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      • KCI등재

        홍민어 Sciaenops ocellatus에서의 바이러스성 신경괴사증 viral nervous necrosis

        김진도,김석렬,정성주,김영진,정태성,최태진,박성우,오명주 한국어병학회 2001 한국어병학회지 Vol.14 No.2

        1999년 10월에서 11월 사이에 남해안 일대의 홍민어 종묘 생산장에서 20~30열령의 치어가 척추만곡 및 이상유영을 하며 대량 폐사하였다. 병어는 특이 외부 증상이 없었고, 높은 누적폐사량이 바이러스 질병으로 의심되어, 조직학적 및 분자생물학적인 검사를 행하여 폐사원인을 확인하였다. 폐사개체의 조직을 H-E 염색하여 관찰한 결과 뇌와 안구의 신경세포에서 공포와 괴사가 관찰되었고, 전자현미경 관찰에서는 안구와 뇌에서 바이러스 입자가 관찰되었다. RT-PCR 결과에서는 ≒426 bp의 DNA 단편을 확인할 수 있었다. 이러한 결과로 홍민어에서 발생한 대량폐사는 바이러스성 신경괴사증(VNN)으로 진단되었다. Mass mortalities occurred among red drum lavae, 20 to 30 days old, culturing at hatcheries on southern costal area. No specific external signs were observed except abnormal swimming and spinal deformity. It was, however, suspected as a viral etiology due to high mass mortalities so that histopathological and molecular biological study was performed to evaluate the agent. Both vacuoles and necrosis were observed on nerve cells of brain and eye by H-E staining, and viral particles were observed on electronmicroscopic examination. On the other hand, DNA fragment, approximately 426 bps, was amplified with RT-PCR. The above results were able to diagnosis the etiological agent of mass moralities in red drum larvae as VNN(viral nervous necrosis)virus.

      • KCI등재후보

        2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

        이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

        목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

      • KCI등재
      • 정상과 만성염증성 활막배양세포에서 Corticotropin releasing hormone(CRH)이 cyclooxygenaase-1(COX-1)과 cyclooxygenase-2(COX-2) mRNA발현에 미치는 영향

        정운원,이승관,이창규,조경진,김성욱,하주희,서장훈 高麗大學校 倂設 保健大學 保健科學硏究所 2000 保健科學論集 Vol.26 No.1

        Corticotropin-releasing hormone(CRH) is a major regulator of the hypothalamic-pituitaryadrenal axis(HPA). In inflammatory stress, the cytokines TNF-, IL-6 stimulate the production of CRH, a 41 amino acids neuropeptide, in the hypothalamus. The release of CRH leads to pituitary production of adrenocorticotropic hormone, followed by glucocorticoid secretion by the adrenal cortex. Glucocorticoids suppress namy components of the inflammatory process. Recently, CRH and CRH receptor were reported to be located in the periphery such as Immune system and chronic inflammatory sites as rheumatoid arthritis (RA). Cyclooxygenase consisted of two isoforms, COX-1 and COX-2, converts arachdonate to prostaglandins(PGs) which are important mediators of inflammation. insymoviocyte in RA, it was described that COX-2 mRNA was markedly increased by inflammatory agents, PMA or IL-1 and COX-1 transcripts were not modulated. We examined the modulation of COX by immune CRH in cultured normal and rheumatoid synoviocytes. Our results were shown that COX-1 mRNA expression decreased with the each stimulation of PMA and IL-1 in normal synoviocyte. In RA synoviocyte, PMA and IL-1 were increased mRNA expression of COX-1. In simultaneous treatment with CRH, PMA group was decreased, but IL-1 group was increased mRNA expression of COX-1. COX-2 mRNA expression was slightly increased by the treatment with PMA and highly increased by IL-1. After CRH treatment, PMA and IL-1 addictively increased COX-2 mRNA expression. We think that these results are contributed to the influence of increased cANP by CRH on the promoter of COX-2 in normal and synoviocytes. Because many cytokines, neuropeptides, and signal transduction pathways are involved in chronic inflammation, the exact role of CRH on inflammation is not fully elucidated. To achieve this goal, further experiments are needed.

      • 선천성 완전방실차단이 동반된 신생아 루프스 1예

        정재현,이은지,이은주,황진원,송영진,최병진,김일환,김종윤,허민영,김동욱 인제대학교 2009 仁濟醫學 Vol.30 No.-

        Neonatal lupus is a rare syndrome occurring In neonates with tranplacentally acquired maternal autoantibodies, In particular anti-SSA/Ro-SSB/Ra antibodies. Manifestations include congenital heart block, cutaneous lesions, thrombocytopenia, neutropenia, pulmonary or neurological disease and hepatitis. The non-cardiac manifestations resolve by 6 months of age, congenital heart block is irreversible. We experienced a case of neonatal lupus with congenital complete heart block in a newborn of asyptomatic mother with anti-SSA/Ro-SSB/Ra antibodies.

      • 풋마늘의 冬季養液裁培에 關한 硏究

        鄭恩周,吳仲烈,黃海鎭,韓相政 대구효성가톨릭대학교 응용과학연구소 1995 응용과학연구논문집 Vol.4 No.-

        겨울철 新鮮한 풋마늘의 生産體系 確立으로 端境期를 解消함과 아울러 아파트 人口가 增加하고 있는 오늘날 室內에서 簡單한 方法으로 풋마늘을 生産하는데 必要한 資料를 얻고자 하였다. 1) 萌芽率은 15±1℃區와 20±1℃區의 Hyponex와 水道물에서 瀋陽種(暖地型)이 瀋種 7日後에, 그리고 濟州種(暖地型)이 播種 21日後에 各各 100%를 나타내었다. 그러나 義城種(寒地型)은 15±1℃區에서 播種 7日後에 全혀 萌芽하지 않았고 21日後에 15±1℃區와 20±1℃區에서 各各 85% 및 95%의 萌芽率을 보였다. 2) 草長은 15±1℃區보다 20±1℃區에서, 그리고 水道물보다 Hyponex에서 더 크며 그의 伸長速度가 빨랐다. 瀋陽種은 15±1℃區와 20±1℃區의 Hyponex와 水道물에서 播種 35日後에 잎이 黃化하면서 草長의 伸長이 停止되었으나 濟州種과 義城種은 伸長을 繼績하였다. 瀋陽種은 다른 2品種에 比하여 草長이 顯著히 컸으며 伸長速度가 매우 빨랐다. 3) 播種 21日後의 葉數, 葉?徑, 葉重 및 葉?重은 15±1℃區보다 20±1℃區에서, 그리고 水道물보다 Hyponex에서 더 增加하였다. 供試 3品鍾中 瀋陽種이 各處理區에서 葉數가 顯著히 많고 葉重이 무서웠다. 義城種은 15±1℃區의 Hyponex와 水道물에서 葉伸長을 볼 수 없었다. 4) 比生長率(CGR)은 15±1℃區와 20±1℃區의 Hyponex와 水道물에서 瀋陽種과 濟州種은 播種7日後에, 그리고 義城種은 播種 14日後에 極大期를 나타낸 다음 漸次 減少하였다. 極大期의 比生長率은 15±1℃區보다 20±1℃區에서, 그리고 水도물보다 Hyponex에서 더 높았다. 5) 20±1℃區에서 CGR의 잎으로서 寄與率은 瀋陽種과 濟州種이 播種21日後까지 增加한 다음 漸次 減少하는 傾向을 보였으나 義城種은 繼績 增加하였고, 뿌리로의 寄與率은 3品種 모두 播種14日後부터 急激히 減少하였다. 6) 葉面積指數는 20±1℃區에서 3品種 모두 水道물보다 Hyponex에서 높았다. 播種28日後의 葉面積指數는 濟州種이 2.0 그리고 義城種이 1.0이었는데 比하여 瀋陽種은 4.0 以上이었다. 7) 本實驗의 어느 境遇에 있어서도 瀋陽種이 濟州種 및 義城種에 比하여 萌芽率가 빠르고 草長이 크고 葉收量이 많았으며, 15±1℃區보다 20±1℃區에서 그리고 水道물보다 Hyponex에서 生育이 良好하였다. 그리고 瀋陽種은 20±1℃區의 Hyponex와 水道물에서 播種後 14日이 經過하면 收穫이 可能하였다. The purpose of this study is to establish a production system for providing fresh leafy garlic in winter season and to obtain data for an easy method of indoor nutriculture of this plant, especially in apartment life. 1. Emergence rates in 15℃ and in 20℃ cultured by Hyponex and by tap water were 100% after 7 and 21 days from planting in Shenyang cultivar, a Southern ecotype, and in Cheju cultivar, a Southern ecotype respectively. Euisung cultivar, a northen ecotype, did not planting uner 15℃ until 7 days from planting, but emerged 85% and 95% after 21 days from planting under 15℃ and 20℃ conditions, respectively. 2. Plant lengths were higher in 20℃ and in Hyponex culture than in 15℃ and in tap water culture, respectively. Shenyang cultivar in 15℃ and 20℃ cultured by Hyponex and tap water ceased to eloongate the leaf and showed chlorosis after 35 days from planting, but Cheju and Euisung cultivars continued to elongate the leaf. The plant length of Shenyang cultivar was especially long as compared with other two cultivars and grew fast. 3. After 21 days from planting, leaf number, diameter of leaf sheath, leaf weight and weight of leaf sheath were higher in 20℃ and in Hyponex culture than in 15℃ and in tap water culture. respecively. Among three cultivars, Shenyang had much more leaves and heavy ones. 4. Comparative crop growth rate(CGR) showed at maximum after 7 days from planting in 15℃ and in 20℃ cultured by Hyponex and by tap water in Shenyang and Cheju cul-tivar while after 14 days from plamting in Euisung cultivar, then decreased gradually afterward. The CGR at maximum was higher in 20℃ and in Hyponex culture than in 15℃ and in tap water cul-ture, respectively. 5. The percentage of contribution of CGR to leaf were increased until 21 days from planting, then decreased gradually afterward in Shenyang and Cheju cultivars, but Euisung showed continu-ous increase. The percentage of contribution of CGR to root declined markedly after 14 days from planting in all three cultivars. 6. Leaf area index(LAI) were high in all three cultivars in 20℃ in Hyponex culture as compared with tap water culture. After 28 days from planting, LAI was 2.0 and 1.0 in Cheju and in Euisung cultivar respectively, comparing with above 4.0 in Shenyang cultivar. 7. In every conditions, Shenyang cultivar exceeded in emerging date, plant length and leaf produc-tion, and the growth was better in 20℃ and in Hyponex culture than in 15℃ and in tap water cul-ture, respectively. After 14 days from planting, Shenyang cultivar was possible to harvest in 20℃ cultured by Hyponex and by tap water.

      • 심전도에서 조기재분극을 보인 특발성 심실세동

        이정은,함효주,이관용,노지웅,유진석,정우백 이화여자대학교 의과학연구소 2014 EMJ (Ewha medical journal) Vol.37 No.2

        Early repolarization is a common electrocardiographic (ECG) feature found in young adults, men and athletes, and has been considered to be a benign feature for the last several decades. But recent studies suggest that early repolarization may be related to idiopathic ventricular fibrillation and sudden cardiac death. We report a young man, 35 years old, who had life threatening ventricular fibrillation and sudden cardiac arrest. He was evaluated for cardiac causes of ventricular fibrillation. There was no explanation other than that his ECG showed an early repolarization pattern so we treated him with implantable cardioverter defibrillator. Thus, we suggest that early repolarization may be related with life threatening ventricular arrhythmia.

      • 조혈모세포이식 후 발생한 주폐포자층 폐렴에 대한 고찰

        주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4

        Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)

      • 송아지고기 소시지와 시중에 판매되는 우육과 돈육 소시지 제품의 저장특성 비교

        이주호, 최정석, 이현진, 정구용, 최양일 忠北大學校 農業科學硏究所 2013 農業科學硏究 Vol.29 No.1

        This study was undertaken to compare the storage characteristics between veal sausage and commercial pork and beef sausages in Korean domestic market. We manufactured 3_types of sausages and purchased 2_types of sausages in the market: T1(B-company product), T2(O-company product) and we made T3(smoked veal sausage), T4(smoked veal sausage with pepper) and T5(cooked veal sausage) products. During 20 days of storage at 4oC, T5 showed significantly higher in TBA value and VBN value (p<0.05). But TBA and VBN values showed normal range in all products. T3, T4, and T5 showed higher total microbial count than T1 and T2 (p<0.05). According to the result, beef and pork sausages in the market showed different total microbial count and VBN values from those made in laboratory. This result could be come from the different additives used and manufacturing processes. However, all products can be stored up to 20 days in the cooler.

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