Comparison of Melanoma Subtypes among Korean Patients by Morphologic Features and Ultraviolet Exposure

( Hong Sun Jang ),( Jee Hung Kim ),( Kyu Hyun Park ),( Jae Seok Lee ),( Jung Min Bae ),( Byung Ho Oh ),( Sun Young Rha ),( Mi Ryung Roh ),( Kee Yang Chung ) 대한피부과학회 2014 Annals of Dermatology Vol.26 No.4

Background: Genetic alterations have been identified in melanomas according to different levels of sun exposure. Whereas the conventional morphology-based classification provides a clue for tumor growth and prognosis, the new classification by genetic alterations offers a basis for targeted therapy. Objective: The purpose of this study is to demonstrate the biological behavior of melanoma subtypes and compare the two classifications in the Korean population. Methods: A retrospective chart review was performed on patients found to have malignant melanoma in Severance Hospital from 2005 to 2012. Age, sex, location of the tumor, histologic subtype, tumor depth, ulceration, lymph node invasion, visceral organ metastasis, and overall survival were evaluated. Results: Of the 206 cases, the most common type was acral melanoma (n=94, 45.6%), followed by nonchronic sun damage-induced melanoma (n=43, 20.9%), and mucosal melanoma (n=40, 19.4%). Twenty-one patients (10.2%) had the chronic sun-damaged type, whereas eight patients (3.9%) had tumors of unknown primary origin. Lentigo maligna melanoma was newly classified as the chronic sun-damaged type, and acral lentiginous melanoma as the acral type. More than half of the superficial spreading melanomas were newly grouped as nonchronic sun-damaged melanomas, whereas nodular melanoma was rather evenly distributed. Conclusion: The distribution of melanomas was largely similar in both the morphology-based and sun exposure-based classifications, and in both classifications, mucosal melanoma had the worst 5-year survival owing to its tumor thickness and advanced stage at the time of diagnosis. (Ann Dermatol 26(4) 485~490, 2014)

Fimasartan attenuates renal ischemia-reperfusion injury by modulating inflammation-related apoptosis

Jang-Hee Cho,Soon-Youn Choi,Hye-Myung Ryu,Eun-Joo Oh,Ju-Min Yook,Ji-Sun Ahn,Hee-Yeon Jung,Ji-Young Choi,Sun -Hee Park,Chan-Duck Kim,Yong-Lim Kim 대한생리학회-대한약리학회 2018 The Korean Journal of Physiology & Pharmacology Vol.22 No.6

Fimasartan, a new angiotensin II receptor antagonist, reduces myocyte damage and stabilizes atherosclerotic plaque through its anti-inflammatory effect in animal studies. We investigated the protective effects of pretreatment with fimasartan on ischemia-reperfusion injury (IRI) in a mouse model of ischemic renal damage. C57BL/6 mice were pretreated with or without 5 (IR-F5) or 10 (IR-F10) mg/kg/day fimasartan for 3 days. Renal ischemia was induced by clamping bilateral renal vascular pedicles for 30 min. Histology, pro-inflammatory cytokines, and apoptosis assays were evaluated 24 h after IRI. Compared to the untreated group, blood urea nitrogen and serum creatinine levels were significantly lower in the IR-F10 group. IR-F10 kidneys showed less tubular necrosis and interstitial fibrosis than untreated kidneys. The expression of F4/80, a macrophage infiltration marker, and tumor necrosis factor (TNF)-α, decreased in the IR-F10 group. High-dose fimasartan treatment attenuated the upregulation of TNF-α, interleukin (IL)-1β, and IL-6 in ischemic kidneys. Fewer TUNEL positive cells were observed in IR-F10 compared to control mice. Fimasartan caused a significant decrease in caspase-3 activity and the level of Bax, and increased the Bcl-2 level. Fimasartan preserved renal function and tubular architecture from IRI in a mouse ischemic renal injury model. Fimasartan also attenuated upregulation of inflammatory cytokines and decreased apoptosis of renal tubular cells. Our results suggest that fimasartan inhibited the process of tubular injury by preventing apoptosis induced by the inflammatory pathway.

Fimasartan attenuates renal ischemia-reperfusion injury by modulating inflammation-related apoptosis

Cho, Jang-Hee,Choi, Soon-Youn,Ryu, Hye-Myung,Oh, Eun-Joo,Yook, Ju-Min,Ahn, Ji-Sun,Jung, Hee-Yeon,Choi, Ji-Young,Park, Sun-Hee,Kim, Chan-Duck,Kim, Yong-Lim The Korean Society of Pharmacology 2018 The Korean Journal of Physiology & Pharmacology Vol.22 No.6

Fimasartan, a new angiotensin II receptor antagonist, reduces myocyte damage and stabilizes atherosclerotic plaque through its anti-inflammatory effect in animal studies. We investigated the protective effects of pretreatment with fimasartan on ischemia-reperfusion injury (IRI) in a mouse model of ischemic renal damage. C57BL/6 mice were pretreated with or without 5 (IR-F5) or 10 (IR-F10) mg/kg/day fimasartan for 3 days. Renal ischemia was induced by clamping bilateral renal vascular pedicles for 30 min. Histology, pro-inflammatory cytokines, and apoptosis assays were evaluated 24 h after IRI. Compared to the untreated group, blood urea nitrogen and serum creatinine levels were significantly lower in the IR-F10 group. IR-F10 kidneys showed less tubular necrosis and interstitial fibrosis than untreated kidneys. The expression of F4/80, a macrophage infiltration marker, and tumor necrosis factor $(TNF)-{\alpha}$, decreased in the IR-F10 group. High-dose fimasartan treatment attenuated the upregulation of $TNF-{\alpha}$, interleukin $(IL)-1{\beta}$, and IL-6 in ischemic kidneys. Fewer TUNEL positive cells were observed in IR-F10 compared to control mice. Fimasartan caused a significant decrease in caspase-3 activity and the level of Bax, and increased the Bcl-2 level. Fimasartan preserved renal function and tubular architecture from IRI in a mouse ischemic renal injury model. Fimasartan also attenuated upregulation of inflammatory cytokines and decreased apoptosis of renal tubular cells. Our results suggest that fimasartan inhibited the process of tubular injury by preventing apoptosis induced by the inflammatory pathway.

인체혈장 중 에탐부톨의 HPLC 분석법의 검증 및 단일용량 투여에 의한 약물동태 연구

곽혜선,박경호,최준식,송진아,성민경,장정옥,이화정 한국약제학회 2005 Journal of Pharmaceutical Investigation Vol.35 No.2

An HPLC method was employed for the determination of ethambutol in human plasma. After addition of internal standard (IS, octylamine, 2 μg/mL) and alkalinization of the plasma with 5 M sodium hydroxide, the drug and IS were extracted into the mixture of chloroform and diethyl ether (40:60, v/v). Following a 15-min vortex-mixing and a 10-min centrifugation, the organic phase was spiked with 100 pL of phenylethylisocyanate (2000 μg/mL) for chemical derivatization, mixed for 5 min and evaporated to dryness under a stream of nitrogen. The residue was reconstituted with 100 μL of mobile phase and 20 pL was injected into Cl8 column with a mobile phase consisting of methanol:water (70:30, v/v). The samples were detected utilizing an ultraviolet detector at 200 nm. The method was specific and validated with a limit of 0.15 μg/mL. Infra- and inter-day precision and accuracy were acceptable for all quality control samples including the lower limit of quantification. The applicability of this method was demonstrated by analysis of human plasma after oral administration of a single 1200-mg dose to 20 healthy subjects. From the plasma ethambutol concentration vs. time curves, the mean AUC was 9.61 ± 1.64 μg hr/mL. and Cmax of 2.68 μg/mL reached 2.73 hr after administration. The mean biological half-life of ethambutol was 3.46 ± 1.21 hr. Based on the results, this simple and validated assay could readily be used in any pharmacokinetic studies using humans.

이동형 스크러버를 이용한 암모니아 및 톨루엔의 제거 효율

김재영 ( Jae-young Kim ),김장윤 ( Jang-yoon Kim ),이연희 ( Yeon Hee Lee ),김민선 ( Min Sun Kim ),김민수 ( Min-su Kim ),김현지 ( Hyun Ji Kim ),류태인 ( Tae In Ryu ),정재형 ( Jae Hyeong Jeong ),황승율 ( Seung-ryul Hwang ),김균 ( Ky 한국환경농학회 2018 한국환경농학회지 Vol.37 No.1

본 연구는 국내에서 다량 취급되고 있는 암모니아 및 톨루엔을 흄 상태로 노출시킨 후 흡수/흡착방법을 달리한 이동형 스크러버를 이용해 각 유해화학물질의 제거효율을 비교 분석하였다. 이동형 스크러버는 기 개발된 장치를 개선하여 와류세정에 의한 흡수, 유입풍속 조절의 장점을 살리고, 활성탄 및 카본필터를 통한 기체상 유해화학물질의 흡착방법 도입을 통해 단점을 보완하였다. 개선된 장치는 기초성능평가를 통해 적정 제어풍속이 검증되었고, 5% 암모니아수 용액을 흄 상태로 노출시켜 후드 흡입부, 송풍기 배출부 및 세정기가 정상 작동함을 확인하였다. 흡수/흡착방법에 따른 암모니아 제거효율은 90분 경과 후 C≥PCA>SWA 순으로 가장 우수한 SWA 군의 노출 농도별 제거 효율은 시간이 경과할수록 노출 농도와 무관하게 배출 농도는 증가되었고, 세정액의 pH는 산성에서 염기성으로 변화되었다. 또한, 시간 경과에 따른 노출 농도 별 세정액의 pH 변화와 배출구 농도 변화 사이에 0.9429~0.9491 수준의 정의 상관관계를 나타내었다. 흡착방법에 따른 톨루엔의 제거 효율은 초기 10분 경과 후 배출구농도에서 C>CMA≥GCA 순을 나타내다 90분 경과까지 일정한 농도로 유지되었다. 가장 우수한 GCA 군의 노출 농도 별 제거 효율은 초기 10분 경과 시 노출 농도에 비례하여 배출 농도가 높은 경향이었다. 이와 같은 결과를 통해 개선된 이동형 스크러버는 중화반응에 의해 산성 또는 염기성 유해화학물질의 제거뿐 아니라, 활성탄 등의 흡착기능 개선을 통해 VOCs 제거에도 효과적이었다. 하지만, 실제 현장에서 활용이 가능하도록 세정액 pH를 지속적으로 유지하여 연속적으로 흡수 제거할 수 있는 방법과 노출되는 화학물질 농도와 흡착제의 관계에서 파괴점, 포화점, 흡착속도 등의 물리적인 요소가 추가적인 연구를 통해 도출되어야 할 것이다. BACKGROUND: The mobile vortex wet scrubber was developed to remove the harmful chemicals from accidental releases. However, there was a disadvantage that it was limitedly used for volatile organic compounds (VOCs) such as toluene according to the physicochemical properties. This study compared the removal efficiencies of an improved mobile scrubber on toluene and ammonia by applying diverse adsorption and absorption methods. METHODS AND RESULTS: The removal efficiencies on harmful chemicals were examined using various adsorption and absorption methods of water vortex process (C), phosphoric acid-impregnated activated carbon adsorption (PCA), pH-controlled water (pH 2.5) vortex process absorption with sulfuric acid (SWA) after ammonia exposure, granular activated carbon adsorption (GCA), and activated carbon mat adsorption (CMA) after toluene exposure. As a result, the best removal efficiency was shown in the SWA for ammonia and GCA for toluene. Also, the SWA and GCA methods were compared with different concentration levels. In the case of ammonia exposure (5, 10 and 25%), there was no difference by concentration levels, and the concentration in the outlet gradually increased, with pH change from acid to base. In the case of toluene exposure (50, 75 and 100%), the outlet concentration was higher relative to the exposure concentration in the initial 10 min, but the outlet concentration was remained steady after 10 min. CONCLUSION: The newly improved mobile scrubber was also effective in removing VOCs through adsorption techniques (activated carbon, activated carbon fiber, carbon mat filter etc.), as well as removing acid-base harmful chemicals by neutralization reaction.

갑상선 기능항진증 환자에서 인슐린감수성 및 인슐린분비능의 변화

최은진,강호철,이태희,정민영,이대호,장연진,박상선,조재현 대한내분비학회 1994 Endocrinology and metabolism Vol.9 No.2

The impairement of glucose metabolism is frequently associated in hyperthyroidism. The present study was performed to determine the effect of the thyroid hormone excess on insulin sensitivity and on insulin secretory function in vivo. Ten newly diagnosed hyperthyroid patients and fifteen healthy control subjects were subjected to frequently sampled intravenous glucose tolerance tests(FSIGT) after an overnight fast. Insulin sensitivity, represented by the insulin sensitivity index(S_1), was assessed by minimal model analysis of FSIGT data. Insulin secretion was measured by the total area under the insulin curve after glucose load. The results were as follows. 1) The K_G values, which represent glucose tolerance, were not different between the hyperthyroid patients and the normals(2.2+-0.3 vs. 2.5+-0.3%/min, p$gt;0.05). 2) S_1 was significantly decreased in the hyperthyroid patients in comparison to the normals(7.5+-1.4 vs. 2.6+-0.3X10^-4 min^-1/uU/ml, p$lt;0.05). 3) The basal insulin concentration was higher in the hyperthyroid patients than in the normals(8.3+-2.4 vs. 4.6+-0.4 uU/ml, p=0.07). In addition, the insulin secretory response to a glucose load was increased in the hyperthyroid patients as evidenced by the peak plasma insulin level(168.2+-30.4 vs. 89.2+-13.9 uU/ml, p$lt;0.05) and by the total area under the insulin curve(2641.1+-443.2 vs. 1696.7+-204.3 min uU/ml, p$lt;0.05). These results clearly demonstrated that insulin sensitivity was impaired in these newly diagnosed hyperthyroid patients. However, glucose tolerance was maintained by the increased insulin secretion (J Kor Soc Endocrinol 9:108-114, 1994).

中學 科學敎育의 探究學習에 대한 評價問項 開發 (Ⅱ)

閔庚德,楊洪準,李善行,鄭遠佑,이병교,金裕漢,羅長薰 경북대학교 과학교육연구소 1985 科學敎育硏究誌 Vol.9 No.-

This study was accomplished to develope the evaluation items for inquiry learning in the 2nd grade Middle School Science for the consecutive study of the evaluation items for inquiry learning in the 1st grade Middle School Science(U-Hang Ki et al, 1984). In this study, paper and pencil test items and performance test items are made by analyzing the abilities of inquiry according to the contents and four basic experiments from each unit in the 2nd grade Middle school science. These evaluation items were applied to tke five classes of the 2nd grade of middle school to test their validity. It is desirable that performance test schuld be used for the evaluation for the abilities of inquiry which can not be evaluated by paper and pencil test. In the evaluation methods of performance test, tester evaluation, peer evaluation and self-evaluation can be applied to the science class in a multi-student class. In higher grade, however tester evaluation is more desirable than peer and self evaluation. It is found that peer evaluation and self-evaluation make possible the perfect study by feedback.

다발성 연조직 종괴를 동반한 급성 림프구성 백혈병의 증례 보고

장정용,허경회,이원진,허민석,이삼선,최순철 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.2

A 15-year-old patient, who had been diagnosed and treated as Burkitt cell type acute lymphoblastic leukemia (ALLL3) already, visited our department. He complained of gingival enlargement and loosening teeth 1 month ago. The clinical examination revealed anterior open bite, gingival enlargement, and nontender swelling particularly in molar regions of both jaws. Deep periodontal pockets and severe mobility was shown on most of the teeth. The panoramic radiographs showed severe bone destruction and extrusion of the molars. The contrast enhanced CT showed multiple enhanced mass and bone marrow obliteration in both jaws. Chemotherapy was done and the swelling was subsided at 1 month later. In conclusion, radiologic findings of leukemia with soft tissue mass, known as chloroma or granulocytic sarcoma, mimic those of lymphoma, so blood test may be needed for the final diagnosis.

미국의 고용상 성차별금지법제의 현황 및 시사점

장민선 이화여자대학교 젠더법학연구소 2011 이화젠더법학 Vol.3 No.2

미국은‘평등’이라는 가치를 매우 중요하게 여기면서 사회의 모든 영역에서 차별을 금지하고, 차별을 구제하기 위한 입법적, 정책적 노력을 전개해 왔다. 특히 고용영역에서의 차별이 가장 현실적으로 문제가 되고 시급하게 해결되어야 할 부분이므로, 미국의 차별금지법제는 고용영역을 중심으로 하여 형성되었다. 채용에서부터 임금, 승진, 교육, 업무 배치, 퇴직에 이르기까지 고용의 전 과정에서 성별을 이유로 한 차별이 존재해 왔으며, 차별의 피해자들은 차별금지법에 근거하여 차별시정기구에 구제를 요청하거나 법원에 소를 제기할 수 있다. 민권법에 의해 설치된 미국 EEOC는 준사법적 기능 혹은 시정명령권을 가지고 있지 않으므로 성차별의 구제는 결국 법원에 의한 사법적 구제방식에 의존하지 않을 수 없다. 법원에 성차별 금지소송을 제기하는 방식 중의 하나인 단체소송은 피해자 중 일부만 승소하면 피해자군에 속하는 이들이 따로 소송을 제기하지 않아도 배상을 받는 제도로서, 오랫동안 고착된 불평등한 고용관행, 기업 문화를 바로잡기에 상당히 파급효과가 큰 방법이라고 할 수 있다. 연방대법원은 2011년 월마트 소송에서 고용상 성차별 단체소송을 각하한 바 있다. 이는 연방대법원의 보수적인 입장이 반영된 것이라는 점에서 한편으로는 성차별 단체소송의 미래가 어둡다고 할 수 있지만, 다른 한편으로는 단체소송의 법리가 명확히 제시되었기 때문에 단체소송의 수가 증가할 것이라는 점을 예측할 수 있다. 결론적으로 고용상 성차별 금지법제의 발전에 부응하는 사법부의 태도 변화가 요구된다고 할것이다 Common reasons of anti-discrimination in America are race, color, national origin, religion, sex, sexual orientation and etc. especially as reasons of employment, race, gender, age, disability, sexual orientation and genetic information are mentioned. The legislation of anti-discrimination in America has been formed by focusing on employment discrimination. Equal Employment Opportunity Commission(EEOC) has been established to oversee and correct the employment discriminations. The procedures of correcting discriminations by EEOC are Filing a charge ⇒ Mediation ⇒ Investigation ⇒ Conciliation ⇒ Filing a Suit. As EEOC does not have the authority of corrective action, its relief is made by the courts. But the cases like that are extremely rare and take much time and costs. For this reason, the victims has widely used lawsuits for correcting and compensating their damages. Class Action has been continuously tried by them as one way of filing a suit regarding anti-discrimination based on the sex. In 2011, the Supreme Court ordered dismissal of the litigation by the former female employees of Wal-Mart Stores. This holdings has been estimated to reflect the conservative status of the Court. For the gender equality in the employment, the changing the stance of the Court shall be required into the one meeting the anti-discrimination law in the employment.

Flavobacterium meningosepticum에 의한 균혈증 1예

장성원,유진홍,진승원,김선우,김연식,박순민,이대훈,최민호,최주연,신완식,강문원,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.1

1996년 6월 카톨릭대학교 부천성가병원에 뇌경색으로 입원했던 61세 남자 환자의 혈액에서 Flavobacterium meningosepticum을 분리하였다. 환자는 폐렴을 동반한 패혈증의 예로 ceftriaxone과 metronidazole을 투여하였으나 입원 48시간만에 사망하였다. Flabovacterium meningosepticum is a rae cause of nosocomial infection which shows multi-drug resistance. It mainly invades patients with impaired immunity. Recently, we experienced a case of F. meningosepticum bacteremia in a patient with chronic debilitated state owing to stroke. The clinical progress was so rapid that he died within 48 hours. Blood culture revealed F. meningosepticum which showed characteristic yellow colony in blood agar plate.