilities and homeless asylums using the Korean version of the Composite International Diagnostic Interview (K-CIDI), which is a comprehensive and fully standardized interview schedule to assess psychiatric disorders for diagnosis. The Other objective is to compare with previously studied prevalence rates of Psy-chiatric diagnoses using the results of this study. Methods : The study subjects, aged from 181o 64 years, were randomly selected from 64,582 institutionalized population of psychiatric hospitals, Psychiatric nursing facilities and homeless asylums as of 30, June, 2001. Twelve trained interviewers administered the K-CIDI to the selected respondents. A total of 1,875 respondents (male 1,194, female 681) completed the interview. Results : The lifetime and one year prevalences of any diagnosis excluding nicotine dependence · withdrawal, anxiety disorder, eating disorder, somatoform disorder were 88.2% (male 88.1%, female 88.3%), and 65.8% (male 62.7%, female 73.7%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were 78.5% (male 75.3%, female 83.7%), and 56.8% (male 51.9%, female 64.8%), respectively. The lifetime and one year prevalences of alcohol use disorder (dependence/abuse) were 26.7% (male 37.9%, female 8.3%), and 8.7% (male 12.8%, female 2.1%), respectively. The lifetime and one year prevalences of mood disorder were 18.1% (male 13.5%, female 25.8%), and 10.4% (male 7.2%,female 16.9%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were comparable with the 2001 community survey by 1.19% to 1.32%, and 0.51% to 0.61%, respectively. The lifetime and one year prevalences of schizophrenia were also comparable by 0.16% to 0.28%, and 0.16% to 0.25%, respectively. There were no significant changes of prevalence rates when correction were applied to other psychiatric diagnosis. Conclusion : The results of this study could be used for evaluating the distribution of psychiatric diagnoses in mental health related facilities and for planning mental health policies.

한국 주요정신장애의 유병률 및 관련요인 : 2006 전국정신질환역학조사

조맹제,장성만,함봉진,정인원,배안,이영문,안준호,원승희,손정우,홍진표,배재남,이동우,조성진,박종익,이준영,김진영,전홍진,이해우 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.3

Objectives The aims of this study are to estimate the prevalence of the DSM-IV psychiatric disorders in the Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI), and to compare those with previous studies. Methods The Korean Epidemiologic Catchment Area study Replication (KECA-R) was Conducted between August 2006 and April 2007. The sampling of the subjects was carried out across 12 catchment areas. A multistage, cluster sampling design was adopted. The target Population included all eligible residents aged 181o 64 years. Face-to-face interviews were conducted with the Korean version of Composite International Diagnostic Interview (K-CIDI) based on the DSM-IV (N=6,510, response rate=81.7%). Results A total of 6,510 participants completed the interview. The lifetime and 12-month prevalence rates for all types of DSM-IV disorders were 30.0% and 17.3%, respectively. Those of Specific disorders were as follows : 1) alcohol use disorder, 16.2% and 5.6% ; 2) nicotine use disorder, 9.0% and 6.0% ; 3) specific phobia, 3.8% and 3.4% ; 4) major depressive disorder, 5.6% and 2.5% ; and 5) generalized anxiety disorder, 1.6% and 0.8%. Data relating to nicotine and alcohol use disorder revealed a very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among females than males. Conclusion The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in the distribution of psychiatric disorders across the country and times were observed.

Intrinsically microporous polymer-based hierarchical nanostructuring of electrodesvianonsolvent-induced phase separation for high-performance supercapacitors

Jeon, Jun Woo,Han, Jae Hee,Kim, Sung-Kon,Kim, Dong-Gyun,Kim, Yong Seok,Suh, Dong Hack,Hong, Young Taik,Kim, Tae-Ho,Kim, Byoung Gak The Royal Society of Chemistry 2018 Journal of materials chemistry. A, Materials for e Vol.6 No.19

<P>The growing demands of next-generation applications for high power and energy sources necessitate advances in hierarchically porous carbon-based energy storage materials, which improve the overall kinetics of electrolytic reactions by providing efficient ion and electron transport pathways and facilitate electrolyte infiltration into the electrode during charging/discharging. Herein, we fabricate hierarchically structured porous carbon electrodes (cNPIM), prepared by solution casting of a polymer of intrinsic microporosity (PIM-1) followed by nonsolvent-induced phase separation and carbonization. The obtained material exhibits a considerable surface area (∼2100 m<SUP>2</SUP>g<SUP>−1</SUP>), high electrical conductivity (150 S cm<SUP>−1</SUP>), high specific capacitances (345, 235, and 195 F g<SUP>−1</SUP>in three-, two-electrode aqueous systems, and two-electrode organic systems, respectively) at 1 A g<SUP>−1</SUP>, and an exceptional specific energy of 43.2 W h kg<SUP>−1</SUP>at a specific power of 1.25 kW kg<SUP>−1</SUP>, featuring a pore size gradient in the surface normal direction.</P>

Highly Carboxylate-Functionalized Polymers of Intrinsic Microporosity for CO₂-Selective Polymer Membranes

Jeon, Jun Woo,Kim, Dong-Gyun,Sohn, Eun-ho,Yoo, Youngjae,Kim, Yong Seok,Kim, Byoung Gak,Lee, Jong-Chan American Chemical Society 2017 Macromolecules Vol.50 No.20

<P>Carboxylate-functionalized polymers of intrinsic microporosity (PIMs) are promising materials for gas separation application. However, highly carboxylate-functionalized PIMs (HCPIMs) have not been reported owing to overlooked intermediate products. Herein, we successfully prepared HCPIMs (similar to 92 mol % of carboxylic acid group) through a prolonged alkaline hydrolysis process (360' h). HCPIMs were found to be soluble in various organic solvents, such as tetrahydrufuran and ditnethyl sulfoxide, and then freestanding HCPIM membranes could be prepared by the common solution casting method: The. HCPIM membranes were found to have smaller interchain distances and higher CO, affinity than original PIM-1 films. For example, small gas molecules,:such as carbon.dioxide, were effectively separated due to the, enhanced diffusivity selectivity combined with the smaller cavity size. Further, strong interactions between carbon dioxide and the carboxylic acid groups increased solubility selectivity. These:synergetic effects endowed the HCPIM membrane with a selectivity of 53.6 for CO2/N-2 separation, the highest among reported chemically modified PIMs.</P>