흉요추 이행부 골절환자의 임상분석

김준수,김은상,이종서,박용규,백선하,박인성,정진명,한종우 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

To clarify the prognostic factors influencing clinical outcome. the authors retrospectively analyzed 50 cases of thoracolumbar vertebral junctuon fracture treated at our hospital between September 1989 and October 1992. The age of the patients ranged from 23 to 75years(median 49years) and the male-to-female ratio was 33:17. Falling was the major mode of injury(n=27). The kyphotic angle between fractured vertebrae and the ratio of neural canal encroachment was measured in a simple X-ray and a computed tomography(CT) of the thoracic spine. An ANOVA test was performed to evaulate the predicting factors to determine the final outcome. The kyphotic angle and loss of height of vertebral body were not significantly correalted with the neurological status of the patients. However. the ratio of the compromised area of the neural canal was closely correlated with the neurological outcome(p value<0.05). The worst prognosis was found in patients with fracture-dislocation. In conclusion. it is suggested that early surgical intervention must be considered in the neurologically compromised patients whose CT demonstrates neural canal encroachment by bony fragments.

On-Line 전용 쇼핑몰의 성공 요인에 관한 탐색적 연구

김은수,서용준 경운대학교 산업기술연구소 2000 産業技術硏究論文誌 Vol.3 No.1(A)

The object of this exploratory study is to review the success factors(SFs) on On=line Shopping Mall and suggest the comprehensive point of individual views between the factors. Recently, the need for growth of electronic commerce is added up to the global concerns on internet shopping mall. The findings and contributions of this study is summarized as the suggestion of overall viewpoint on the separated SFs from the prior analysis, and preparation for the following research with the integrated factors definition.

Neuropeptide γ의 구조 및 생리활성

구희정,서정길,김은희,허민도,정준기,박장수,강신원,박남규 부산대학교 유전공학연구소 1997 분자생물학 연구보 Vol.13 No.-

생리활성을 지닌 신경펩타이드의 구조와 활성간의 관계를 규명하기 위하여 고상법으로 합성한 세종류의 neuropeptide γ(mammalian-,trout- 그리고 goldfish-neuropeptide γ)를 사용하여 연구하였다. Circular dichroism spectra에 의하면 mammalian-,trout- 와 goldfish-neuropeptide γ는 완충액 조건하에 모두 random한 구조를 나타내었다. 중성 및 산성 지질 존재 하에서, mammalian-과 trout- neuropeptide γ는 여전히 random한 구조를 취하였다. 그러나, goldfish-neuropeptide γ는 중성 및 산성지질하에서 부분적으로 α-helix구조를 나타내었다. 장관 수축활성에 있어서는 carp 장관, guinea-pig 회장 그리고 rat십이지장에 대하여 비교하였다. Carp에 대해서는 goldfish-neuropeptide γ= trout- neuropeptide γ>mammalian-neuropeptide γ순으로 활서이 나타났다. 그러나, guinea-pig 회장과 rat십이지장에 대해서 mammalian-neuropeptide γ는 어류 유래성 neuropeptide g들 보다 높은 수축활성을 나타내었다. 이러한 결과들은 neuropeptide γ들이 종-특이적인 활성을 나타낸다는 것을 제시한다. The relationship between structure and biological activity was studied on the three neuropeptides(mammalian-,trout- and goldfish-neuropeptide γ)that were syntheized by the solid-phase method. Circular dichroism spectra showed that mammalian-,trout- and goldfish-neuropeptide γadopted an undered structure in buffer solution. In the presence od neutral and acidic liposomes, mammalian-and trout- neuropeptide γ also took a random structure. However, goldfish-neuropeptide γ took an α-helical structure in acidic liposomes. The intestinal motility response was investigated with carp interstines, guinea-pig ileums and rat duodenums. In case of carp intestine, contractine activity was as follows:goldfish-neuropeptide γ= trout- neuropeptide γ> mammalian-neuropeptide γ. On the other hand, the contracile activity of mammalian-neuropeptide γ was more potent than trout- and goldfish-neuropeptide γ in the guinea-pig ileums and rat duodenums. these results suggest that neuropeptide γs showed the species-specific activity.

용접비드 형상예측 시스템 개발에 관한 연구

김일수,손준식,박창언,서주환,장경천,이동길 朝鮮大學校 機械技術硏究所 2005 機械技術硏究 Vol.8 No.2

Generally, the use of robots in manufacturing industry has been increased during the past decade. GMA(Gas Metal Arc) welding is an actively growing area and many new procedures have been developed for use with high strength alloys. One of the basic requirement for welding applications is to study relationships between process parameters and bead geometry. The objective of this paper is to develop a new approach involving the use of neural network and multiple regression methods in the prediction of bead geometry for GMA welding process and to develop an intelligent system that enables the prediction of bead geometry using Rapid Prototyping(RP) in order to employ the robotic GMA welding processes. This system developed using MATLAB/SIMULINK, could be effectively implemented not only for estimating bead geometry, but also employed to monitor and control the bead geometry in real time

전경대원에서 발생한 결핵의 임상 양상

문창기,박상준,조민구,김영중,김소연,김윤권,정준오,안석진,김은실,서승오,김지훈,최원제,이윤영,박형기,최규영,김현근 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

Background: The purpose of this study was to document the incidence and clinical characteristics of patients with tuberculosis (TB) in combat and auxiliary police, living in a group, in Korea where the incidence rate of active TB in a general population is higher than in Western countries. Materials and Methods:We retrospectively reviewed the medical records of all tuberculosis patients diagnosed at National Police Hospital from January 2002 through December 2004. Results:In 2002-2004, a total of 156 cases of tuberculosis were identified with the mean (Standard deviation) age of 20.6 (±1.0) years. Of these, 134 (85.9%) patients were registered as new cases, 11 (7.1%) as relapse, 2 (1.3%) as failure, 5 (3.1%) as treatment-after-default cases whereas 4 (2.6 %) patients were not included in any categories. Average annual new TB rate and smear-positive TB rate were 86.5/10^(5) and 17.4/10^(5) person-years, respectively. In 12 of 31 smear-positive cases, time from onset of symptoms to diagnosis was more than 30 days. Two multidrug-resistance TB cases were identified and two suspected outbreak episodes of TB had occurred during 3 years. Conclusion:There was no statistically significant difference in the incidence rate of new cases of TB between the general population aged 20 to 29 years and combat and auxiliary police in Korea. 배경 : 국내 결핵의 발생은 감소 추세에 있으나 여전히 후진국형 발생양상을 보이고 있다. 특히 집단생활을 하는 젊은이들에서 발생하는 결핵의 유행이 간헐적으로 알려지고 있어 우려를 낳고 있다. 이에 저자들은 최근 전경대원의 결핵 발병 양상에 대해 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2002년 1월부터 2004년 12월까지 3년간 경찰병원에서 결핵 진료를 받은 전경대원의 의무기록을 후향적으로 분석하여 연도별 결핵 신환발생률, 도말양성결핵 신환율, 진단 지연, 집단발병, 다제내성결핵을 조사하였다. 결과 : 연도별 결핵 신환자 수(10만명당 발생추정치)는 2002년 50명(83.6명), 2003년 42명(83.7명), 2004년 42명(93.5명)이었고 도말양성 폐결핵 신환자 수는 2002년 10명(16.7명), 2003년 11명(21.9명), 2004년 6명(13.4명)이었다. 3년간 도말양성 폐결핵 환자는 31명이 있었고 그 중 12명은 호흡기 증상 발생 30일이 지나서 진단을 받았다. 다제내성 결핵은 2명이 있었으며 결핵의 집단발병이 의심되는 사례는 2차례 있었다. 결론 : 전경대원과 20-29세 연령군 일반인의 결핵 신환발생률, 도말양성 폐결핵 발생률의 통계적으로 유의한 차이는 없었다.

주요우울증이 근로자의 생산성에 미치는 영향 : WHO-HPQ(Health and Work Performance Questionnaire)를 이용한 예비연구

김원,황태연,함병주,이준석,최병휘,김세주,서용진,강은호,우종민 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Major depressive disorder (MDD) causes patients' distress and makes socioeconomic burden, both directly and indirectly. We used the concept of lost productive time (LPT) to estimate the indirect costs and calculated both absenteeism and presenteeism among workers with MDD. Mcthods : Depression group was recruited from workers visiting psychiatric outpatient clinic who had MDD without major physical or mental disorders (N= 106). Age and sex matched healthy control group was also recruited through advertisement (M=100). All participants completed a interview using WHO Health and Work Performance Questionnaire (HPQ), Job Stress Measurement Scale for Korean Employees, and Hamilton Rating Scale for Depression. Statistical analysis was performed with independent t-test or χ² test as characteristics of values (p=0.05). Results : The number of absence (0.94-day/month vs. 0.10-day/month, P=0.015) andthe numberofearly leaving (2.56-day/month vs. 0.24-day/month, P<0.001) were significantly higher in the depression group. Depression group evaluated their Perfor-mance level much lower than controls with significant value (5.16 vs. 7.62, P<0.001). In addition, depression group estimated their performance level during the last 4 weeks lower compared to the level of past 1-year (5.16 vs 6.63, P<0.001). The estimated costs of absenteeism in depression group were higher than controls by 2,520,000 Korean Won per year, and those of presenteeism were also higher by 4,880,000 Korean Won per year. The total costs of LPT in depression group were higher than controls by 7,400,000 Korean Won, which corresponds to 26% ofmean annual salary. In addition, the level of occupational stress, such as high demand and interpersonal conflict, was higher in the depression group. Conclusion : Major depressive disorder costs substantial productivity loss to workers and their company. Presenteeism imposes more time cost than absenteeism. Effectiveness trials are needed to devise cost-effective programs for the early detection and treatment of depression at the workplace.

The Expression Pattern Characterization of SENESCENCE 1 Gene from Poplar (Populus alba ⨯ P. glandulosa)

Joon-Hyeok Kim,Eun-Kyung Bae,Young-Im Choi,Seo-Kyung Yoon,Hyoshin Lee 한국육종학회 2014 한국육종학회 심포지엄 Vol.2014 No.07

Plant senescence is a final process of growth and a survival strategy to use limited nutrients efficiently during development and adaptation. Tree, however, runs senescence annually for winter dormancy. Therefore understanding senescence procedure and mechanism is striking issue for tree breeding and wood productivity. In this study, we isolated a SENESCENCE 1 (PagSEN1) gene from Populus alba ⨯ P. glandulosa and determined its expressional characteristics under various conditions. The PagSEN1 encodes a putative 243 amino acid protein containing a rhodanese domain. Southern blot analysis suggested that two copies of the PagSEN1 gene are present in the poplar genome. The PagSEN1 is expressed most strongly in mature leaves but most weakly in roots. The gene is significantly up-regulated by treatment with mannitol, NaCl, ABA and JA, but not by cold, SA and GA3. These results indicate that the PagSEN1 is involved in senescence response induced by natural aging and environmental stresses. This research will provide valuable information for senescence study. To clarify SEN1 gene in poplar, we will make PagSEN1 over-expressed poplar to understand senescence procedure in detail.

Primary signet ring cell carcinoma of the gallbladder: a case report

( Seo Joon Eun ),( Ah Lon Jung ),( Se Mi Kim ),( Moo Woong Kim ),( Ui Sin Lee ),( Su Sie Rah ),( Geum Soo Lee ),( Hyeung Chul Moon ),( Sang Wook Park ),( Gun Young Hong ) 대한내과학회 2015 대한내과학회 추계학술대회 Vol.2015 No.1

Carcinoma of the gallbladder is the most common biliary tract tumor. Signet ring cell carcinoma of the gallbladder is a rare form of mucinous adenocarcinoma and has a worse prognosis. Since very few cases have been reported, information regarding the behavior and prognosis of gallbladder signet ring cell carcinoma is limited. Only eight cases of signet ring cell carcinoma of the gallbladder have been reported so far. Four cases of these had lymph node metastasis and died within 3 months. The other cases had no information of outcome. We present a rare case of primary signet ring cell carcinoma of the gallbladder. A 58-year-old male presented to our hospital with complaints of epigastric pain. Abdominal computed tomography showed multiple gallbladder stones with diffuse wall thickening, cystic duct enhacement and CBD stone. Removing CBD stone through ERCP, laparoscopic cholecystectomy was performed. The histopathologic finding revealed that diffusely growing adenocarcinoma of signet ring cell type was noted in the surface epithelium with intracellular mucin (Fig. 1). The immunohistochemical stain for cytokeratin was positive for tumor cells (Fig. 2). The final pathologic result was signet ring cell carcinoma of the gallbladder. There was no metastasis in the retroperitoneum and mesenteric lymph node. The tumor was stage IIIA (according to TNM staging). As Esophagogastroduodenoscopic finding showed no evidence of malignancy. He is planning to perform extended radical cholecystectomy and post-operative chemotherapy.

A Case of Endobronchial Aspergillosis Causing Lobar Bronchial Obstruction In Immunocompetent Patient

( Seo Joon Eun ),( Moo Woong Kim ),( Ui Shin Lee ),( Soo Jung Ryu ),( Byeong Kab Yoon ),( Jong Pil Jeong ),( Yeong Choon Ko ) 대한내과학회 2012 대한내과학회 추계학술대회 Vol.2012 No.1

Interactions Between Innate Immunity Genes and Early-Life Risk Factors in Allergic Rhinitis

Seo, Ju-Hee,Kim, Hyung Young,Jung, Young-Ho,Lee, Eun,Yang, Song-I,Yu, Ho-Sung,Kim, Young-Joon,Kang, Mi-Jin,Kim, Ha-Jung,Park, Kang Seo,Kwon, Ji-Won,Kim, Byung-Ju,Kim, Hyo-Bin,Kim, Eun-Jin,Lee, Joo-Shi The Korean Academy of Asthma, Allergy and Clinical 2015 Allergy, Asthma & Immunology Research Vol.7 No.3

<P><B>Purpose</B></P><P>Allergic rhinitis (AR) is a common chronic disease. Many factors could affect the development of AR. We investigated early-life factors, such as delivery mode, feeding method, and use of antibiotics during infancy, which could affect the development of AR. In addition, how interactions between these factors and innate gene polymorphisms influence the development of AR was investigated.</P><P><B>Methods</B></P><P>A cross-sectional study of 1,828 children aged 9-12 years was conducted. Three early-life factors and AR were assessed by a questionnaire. Skin prick tests were done. Polymorphisms of <I>TLR4</I> (rs1927911) and <I>CD14</I> (rs2569190) were genotyped.</P><P><B>Results</B></P><P>Use of antibiotics during infancy increased the risk of AR (aOR [95% CI] 1.511 [1.222-2.037]) and atopic AR (aOR [95% CI], 1.565 [1.078-2.272]). There were synergistic interactions between caesarean delivery, formula feeding, and use of antibiotics in the rate of atopic AR (aOR [95% CI], 3.038 [1.256-7.347]). Additional analyses revealed that the risk for the development of AR or atopic AR subjects with the <I>TLR4</I> CC genotype were highest when all the 3 early-life factors were present (aOR [95% CI], 5.127 [1.265-20.780] for AR; 6.078 [1.499-24.649] for atopic AR). In addition, the risk for the development of AR or atopic AR in subjects with the <I>CD14</I> TT genotype were highest when all the 3 early-life factors were present (aOR [95% CI], 5.960 [1.421-15.002] for AR; 6.714 [1.440-31.312] for atopic AR).</P><P><B>Conclusions</B></P><P>Delivery mode, feeding method, and use of antibiotics during infancy appeared to have synergistic interactions in the development of AR. Gene-environment interactions between polymorphism of innate genes and early- life risk factors might affect the development of AR.</P>