草鳥중 Aconitine계 Alkaloids의 定量

嚴東玉,李來洪,宣中基,都京三 又石大學校 1995 論文集 Vol.17 No.-

This study was undertaken to develope a method for the determination of aconitine alkaloids from Aconitum ciliare Tuber by spectrophotometry. The complex of cobalt(Ⅱ)ion and thiocyanate ion forms tetrathiocyanatocobaltate(Ⅱ)ion in aqueous solution containing an excess of thiocyanate ion. The tetrathiocyanatocobaltate(Ⅱ)ion produces the complex with aconitine alkaloids. The complex are extracted from aqueous solution to 1. 2-dichlorethane. A spectrophotometry for determination of aconitine alkaloids with tetrathiocyanatocobaltate(Ⅱ)ion were, established by 1, 2-dichlorethane extraction. Determination of aconitine standard was possible to the rage of 0.4-0.6㎎/㎖ in 1.2-dichlorethane. To examine the determination of aconitine alkaloids in Aconitum ciliare Tuber were determined by using acid-alkali titration, spectrophotometry from ether extracts. The average recovery of aconitine standard sloution was 97.9% and standard deviation 2.97%. As this method is accurate and precise, is applicable to the determination of aconitine alkaloids in Aconitum ciliare Tuber.

역전파 신경회로망을 이용한 자기동조 적응제어

엄기환,손동설,박장환,이용구 동국대학교 산업기술연구원 1995 산업기술논문집 Vol.6 No.-

역전파 신경회로망을 추정기로 이용한 자기동조 적응제어방식을 제안하였다. 제안한 방식은 역전파 신경회로망을 이용하여 시스템함수를 추정하고 추정된 함수를 제어기에서 이용하는 자기동조 적응제어 기법이다. 제안한 방식의 유용성을 확인하기 위하여 가동코일형 선형 직류전동기를 제어대상으로 기존의 반복 최소 자승법을 이용한 자기동조 적응제어방식과 시뮬레이션 및 실험을 통하여 추종 특성을 비교 검토하였다. This paper proposes the self-tuning adaptive control method with back-propagation neural network using a identifier. A proposed method is self-tuning adaptive control method that estimates system functions using back-propagation neural network and estimated function is used to controller. In order to verify the usefulness of proposed method, tracking control characteristics are compared the general self-tuning adaptive control method using R.L.S by simulation and experiments.

玄胡索중 3級鹽基成分의 分離와 定量에 관한 硏究

嚴東玉,金基德,李來洪,梁在憲,申台容 우석대학교 의약품개발연구소 1996 藥學硏究誌 Vol.1 No.-

A new application of specrophotometry for the isolation and determination of tertiary base in Corydalis Tuber was investigated. In order to establish the method for isolation and determination of tertiary base in the Corydalis Tuber. Tertiary base was isolated from Corydalis Tuber by organic solvent. When tertiary base was added to a solution containing cobaltous ion and excess thiocyan ion, yellowish-green, 1,2-dichloroethane-solube(base)_2Co(SCN)_4 precipitate. Supportive evidence for identification could be obtained by complexation with tetrathiocyanatocobaltate(Ⅱ) ion. The ultraviolet-visible spectrum of complex vompound in 1,2-dichloroethane exhibits maxima at 282nm and 624nm. The tertiary base was isolated from compex compound and identified as glaucine by UV-Visible spectrum and TLC. A tertiary base in 1,2-dichloroethane scanned from 200nm to 400nm qualitatively exhibits the same absorbance characteristics at identical wavelength as does isolated and concomitantly measured solution of a complex compound. The tertiary base components present in comples compound have been resolved on an absorbance solvent. And it is studied that the differential determination of tertiary base in Corydalis Tuber by spectrophometry. The tertiary base is determined by absorbance of colored products that is produced to reaction of tetrathiocyanatocobaltate(Ⅱ) ion under determination of tertiary base was possible to the range of glaucine 0.100mg/ml-1.000mg/ml in 1,2-dichloroethane. (maximum wavelength; 624nm) The calibration curve showed that the coefficient of variation was 0.9999% for glaucine. Also reproducibility tests showed that the coefficient of variation was 0.9999%. Arepid, specific and precise method using UV-Visible spectrophotometry and TLC has been developed for the isolation and determination of tertiary base in the Corydalis Tuber. The method was applicable to the isolation and determination of tertiary base in Corydalis Tuber or it's extract.

각종 난치성 혈액 질환에서의 비혈연간 골수이식

김동욱,한훈,김정아,김희제,민창기,엄현석,최정현,이종욱,한치화,홍영선,최일봉,신완식,민우성,김학기,김춘추,김원일,김동집 대한조혈모세포이식학회 1997 대한조혈모세포이식학회지 Vol.2 No.1

목적: 비혈연간 골수이식은 혈연내에 적절한 골수공여자가 없는 만성골수성백혈병, 고위험군의 급성별혁병, 면역억제치료에 실패한 재생불량성빈혈 및 각종 난치성 조혈모세포질환의 완치를 위한 표준적인 치료방법으로 정착되고 있다. 혈연간 표준적인 동종 이식에 비하여 비혈연간 이식시에는 생착부전, 이식편대숙주반응과 감염이 더 빈번하게 발생하며, 국내에서는 아직까지 체계적인 임상연구결과가 보고된 바 없었다. 이에 본 센터에서는 1995년 10월 이후로 약 20개월간 26예의 비혈연간 골수이식을 시행하였으며 3개월 이상의 추적관찰이 가능하여 이식초기 합병증의 관찰 및 분석이 가능하였던 20예의 환자를 대상으로 이식성적 및 문제점을 보고함으로써 새롭게 확대되고 있는 이 분야의 임상연구 및 진료의 활성화를 꾀하고자 한다. 방법: 각종 혈액 종양질환으로 비혈연간 이식을 시행한 총 26예의 환자중 3개월이상의 추적관찰이 가능하였던 20예를 대상으로 후향적으로 임상경과를 분석한 후 생존 분석을 시행하였고, 환자의 연령, 성별, 질병의 상태, 조식 적합 항원의 일치정도, 이식편대 숙주 반응의 유무와 생존기간과의 상관관계를 살펴보았다. 또한 표준위험군과 고위험군으로 나누어 생존율을 비교하였고 이식과 관계된 생착 부전, 이식편대숙주반응, 감염의 발생과 양상 그리고 그 합병증을 관찰하였다. 결과: 1. 환자와 공여자간에 HLA 불일치가 20예 중 4예에서 있었으며, 생착여부의 확인이 가능했던 17예 중 16예에서 생착이 확인되어 94.1%의 생착율을 보였다. 2. 급성이식편대숙주반응은 62.5%(10/16예)에서 발생하였으며 111도 이상의 급성의 이식편대숙주 반응은 25%(4/16예)에서 발생하였다. 만성이식편대숙주반응은 40%(2/5예)의 환자에서 발생하였으며 이들 모두 국소형으로 중증의 진행형 만성이식편대숙주반응이 관찰된 환자는 없었다. 3. 호흡기 합병증은 10예(50%)에서 발생하였으며 감염성 폐렴을 포함한 호흡기 합병증이 가장 흔한 일차적인 사망 원인이었다. 호흡기 합병증이 발생했던 10예중 6예가 감염에 의한 폐렴이 의심되었고 나머지 4예는 특발성 간질성 폐렴이었다. 4. 8.5개월의 중앙추적기간 중 35%의 생존율을 관찰할 수 있었고, 생존기간은0.5개월에서 15개월 (중앙치:4개월)이었다. 한편 고위험군은 25%(3/12예), 표준위험군은 50%(4/8)의 생존율을 관찰할 수 있었다. 5. 가장 흔한 사망 원인은 감염성 폐렴을 포함한 호흡기 합병증(6예)이었고, 이외의 사망 원인으로는 급성 이식편대숙주반응과 다장기부전이 각각 2예, 생착 부전, 간정맥 폐쇄, 그리고 재발이 각각 1예였다. Unrelated bone marrow transplantation(UBMT) has been increasingly recognized as the standard treatment for cure of chronic myelogenous leukemia, high risk acute leukemia, aplastic failed on immunotherapy, and the variety of refractory hematologic diseases in patients lacking a related donor. However, as compared to HLA identical sibing transplantation, UBMT carries higher incidence of graft failure, graft versus host disease(GVHD), and infection. In our center, 26 patients underwent UMBT between October 1995 and June 1997. The minimum follow-up of 3 months was possible in 20 patients, for whom early complications and clinical outcomes were assessed. The median age of the 20 patients was 24 years. 8 patients had standard risk disease and 12 patients had high risk disease. All patients received various preparative regimens including total body irradiation according to disease and disease status. 19 patients received CsA + short course MTX for GVHD prophylaxis. One patient received marrow that was depleted of T cells ex vivo using avidinbiotin column. The class I loci were typed by serological methods and HLA-A, HLA-B and HLA-DRB1. 3 additional pairs were one minor mismatched at the HLA-B locus. Another one patients was one major mismatched at the DRBI alleles. 17 patients were evaluable for engraftment. Successful enfraftment was confirmed in 16 patients(94.1%). Only one patient who was performed one major DRBI mismatched transplants experienced graft rejection. 16 patients were evaluable for acute GVHD. The overall incidence of acute GVHD developed in 4 patients(25%). Five patients were evaluable for the development of Ⅳ acute GVHD developed in 4 patients (25%). Five patients were evaluanle for the development of chronic GVHD. 2 patients(40%) developed limited chronic GVHD. Respiratory complications including pulmonary infection developed in 10 patients(50%) and these complications were the most common primary cause of death. Of these 10patients, 6 had pneumonia due to fungus(4 patients), pacterial (1 patient), and CMV infection (1 patient) and 4(20%) had idiopathic interstitial pneumonitis and/or adult respiratory distress syndrome. The duration of median follow- up was 8.5 months and 7 of 20 patients(35%) are alive at the time of this analysis with survival duration of 0.5 to 15 months(median survival duration: 4 months). The overall survival was 25% (3/12 patients) in high risk group and 50%(4/8 patients) in standard group. From these results, we can predict that the incidence and severity of GVHD in Korea are lesser than multiracial countries and the long-term survival of patients with standard risk disease can approach that of HLA matched sibling transplants. For the past two years, the performance of UBMT has been rapidly increasing and it will be possible to analyze much larger number of patients soon in Korea. In the future the problems of graft failure, GVHD, and infection due to long lasting immunocompromised status will need to be overcome by continued medical research. In addition, the volunteer donor pool will have to be expanded by the promotion of the national awareness of its need.

한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

조혈모세포이식 환자에서 침습성 진균 감염에 대한 이트라코나졸 액과 플루코나졸 시럽의 예방 효과 : 전향적, 무작위, 비교 임상시험

최수미,이동건,최정현,박선희,엄기성,김유진,김희제,민창기,유진홍,김동욱,이종욱,민우성,신완식,김춘추 대한감염학회 2005 감염과 화학요법 Vol.37 No.2

목적 : 조혈모세포이식 환자에서 호중구 감소 기간 동안 이트라코나졸 액(ITZS)과 플루코나졸 시럽(FCZS)의 진균 감염에 대한 예방 효과를 전향적으로 비교해 보고자 하였다. 재료 및 방법 : 2001년 8월부터 2002년 6월까지 가톨릭 조혈모세포이식센터에 입원하여 동종 조혈모세포이식을 받은 만 18세 이상의 환자들을 각각 ITZS와 FCZS군으로 무작위 배정하여 침습성 진균 감염 발생과 약제 관련 부작용을 전향적으로 조사하였다. 결과 : ITZS군에 40명, FCZS군에 38명이 배정되었고, FCZS군 환자의 평균 나이가 더 많았다. 시험 약제 평균투여기간은 ITZS군 16.4일, FCZS군 21.9일로 ITZS군이 더 짧았다. 이는 ITZS군에서 소화기 부작용으로 인한 약제 중단이 더 많았기 때문으로 보인다. 시험 약제 투여 후 총 빌리루빈 수치의 유의한 증가가 관찰되었으나, 약제 관련 부작용은 모든 환자에서 가역적이었다. 호중구감소 기간동안 표재성 진균 감염은 두 군에서 모두 발생하지 않았고, 침습성 진균 감염은 ITZS군 5명(12.5%), FCZS군 8명(21.1%)으로 FCZS군에서 많았으나, 통계학적으로 유의하지 않았고, 사망률에도 유의한 차이는 없었다. 결론 : 침습성 진균 감염에 대한 이트라코나졸 액과플루코라졸 시럽의 예방 효과에 유의한 차이는 없었으나, 앞으로 더 많은 환자를 대상으로 잘 짝지어진 대조군 연구가 필요할 것으로 보인다. 부작용 중 간독성과 관련하여 이식시 투여되는 여러 약제들과의 상호작용에 대한 연구도 필요할 것이다. Background : Though fluconazole is widely used for antifungal prophylaxis, it is ineffective against mould infections including Aspergillus species. Itraconazole has a broader spectrum than fluconazole but the capsule form shows erratic bioavailability in neutropenic patients. In this study, we compared itraconazole oral solution (ITZS) with fluconazole syrup (FCZS) for the prevention of invasive fungal infection (IFI) in allogeneic hematopoietic stem cell transplant recipients. Materials and Methods : Adults receiving allogeneic hematopoietic stem cell transplantation (HSCT) from september 2001 to June 2002, were randomly allocated to either the ITZS group or the FCZS group. We prospectively evaluated the safety and efficacy of each drug. Results : Out of 78 patients (40 patients in the ITZS group and 38 patients in the FCZS group) who were eligible for this study, 37 patients completed the course of prophylaxis without any evidence of IFI. The mean duration of prophylaxis was 16.4 days for the ITZS group and 21.9 days for the FCZS group (P<0.006). Drug-related adverse events occurred in 28 patients (70.0%) and 19 patients (50.0%) in the ITZS group and the FCZS group, respectively. Common adverse events of ITZS were nausea, vomiting, and diarrhea. Drug-related reversible hepatotoxicity occurred in 4 patients in the ITZS group. There was a significant elevation of total bilirubin level in the ITZS group. The incidence of suspected IFI occurred in 5 patients (12.5%) who received ITZS, compared with 8 (21.1%) who received FCZS (P=0.372). There were no proven IFIs or superficial (oral/vaginal) fungal infections in both groups. Overall mortality was not different between the two groups (2.5% in the ITZS group versus 5.3% in the FCZS group, P=0.610). Conclusion : ITZS and FCZS showed similar protection against IFI during pre-engraftment period. Poor tolerability due to gastrointestinal troubles of ITZS might limit its success as prophylactic therapy. Well matched controlled study with large number of patients will be required in the future.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

시비방법별 벼 재배에 따른 전과정평가 방법을 적용한 환경영향 평가

신중두,임동규,김건엽,박문희,고문환,엄기철 한국환경농학회 2003 한국환경농학회지 Vol.22 No.1

Consoli가 설명한 것처럼 전과정평가의 개념 및 일반적인 정의에 따르면, 전과정평가는농업생산에 관련된 환경영향을 평가하는데 부합하는 방법이라고 생각되며, 특별히 전과정 평가방법인 Eco-indicator 95는 농업 체재에 대한 환경영향을 분석하는데 적절한 기법인 것으로 입정되었다. Eco-indicator 95 method를 이용하여 지구온난화 및 수계 부영양화와 관련된 시비체계에 따른 벼 재배에 대해 비교할만한 분석체계를 이루었다. 그렇지만 본 연구에서 전화정평가 항목에 기록된 모든 관련 정보가 환경 영향에 고려되지 않았기 때문에 Eco-indicator 95 method를 농업생산 체계에 적용할 때 몇 가지 난제에 부닥친다. Eco-indicator 95 method에 토양 및 자원의 이용과 같은 몇 몇 중요한 환경적인 문제가 포함되지 않았으며, 이 방법의 다른 문제는 환경 평가를 위하여 현장 정밀연구가 수행되지 않았다는 것이다. 그렇지만 본 연구에서 얻어진 생태지표 지수를 이용하여 벼 재배에 따른 시비방법 간의 차이점을 나타내기에 충분하다고 여겨지며, 가장 높은 생태지표 지수를 나타낸 화학비료를 시용한 구에서 가장 큰 환경영향이 관측되었고, 이러한 차이점은 주로 화학비료 투입에 의한 토양중의 높은 인산 함량의 축적 때문인 것으로 여겨진다. 분석한 시비체재는 특별히 지구온난화 보다는 수계의 부영양화의 환경적인 문제에 기여되는 것으로 나타났으므로 질소 시용비율 및 시용기술 이외에 액비 시용에 따른 양분 용탈이 수계 환경에 명확히 영향을 미치는 것으로 나타났다. The suitability of the Life Cycle Assessment (LCA) methodology to analyze'the environmental impact of rice cultivation with different fertilizing systems is investigated. The first part of an LCA is an inventory of parameters used and emissions released due to the system under investigation. In the following step, the Life Cycle Impact Assessment, the inventory data were analyzed and aggregated in order to finally get one index representing the total environmental burden. For the Life Cycle Impact Assessment (LCIA) the Eco-indicator 95 method has been chosen because this is well documented and regularly applied impact assessment method. The resulting index is called Ec -Indicator value. The higher the Eco-indicator value the stronger is the total environmental impact of an analyzed few system. The rice field experiment conducted in middle parts of korea was chosen as an example for the life cycle impact analysis. In this experiment the treatments were consisted of none fertilizer plot (NF), standard fertilizer plot (SF) applied chemical fertilizers based on soil chemical analysis before rice transplan ing, and efflux fertilized plot (EF) applied with pig wastes fermented as the same rates of SF plot as basis on total nitrogen content. The obtained Eco-indicator values were clearly different among the treatments in the rice trial. The total Eco-Indicator values for SF and EF have been observed 58 and 38% relative to the NF, respectively. For all the treatments the environmental effects of eutrophication contributed most to the total Eco-indicator value. The results appeared that the LCA methodology is basically suitable to assess the environmental impact associated with different fertilizer applications for rice cultivation. A comparative analysis of the fertilizing system's contribution to global warming and eutrophication is possible.

Gemtuzumab ozogamicin in combination with attenuated doses of standard induction chemotherapy can successfully induce complete remission without increasing toxicity in patients with acute myeloid leukemia aged 55 or older

Eom, Ki-Seong,Kim, Hee-Je,Min, Woo-Sung,Lee, Seok,Min, Chang-Ki,Cho, Byung-Sik,Kim, Sung-Yong,Kim, Yoo-Jin,Lee, Dong-Gun,Choi, Su-Mi,Cho, Seok-Goo,Kim, Dong-Wook,Lee, Jong-Wook,Shin, Wan-Shik,Kim, Chu Munksgaard 2007 European journal of haematology Vol.79 No.5

<P>Abstract</P><P>Background: </P><P>In this study, the effectiveness and safety of combining gemtuzumab ozogamicin (GO) with an abbreviated schedule of standard induction chemotherapy were assessed in 37 patients (aged ≥55) yr with previously untreated acute myeloid leukemia (AML).</P><P>Methods: </P><P>GO was administered at a dose of 6 mg/m<SUP>2</SUP> as a single 2-h intravenous infusion on day 1. Following GO, an abbreviated schedule of induction chemotherapy consisting of idarubicin (12 mg/m<SUP>2</SUP>/d, days 2–4), and <I>N</I>4-behenoyl-1-<I>&bgr;</I>-arabinofuranosyl cytosine (300 mg/m<SUP>2</SUP>/d, days 2–6) was given.</P><P>Results: </P><P>Thirty-seven patients were treated with GO in combination with chemotherapy. Complete remission (CR) and CR with incomplete platelet recovery were achieved in 28 patients (75.7%) and one patient (2.7%) respectively. Two patients (5.4%) died during induction and two patients (5.4%) with grade 4 treatment emergent adverse effects during chemotherapy did not complete induction chemotherapy. The majority of toxicities were mild and manageable. Severe myelosuppresion was universal with significantly prolonged thrombocytopenic period. In total, 25 patients who received consolidation treatment, 19 patients remain alive at the time of analysis. Thirteen patients had undergone hematopoietic stem cell transplantation, three are preparing for transplantation and seven are receiving their consolidation chemotherapy course.</P><P>Conclusion: </P><P>Although only a relatively small number of cases were included in this preliminary study and the follow-up duration was short, frontline GO in combination with attenuated conventional chemotherapy was found to be effective and feasible in elderly patients with AML.</P>

Artificial intelligence in veterinary diagnostic imaging

Ki Dong Eom(엄기동) 한국실험동물학회 2021 한국실험동물학회 학술발표대회 논문집 Vol.2021 No.1