B 형 간염 백신의 효과 - 산모의 HBeAg 양성 유무에 따라 -

김세종(Sei Jong Kim),윤종만(Chong Mann Yoon),최관수(Gwan Su Choi),김지운(Ji Woon Kim),정남기(nam Ki Joung),장영호(Yung Ho Chang),오은아(Eun A O),양인애(In Ae Yang),유영근(Young Geun Ryoo),이봉섭(Bong Seob Lee) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.1

N/A The preventive efficacy for HBV infection and chronic HBV carrier rate by active and passive immunoprophylaxis was observed in 49 newborn infants whose mothers were healthy HBV carriers with normal ALT activity at delivery. All infants were divided into 3 groups; Group A received HBIG at birth and HB Vaccine (Hepavax- B) at month 0, 1 and 6. Group B received first or second vaccine only. Group C received no vaccine. ALT activity, HBsAg and anti-HBs were tested every 3 months for 18 rnonths after delivery, and the results were analyzed in 3 groups according to the mothers HBeAg positivity. 1) The anti-HBs response was57.1% (16/28) in Group A and 76.9% (10/13) in the control group whose mothers vere normal. The anti-HBs response was 64.3% (9.14) and 57.1% (8/14) according to the mothers HBeAg positivity and negativity. The anti-HBs response was 56.3% (9/16) in male and 66.7% (8/12) in female infants. The anti-HBs response svas higher in female infants and infants a hose mothers were normal or HBeAg positive carriers. 2) Chronic HBV carrier rate in infants of HBeAg positive mothers was 14.3% (2/l4) in Ciroup A, 72.7% (8/11 ) in Group 8, 100% (6/6) in Group c and was statistically significant (p=0.037) (c=0.816). There was no significant difference hetween group A, B, and C in infants of HBeAg negative mothers. 3) The positive rate of HBsAg showed significant difference between Groups A and B, A and C, A and (B+C), (A+B) and C in all 3 monthly follow-up tests in infants of HBeAg positive mothers. But there was no significant difference between (groups A, B, and C in infants of HBeAg negative mothers. The results suggest that the anti-HBs response was lower in infants of HBsAg carrier mothers. The preventive efficacy of vaccine for HBV infection and chronic HBV carrier rate was excellent in infants of HBeAg positive mothers but not significant in infants of HBeAg negative mothers by the active and passive immunoprophylaxis.

신경망을 이용한 협력적 추천 시스템의 성능 향상

김종수,도영아,류정우,김명원 한국뇌학회 2001 한국뇌학회지 Vol.1 No.2

개인화 기술은 과다한 정보를 줄이기 위한 여과 기술로서 최근 인터넷 사용자들과 정보 제공자들로부터 관심의 대상이 되고 있다. 그 중 가장 많이 사용되고 있는 개인화 기술은 협력적 추천으로서, 이 방법은 사용자에게 어떤 항목(상품)을 추천해주는 데 있어서 그 사용자의 다른 항목들에 대한 선호도나 추천 항목에 대한 다른 사용자들의 선호도를 이용하여 추천해준다. 협력적 추천 방법 중 보편적으로 많이 사용되는 최근접 이웃 방법은 유사한 사용자들의 행위에 기반하여 항목들을 추천해 준다. 그러나 이 방법은 사용자들간의 단순한 유사도를 계산함으로써 성능이 떨어지는 문제점이 있다. 데이터마이닝 기법을 적용하여 사용자 선호도 데이터로부터 추천 규칙을 생성하여 추천을 해주는 연관규칙 방법 또한 사용자나 항목간의 내용적, 분류적인 공통성 또는 개념에 의한 연관성을 고려하지 못하고, 단지 단순하고 표면적인 연관성만을 고려하는 문제점을 가지고 있다. 본 논문에서는 추천의 정확도를 향상시키기 위한 신경망 추천 모델을 제안한다. 신경망으로는 다층 퍼셉트론을 사용하여 우선 학습변수들과 입력차원의 변화에 따른 신경망에 기반한 협력적 추천의 성능에 대해 조사하고, 순수한 협력적 추천에서의 문제점인 희소성(sparsity)문제를 해결하기 위해 내용기반 추천과 협력적 추천을 병합한 모델을 신경망에서 보인다. 마지막으로 다른 협력적 추천 방법과의 비교를 통하여 본 신경망 추천 방법의 장점과 성능의 우수함을 보인다. Personalization is a filtering technique to reduce information overload and it recently draws attention upon internet users and information providers. The collaborative recommendation is one of the widely used personalization methods. It recommends a user an article based on other users preferences for the target article or the preferences for other articles of the target user. The nearest neighbor method is one of the common collaborative recommendation methods, which recommends articles based on the behavior of the similar users. However, it suffers from poor performance mainly because it fails in properly computing similarity between users. The rule method extracts recommendation rules from the users preference data using data mining technique. It also suffers from simple and superficial association between users or articles without utilizing conceptual level of association such as commonality in contents and category. In this paper we propose neural networks model to improve the accuracy of recommendations. We investigate various aspects of collaborative recommendation based on multi-layer perceptrons by varying parameters and the dimension of input data. We also combine the collaborative recommendation and the content-based recommendation within a neural network model to solve sparsity problem in pure collaborative recommendation. We finally demonstrate through experiments that the neural network based collaborative recommendation outperforms the existing methods.

부산지역 설사환자에서 분리한 MRSA 균주의 다양성 분석

최성화(Seong Hwa Choi),박은희(Eun Hee Park),박연경(Yon Koung Park),김정아(Joung A Kim),김남호(Nam Ho Kim),이영숙(Young Suk Lee),빈재훈(Jae Hun Bin),박호국(Ho Kuk Park) 한국생명과학회 2008 생명과학회지 Vol.18 No.8

부산 지역 5개 2차 종합병원 설사환자 변에서 유래한 메치실린 내성 황색포도상구균(MRSA)에 대한 연구 결과, 분리된 황색포도상구균 142주 중 총 49주(34.5%)가 MRSA인 것으로 확인되었으며, 황색포도상구균 중 MRSA 분리율이 '04, '05, '06년에 걸쳐 각각 30.0%, 32.7%, 46.7%인 것으로 나타나, 지속적으로 증가하고 있음을 알 수 있었다. MRSA 균주의 항균제 내성 양상은 75.5%가 10종 이상의 항균제에 내성을 나타내었으며, 특히 11종 항균제에 대한 다제 내성균이 가장 많은 것으로 확인되었다. MRSA주의 장독소 유전자 시험을 실시한 결과 51%가 장독소 유전자를 가지고 있지 않았고, 30.6%가 독소유전자 A를 가지고 있었으며 그 밖에 C (8.3%), B (4.1%) 순이었다. MRSA 총 49주에 대해 PFGE를 수행하여 dendrogram을 작성한 결과, 크게 7개의 그룹으로 구분되었으며, 부산지역전체에 뚜렷하게 동일한 균주의 유행은 확인 할 수 없었으나, 종합병원 내에 소규모의 MRSA 유행은 있을 것으로 사료 되었다. We investigated the molecular epidemiological characteristic of methicillin resistant Staphylococcus aureus (MRSA) strains isolated from stool samples in Busan from 2004 to 2006. Among 142 isolates of S. aureus, 49 isolates (34.5%) were confirmed as MRSA. With the antimicrobial susceptibility tests, 37 isolates (75.5%) showed multiple resistance to more than 10 antibiotics, but all isolates were sensitive to vancomycin. All of MRSA had enterotoxin A in 30.6%, B 4.1%, C 8.3%, D, C/G, A 2.0% and None 51%. PFGE of SmaⅠ-digested chromosomal DNA was performed on 49 sporadic MRSA isolates. Restriction fragment patterns consisted of 8 to 14 fragments ranged in size from 48.5 to 630.5 kbp. We could divided the isolates into 7 groups (Ⅰ~Ⅶ) by analyzing PFGE patterns. Group I subdivided as 2 subgroups and 17 (34.7%) strains belong to the group Ⅰ. Dendrogram of PFGE patterns showed that MRSA strains in Busan were heterogeneous but we could find out minor homogeneity in hospital.

Gustatory Sweating의 2例

鄭輪朝,金貞台,兪安彦,李吉鎭 대한이비인후과학회 1967 대한이비인후과학회지 두경부외과학 Vol.10 No.3

외음부에 발생한 동정맥 혈관종 1 예

이상호(Sang Ho Lee),김사진(Sa Jin Kim),김진아(Jin A Kim),권인(In Kweon),허수영(Su Young Heo),신종철(Joung Chul Shin),김민정(Min Joung Kim),김은중(En Jung Kim),이귀세라(Gui Se Ra Lee) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.1

Vulvar ateriovenous hemangioma is a rare pathologic lesion, encountered in Bartholin's glands of vulva. Little has previously described in the litherature. A painless vulvar mass occurred accidently in a healthy women after cesarean delivery. There was no obvious lesion on the skin. Excisional biopsy revealed a vascular lesion in the subcutaneous layer, consistent with arterio-venous hemangioma. The mass was sucessfully treated by excision, and the patients was asymptomatic for five months later. So, we report this case with a brief review of literatures.

GATE 시뮬레이션을 통한 고해상도 저선량용 소동물 영상화를 위한 CdTe 검출기 기반의 SPECT 기기 연구

박수진,유아람,김예슬,이영진,김희중,Park, Su-Jin,Yu, A Ram,Kim, Yeseul,Lee, Young-Jin,Kim, Hee-Joung 한국의학물리학회 2013 의학물리 Vol.24 No.3

인간의 질병연구를 위한 소동물용 픽셀화 반도체 검출기 기반의 단일광자단층촬영(SPECT, single photon emission computed tomography)시스템 개발이 이루어지고 있다. 본 연구에서는 CdTe검출기 기반의 SPECT시스템의 고해상도 및 저선량 소동물 영상화 가능성을 알아보고자 NaI(Tl) 섬광결정 검출기로 구축된 SPECT 시스템과 비교 평가하였다. CdTe 검출기는 $44.8{\times}44.8$ mm의 크기이며 $0.35{\times}0.35{\times}5$ mm크기의 픽셀로 구성되어 있다. 검출기의 내인성 분해능은 0.35 mm 이며 이는 픽셀 크기와 동일하다. GATE 시뮬레이션 방법을 통하여 두 시스템간의 성능 평가를 수행하고 비교 분석하였다. 시스템의 공간 분해능과 민감도는 10 MBq의 $^{99m}Tc$ 점 선원을 사용하여 평가하였다. 복셀화된 MOBY (mouse whole-body) 팬텀을 사용하여 정량적 평가 및 흡수선량을 계산하였다. 점선원과 조준기 사이의 거리가 30 mm 일 때, NaI(Tl) 섬광결정 검출기 기반의 SPECT의 분해능은 1.54 mm, 민감도는 83 cps/MBq였으며, CdTe검출기 기반의 SPECT시스템의 분해능은 1.32 mm, 민감도는 116 cps/MBq로 더욱 향상된 공간 분해능과 민감도를 나타내었다. 두 시스템의 정량적 통계 분석은 CNR 계산을 통해 이루어졌으며, 주입 선량을 다양하게 설정하여 두 시스템에서의 CNR을 획득하였다. Mouse brain내 striatum의 주입선량이 160 Bq/voxel일 경우, CdTe검출기 기반의 SPECT에서 획득한 CNR은 2.30이었으며 섬광결정 검출기 SPECT에서 획득한 CNR은 1.85로 CdTe검출기 기반의 SPECT에서 더욱 큰 CNR을 지니고 있었다. 또한, CdTe기반의 SPECT를 사용할 경우 NaI(Tl) 섬광결정 검출기 기반의 SPECT 시스템을 사용하는 것보다 동일한 정량적 수치획득을 위한 소동물의 피폭선량을 감소시켜줄 수 있었다. 본 연구에서는 반도체 검출기 CdTe기반의 SPECT은 NaI(Tl) 섬광결정 검출기 SPECT 시스템보다 공간 분해능과 민감도 측면에서 높은 성능을 보였음을 증명하였다. 실제 시스템과의 검증 등의 추가 연구가 필요하지만, 본 연구 결과는 향후 피폭 선량을 줄이는 동시에 영상의 질을 높일 수 있는 소동물용 SPECT 시스템 구축에 응용될 수 있을 것이다. Dedicated single-photon emission computed tomography (SPECT) systems based on pixelated semiconductors are being developed for studying small animal models of human disease. To clarify the possibility of using a SPECT system with CdTe for a high resolution low-dose small animal imaging, we compared the quality of reconstructed images from pixelated CdTe detector to those from a small SPECT system with NaI(Tl). The CdTe detector was $44.8{\times}44.8$ mm and the pixels were $0.35{\times}0.35{\times}5$ mm. The intrinsic resolution of the detector was 0.35 mm, which is equal to the pixel size. GATE simulations were performed to assess the image quality of both SPECT systems. The spatial resolutions and sensitivities for both systems were evaluated using a 10 MBq $^{99m}Tc$ point source. The quantitative comparison with different injected dose was performed using a voxelized MOBY phantom, and the absorbed doses for each organ were evaluated. The spatial resolution of the SPECT with NaI(Tl) was about 1.54 mm FWHM, while that of the SPECT with a CdTe detector was about 1.32 mm FWHM at 30 mm. The sensitivity of NaI(Tl) based SPECT was 83 cps/MBq, while that of the CdTe detector based SPECT was 116 cps/MBq at 30 mm. The image statistics were evaluated by calculating the CNR of the image from both systems. When the injected activity for the striatum in the mouse brain was 160 Bq/voxel, the CNR of CdTe based SPECT was 2.30 while that of NaI(Tl) based SPECT was 1.85. The CNR of SPECT with CdTe was overall higher than that of the NaI(Tl) based SPECT. In addition, the absorbed dose was higher from SPECT with CdTe than those from NaI(Tl) based SPECT to acquire the same quantitative values. Our simulation results indicated that the SPECT with CdTe detector showed overall high performance compared to the SPECT with NaI(Tl). Even though the validation study is needed, the SPECT system with CdTe detector appeared to be feasible for high resolution low-dose small animal imaging.

Comparison of Normalization Methods for <tex> ${^{124}}{\rm I}$</tex> PET on Siemens Inveon PET Scanner

Yu, A. R.,Jin Su Kim,Kyeong Min Kim,Hee Joung Kim IEEE 2013 IEEE transactions on nuclear science Vol.60 No.2

<P><SUP>68</SUP>Ge has conventionally been used for the normalization of <SUP>18</SUP>F PET. However, because <SUP>124</SUP>I PET has different characteristics such as a low positron branching ratio (23%), the presence of higher gamma energy (602 keV and 723 keV), and a larger positron range, the use of <SUP>68</SUP>Ge should be validated for <SUP>124</SUP>I PET. To the best of our knowledge, there has been no previous report on the effect of normalization between conventional <SUP>68</SUP>Ge and <SUP>124</SUP>I. In this study, we examined image quality to assess the effect of normalization. For this purpose, we measured the non-uniformities (NUs) and recovery coefficients (RCs) using a NEMA NU4 image quality phantom (NU4 phantom) and compared the values for the conventionally used <SUP>68</SUP>Ge and <SUP>124</SUP>I. A Siemens Inveon PET scanner was used throughout. Emission data were obtained using the NU4 phantom filled with <SUP>124</SUP>I solution (3.7 MBq) for 20 min within 250-750 keV. The normalization data were acquired for 40 h using a cylindrical phantom (diameter: 6 cm, length: 13.5 cm) filled with <SUP>124</SUP>I in a water solution (9.25 MBq). To match the energy window of an emission scan, the energy window setting for the normalization was 250-750 keV. The obtained list mode data were sorted into 3D sinograms. For comparison, normalization data were acquired using a cylindrical <SUP>68</SUP>Ge normalization phantom (diameter: 6 cm, length: 15 cm). The data with no normalization correction were also acquired. The list mode emission PET data were reconstructed using FBP with a ramp filter and normalization, and attenuation and scatter correction were applied. The image quality of the reconstructed images was assessed in terms of the radial, axial, and volume NUs and RCs as a standard using the NEMA NU4 protocol. There were no significant differences in the NUs and RCs between <SUP>68</SUP>Ge and <SUP>124</SUP>I. These results indicate that conventional <SUP>68</SUP>Ge can be used for <SUP>124</SUP>I PET.</P>

Red meat consumption is associated with an increased overall cancer risk: a prospective cohort study in Korea

Wie, Gyung-Ah,Cho, Yeong-Ah,Kang, Hyun-hee,Ryu, Kyoung-A,Yoo, Min-Kyoung,Kim, Young-A,Jung, Kyu-Won,Kim, Jeongseon,Lee, Joo-Hyuk,Joung, Hyojee Cambridge University Press 2014 The British journal of nutrition Vol.112 No.2

<P>Cancer is a leading cause of death, and the dietary pattern in Korea is changing rapidly from a traditional Korean diet to a Westernised diet. In the present study, we investigated the effects of dietary factors on cancer risk with a prospective cohort study. Among 26 815 individuals who participated in cancer screening examinations from September 2004 to December 2008, 8024 subjects who completed a self-administered questionnaire concerning demographic and lifestyle factors, and a 3 d food record were selected. As of September 2013, 387 cancer cases were identified from the National Cancer Registry System, and the remaining individuals were included in the control group. The hazard ratio (HR) of cancer for the subjects older than or equal to 50 years of age was higher (HR 1·80, 95 % CI 1·41, 2·31; <I>P</I>< 0·0001) than that for the other subjects. Red meat consumption, Na intake and obesity (BMI ≥ 25 kg/m<SUP>2</SUP>) were positively associated with overall cancer incidence in men (HR 1·41, 95 % CI 1·02, 1·94; <I>P</I>= 0·0382), gastric cancer (HR 2·34, 95 % CI 1·06, 5·19; <I>P</I>= 0·0365) and thyroid cancer (HR 1·56, 95 % CI 1·05, 2·31; <I>P</I>= 0·0270), respectively. Participants who had at least three dietary risk factors among the high intakes of red meat and Na, low intakes of vegetables and fruits, and obesity suggested by the World Cancer Research Fund/American Institute for Cancer Research at baseline tended to have a higher risk of cancer than the others (HR 1·26, 95 % CI 0·99, 1·60; <I>P</I>= 0·0653). In summary, high intakes of red meat and Na were significant risk factors of cancer among Koreans.</P>

Chemiluminescence competitive aptamer assay for the detection of aflatoxin B1 in corn samples

Shim, W.B.,Mun, H.,Joung, H.A.,Ofori, J.A.,Chung, D.H.,Kim, M.G. Butterworths ; Taylor Francis ; Elsevier Science 2014 FOOD CONTROL Vol.36 No.1

In this study, we developed a chemiluminescence competitive aptamer assay for aflatoxin B1 (AFB1) using a hemin/G-quadruplex horseradish peroxidase-mimicking DNAzyme (HRP-DNAzyme) linked with an aptamer specific to AFB1. Single, double, and triple HRP-DNAzymes coupled to the AFB1 aptamer were tested, and the AFB1 aptamer linked with double HRP-DNAzymes that produced sufficient chemiluminescence (CL) values when binding to AFB1-ovalbumin (OVA) used as a coating antigen, was selected. Under conditions optimized by testing key parameters, the aptamer assay exhibited a wide dynamic range from 0.1 to 10 ng/mL and showed a limit of detection of 0.11 ng/mL. Cross-reaction to aflatoxin G1, aflatoxin M1, and zearalenone was observed but no cross-reaction to other mycotoxins or the herbicide (atrazine) was observed. Aqueous methanol (20%) gave a good extraction efficiency and the matrix influence from corn extracts was successfully reduced through 4-fold dilution with water. Recovery from spiked corn samples averaged from 60.4 to 105.5%. Thus, the aptamer linked with HRP-DNAzymes can be useful as a reagent in the development of a biosensor for the rapid and simple detection of AFB1. Results from this study provide the basis for research into the development of various aptasensors for AFB1 analysis in foods.

감마카메라에서의 팬텀 내 선원 위치 변화에 따른 산란 영향 평가

유아람,이영섭,김진수,김경민,천기정,김희중,Yu, A-Ram,Lee, Young-Sub,Kim, Jin-Su,Kim, Kyeong-Min,Cheon, Gi-Jeong,Kim, Hee-Joung 한국의학물리학회 2009 의학물리 Vol.20 No.4

$^{99m}Tc$은 핵의학 영상 획득 물리적 특성이 우수하지만 유기화 작용이 일어나지 않아 갑상선 호르몬의 합성능력이 없는 결절을 진단하는데 제한을 받는다. 이와는 달리 $^{131}I$은 유기화 작용으로 인하여 갑상선의 기능을 평가하는데 활용됨은 물론 높은 에너지의 베타선과 감마선을 방출함으로써 암의 치료에도 널리 사용되고 있는 방사선 핵종이다. 그러나 $^{131}I$은 단일에너지의 감마선을 방출하는 $^{99m}Tc$ 등과는 달리, 다양한 에너지의 감마선을 방출함으로써 핵의학 영상의 정량화가 어려운 단점이 있으며, 특히 고에너지 영역의 감마선에 의한 격벽투과와 산란선은 핵의학 진단영상에 악영향을 미치게 되는 단점이 있다. 본 연구에서는 팬텀 내에서 선원의 위치 변화에 따른 산란의 영향을 알아보기 위해 GATE (Geant4 Application for Tomographic Emission) 시뮬레이션 도구로 dual-head 감마카메라(ECAM), PMMA 팬텀(RADICAL, USA), 점선원 0.1 mCi를 사용하여 모사하였다. 팬텀 내에서 $^{131}I$ 점선원을 X축, Y축으로 위치를 변화시키며 영상을 획득하였다. 또 산란 매질의 유무에 따른 영향을 확인하기 위해 같은 위치에서 점선원이 팬텀 안에 있을 때와 공기 중에 있을 때를 비교 하였다. 저에너지 선원과 비교를 위해 같은 방법으로 $^{99m}Tc$으로도 시뮬레이션 하였다. 또한 시뮬레이션과 똑같은 환경에서 측정 실험을 통해 시뮬레이션의 타당성을 검증 하였다. 이 연구에서는 한 팬텀 내에서도 위치 변화에 따라 산란의 영향이 달라진다는 것을 시뮬레이션을 통해 확인하였다. 이러한 분포 변화는 시뮬레이션과 측정 실험 모두에서 동일한 경향을 나타내었으므로 시뮬레이션이 타당함을 확인할 수 있었다. 시뮬레이션을 이용하면 X축, Y축 위치 변화만 아닌 다양한 경우에 대해서도 위치 변화에 따른 산란 영향의 예상이 가능할 것이며 나아가 산란 보정 연구의 기초 자료로 사용될 것이라 생각한다. $^{131}I$ is a radiological isotope being used widely for treatment of cancer as emitting gamma-ray and it is also applied to estimate the function of thyroid for its accumulation in thyroid. However, $^{131}I$ is more difficult to quantitate comapred to $^{99m}Tc$, because $^{131}I$ has multiple energy gamma-ray emissions compared to $^{99m}Tc$ which is a mono energetic gamma-ray source. Especially, scattered ray and septal penetration resulted by high energy gamma ray have a bad influence upon nuclear medicine image. The purpose of this study was to estimate scatter components depending on the different source locations within a phantom using Monte Carlo simulation (GATE). The simulation results were validated by comparing with the results of real experiments. Dual-head gamma camera (ECAM, Chicago, Illinois Siemens) with high energy, general-purpose, and parallel hole collimators (hole radius: 0.17 cm, septal thickness: 0.2 cm, length: 5.08 cm) was used in this experiment. The NaI crystal is $44.5{\times}59.1\;cm$ in height and width and 0.95 cm in thickness. The diameter and height of PMMA phantom were 16 cm and 15 cm, respectively. The images were acquired at 5 different locations of $^{131}I$ point source within the phantom and the images of $^{99m}Tc$ were also acquired for comparison purpose with low energy source. The simulation results indicated that the scattering was influenced by the location of source within a phantom. The scattering effects showed the same tendency in both simulation and actual experiment, and the results showed that the simulation was very adequate for further studies. The results supported that the simulation techniques may be used to generalize the scattering effects as a function of a point source location within a phantom.