한국 주요정신장애의 유병률 및 관련요인 : 2006 전국정신질환역학조사

조맹제,장성만,함봉진,정인원,배안,이영문,안준호,원승희,손정우,홍진표,배재남,이동우,조성진,박종익,이준영,김진영,전홍진,이해우 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.3

Objectives The aims of this study are to estimate the prevalence of the DSM-IV psychiatric disorders in the Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI), and to compare those with previous studies. Methods The Korean Epidemiologic Catchment Area study Replication (KECA-R) was Conducted between August 2006 and April 2007. The sampling of the subjects was carried out across 12 catchment areas. A multistage, cluster sampling design was adopted. The target Population included all eligible residents aged 181o 64 years. Face-to-face interviews were conducted with the Korean version of Composite International Diagnostic Interview (K-CIDI) based on the DSM-IV (N=6,510, response rate=81.7%). Results A total of 6,510 participants completed the interview. The lifetime and 12-month prevalence rates for all types of DSM-IV disorders were 30.0% and 17.3%, respectively. Those of Specific disorders were as follows : 1) alcohol use disorder, 16.2% and 5.6% ; 2) nicotine use disorder, 9.0% and 6.0% ; 3) specific phobia, 3.8% and 3.4% ; 4) major depressive disorder, 5.6% and 2.5% ; and 5) generalized anxiety disorder, 1.6% and 0.8%. Data relating to nicotine and alcohol use disorder revealed a very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among females than males. Conclusion The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in the distribution of psychiatric disorders across the country and times were observed.

백서의 심실세동성 심정지 모델에서 해마신경세포 손상에 대한 단백질 합성저해제의 효과

오동렬,채장성,박승현,김세경,최세민,박제영 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: The goal of successful resuscitation is not only to stop the process of ischemia as soon as possible but also to overcome the secondary injury process after resuscitation, which involves a complex interplay of mechanisms. Brain damage accompanying cardiac arrest and resuscitation is frequent and devastating. Cells die by one of two mechanisms: necrosis or delayed neuronal death. Delayed neuronal death may require protein synthesis. Neurons in the CA1 subfield of the hippocampus are selectively vulnerable to death after injury by ischemia and reperfusion. Death of these neurons occurs after an interval of 1 or 2 days. We assessed the effects of a protein synthesis inhibitor, cycloheximide(CHX), on hippocampal neuronal death of rats by using the ventricular fibrillation cardiac arrest(VFCA) model. Methods: The effect of CHX(3 mg/kg, s.c.) on hippocampal neuronal death was studied in two groups of 18 rats each, one group being subjected to a 2-min VFCA and the other to a 3-min VFCA. Each group was divided into three subgroups: control(groupⅠ,Ⅱ) without subcutaneous injection of CHX, "esp-12" of group Ⅰ/Ⅱ treated with CHX 12 hours after return of spontaneous circulation (ROSC), and "exe-24" of group Ⅰ/Ⅱ treated with CHX 24 hours after ROSC. The coronal sections of the hippocampus levels were stained with hematoxylin-eosin after 72 hours of survival. The histologic damage score(HDS) was used to assign a score to the total number of damaged neurons counted in each of the hippocampal CA1 subfields. Results: 1. There were not significant differences in heart rates, blood pressures, blood sugar, and blood gas in group I & Ⅱ during the pre-arrest steady state or at 5 min and 30 min after ROSC. 2. In group I & Ⅱ, the HDS, were significantly reduced in rats(I exp-12, 1.1 ±0.6;Ⅰexp-24, 1.3 ±0.5;Ⅱ exp-12, 1.4±0.7; and Ⅱ exp-24, 1.8±0.8) treated with CHX 12 hours or 24 hours after ROSC than control rats(1,2.5 ±0.9;Ⅱ,2.9±0.8)(p<0.05). Conclusion: These results suggest that delayed hippocampal neuronal death from ischemic insult after ventricular fibrillation cardiac arrest followed by resuscitation can be prevented by a protein synthesis inhibitor, CHX. Further experimental studies of the action mechanism of protein synthesis inhibitors to delayed neuronal death and clinical applications are required.

의도적 유치발치술에 의한 이소매복 영구치의 맹출유도

최인영,김승혜,김성오,최형준,이제호,최병재,손흥규,송제선 大韓小兒齒科學會 2011 大韓小兒齒科學會誌 Vol.38 No.4

맹출에 관계되는 여러 요소가 부정적으로 작용할 때 맹출장애가 유발될 수 있다. 맹출장애의 일종인 매복이 발생할 경우 주 기적인 관찰, 공간확보, 외과적노출, 교정적견인, 외과적노출과 교정적견인의 병행, 발거 후 자가치아이식 등의 방법을 고려 할 수 있다. 첫 번째 증례는 9세 남환에서 상악 좌측 측절치의 수평매복을 발견하여 상악 좌측 유측절치 및 유견치를 발거 후 5개월 뒤 개창술(window opening)을 시행한 증례로, 8개월의 정기검진시 치아가 부분맹출 하였으며 18개월 후 매복된 상악 좌측 측 절치가 치축이 개선되며 자발적으로 맹출하였다. 두 번째 증례는 10세 남환에서 상악 우측 제1소구치의 이소매복을 발견하여 상악 우측 제 1 유구치를 발거한 증례로, 10개월 뒤 치아가 부분맹출하였으며 19개월 후 매복된 상악 우측 제1소구치가 자발 적으로 맹출하였다. 본 증례들에서 이소매복된 영구치는 맹출경로에 있는 유치의 의도적 발거 후 경과관찰을 한 결과 맹출 위치의 개선 및 자발 적 맹출이 유도되었기에 보고하는 바이다. When many factors involved in the eruption of the teeth act as negative effects, they can cause eruption disturbance. Periodic observation, space acquirement, surgical exposure, orthodontic traction, orthodontic traction accompanied with surgical exposure, and surgical repositioning are considered as the treatment options of an impacted tooth, which is a form of eruption disturbance. In the first case, a male patient, age 9, visited Yonsei University Dental Hospital (YUDH) with a chief complaint of ectopic impaction of the upper left lateral incisor. We extracted the upper left primary lateral incisor and primary canine, and 5 months later, a window opening procedure was executed. Eight months later, the upper left lateral incisor partially erupted, and 18 months after the extraction, the axis of the tooth improved and the tooth erupted spontaneously. In the second case, a male patient, age 10, visited YUDH with a chief complaint of ectopic impaction of the upper right first premolar. We extracted the upper right first primary molar. Ten months later, the upper right first premolar erupted partially, and 19 months after the extraction, the upper right first premolar erupted spontaneously. We reported two cases in which improvement of eruption path and spontaneous eruption of an ectopic impacted tooth was achieved by extracting the deciduous tooth which interfered with the proper eruption of it.

Treacher Collins 증후군 환아의 증례보고

박지현,김승혜,송제선,김성오,이제호 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.3

Treacher Collins 증후군(TCS)은 25,000명에서 50,000명당 1명의 빈도로 비교적 드물게 발생하는 난치성 질환이다. 이 질환은 정상적인 부모에게서 돌연변이로 발생하거나 상염색체 우성으로 유전된다고 알려져 있다. 하악과 상악, 협골의 발육 부전, 부정교합, 양측성 이개 기형, 안검렬의 반몽고증 사면(antimongoloid slant)이 특징적이며, 종종 구순열, 구개열, 외이도 폐쇄, 중이와 내이의 기형에 의한 청각소실, 왜소증, 심장과 골격의 이상 등을 동반한다. 또한, 인두의 형성부전, 소구, 거설증, 악골의 기형에 기인하여 수면 중 무호흡증, 만성 폐쇄성 무호흡증 등의 호흡 장애가 있을 수 있으며, 전신마취 유도 시에 기관내 삽관이 어렵다고 보고된 바 있다. 치과의사는 관련 신드롬에 대한 충분한 이해를 통해 환자에게 보다 안전하게 치료를 제공해야 하며 구강 건강 관리 및 선천성 안면 기형에 대한 문제 해결을 돕기 위해 적절한 치료 및 안면 수술에 관련된 가이드를 제시해야 한다. 본 증례는 전반적인 치아우식을 주소로 연세대학교 치과병원 소아치과에 내원하여 외래에서 치아우식 치료를 받은 TCS 환아에 대한 것으로, 문헌 고찰을 통해 얻은 다소의 지견을 함께 보고하는 바이다. Treacher Collins syndrome(TCS) is a rare, incurable condition occurring in approximately 1 of 25,000 to 50,000 births. It may occur as a spontaneous mutation out of genetically normal parents or it may be manifested as an autosomal dominant pattern. TCS is characterized by facial deformities such as, underdevelopment of the maxilla, mandible and zygoma, malocclusion, bilateral deformities of auricles, antimongoloid slant of the palpebral fissures. The syndrome is often associated with cleft lip and palate, ear malformations and hearing loss, short stature, and anomalies of the heart and skeleton. Respiratory difficulty associated with air way obstruction may also be observed, and there is considerable difficulty in airway management during general anesthesia. It is necessary that dentists provide safe dental treatments and guidelines to TCS patients by providing adequate understanding about the characteristics of the syndrome and proper ways of managements. The purpose of this study is to report the dental and medical characteristics of the patient who visited the Department of Pediatric Dentistry, Yonsei University for multiple dental caries treatment and to review the literatures of TCS.

수지상세포의 방사선 저항성에 대한 연구

김은실,김종순,이명호,범희승,민정준,정환정,김성민,허영준,송호천,이제중 대한핵의학회 2003 핵의학 분자영상 Vol.37 No.3

목적 : 림프구와 비교되는 수지상 세포의 방사선 민감성을 보기 위하여 본 연구를 시행하였다. 대상 및 방법 : 말초혈액에서 분리한 T 림프구에 0 Gy, 10 Gy, 30 Gy의 방사선을 조사하고 4시간 후에 유세포 분석기를 이용하여 선량별 세포고사 빈도를 관찰하였다. 또한 조혈모세포에서 미성숙 및 성숙 수지상 세포를 단계적으로 분리 배양하여 각각 0 Gy, 10 Gy, 30 Gy, 100 Gy의 방사선을 조사하고 4시간, 24시간 그리고 48 시간 후에 선량별 세포고사 빈도를 관찰하였다. 사이토스핀(cytospin)슬라이드에 림프구와 미성숙 및 성숙 수지상세포를 3×104개 씩 분주하고 May Grunwald-Giemsa 염색한 후, 광학 현미경 하에서 각각의 세포군 당 100개의 세포에서 세포 면적당 핵의 면적 비를 측정하였다. 결과 : 림프구에서는 방사선조사 선량별로 세포고사 빈도가 유의하게 증가하였으나, 수지상 세포에서는 그 분화정도나 방사선조사 선량에 따른 세포고사의 빈도차이가 없었다. 또한 수지상 세포는 방사선선량과 관계없이 용량에 의존적으로 강력한 T-세포 자극능을 보였다. 림프구의 세포에 대한 핵의 면적 비는 미성숙 및 성숙 수지상세포의 세포에 대한 핵의 면적 비보다 현저히 큰 반면, 두 가지 수지상세포간에 유의한 차이는 없었다. 결론 : 수지상세포는 그 분화도와 상관없이 림프구에 비하여 방사선 저항성을 나타내었고, 이는 세포의 형태적 차이에 따른 표적의 크기와 관련이 있을 것으로 생각되며, 향후 분자 생물학적인 연구의 기초 자료로 활용할 수 있을 것으로 생각된다. Purpose : To evaluate radiation sensitivity of dendritic cells in comparison with lymphocytes. Materials and methods : T lymphocytes captured from peripheral blood were irradiated by 0 Gy, 10 Gy, 30Gy. Apoptosis was measured by flowcytometry for staining of Annexin V 4 hours after irradiation. Immature and mature dendritic cells processed from blood hematopoietic stern cell were irradiated by 0 Gy, 10 Gy, 30 Gy, 100 Gy respectively and apoptosis was measured by flowcytometry with time difference as 4h, 24h and 48h after irradiation. Morphometric analysis by percent nucleus was measured in three cell groups, also. Results : Lymphocytes showed radiation sensitivity by increasing apoptotic fraction according to radiation dose. However, both mature and immature dendritic cells showed consistent fraction of apoptosis in spite of increasing radiation dose. Percent nucleus ratio is significantly higher in lymphocytes than that of mature or immature dendritic cells. Stimulation of T-cell by dendritic cells was not changed after irradiation. Conclusion : Dendritic cells showed radioresistance which was associated with small size of nucleus in comparison with lymphocytes and this result would be used as a basal data of radio-labelling for the cellular trafficking studies in nuclear medicine fields.

일방향응고 초내열합금 CM186LC의 크리프 및 저주기피로 균열생성

趙昌龍,金豆炫,崔承柱,徐晟文,李在鉉 창원대학교 공작기계기술연구센터 1999 연구업적집 Vol.1 No.1

The second generation DS alloy CM186LC has comparable creep-rupture life to first generation single crystal alloys CMSX-2 and CMSX-3 in the as-cast and double aged condition. In the assembly of nozzle guide vanes, Ds components are joined into pairs by brazing. In order to study mechanical behavior of the material at the same condition as production, DS bars were subjected to brazing simulated treatments. Compared with standard treatment a small drop in creep-rupture life was observed but the degree of fall in life was not serious. Creep cracks initiated at the transverse components of the grain boundaries, which were normal to the applied stress direction. Every crack was associated with the v-v' eutectic phase at grain boundaries v-v' eutectic was not only located at grain boundaries but also in the interdendritic regions. It also acted as crack initiation site during creep. Low cycle fatigue tests were conducted under fully reversed trapezoidal strain wave at a frequency of 0.25Hz. The depth of the LCF cracks at the surface was comparable to that of the secondary dendrite arms from the surf-ace of the specimen. Cracks initiated at all of the interdendritic regions exposed at the surface, especially at the v-v' eutectic phase. LCF crack initiation and propagation are therefore proposed to be microstructally dependent.

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.

Real time observation of fetal skeleton in mouse using synchrotron x-ray

Je Kyung Seong,Bora Kim,Dong Woo Chang,Wen Li,Young Min Yun,Hyung Kwan Kim,Jung Ho Je,Ye Kang Hwu,Kyu Ho Lee,Heui Joong Kim,Seung Hun Lee 한국실험동물학회 2001 한국실험동물학회 학술발표대회 논문집 Vol.2001 No.-

Differential Expression of β-glucan Content from the Edible Mushroom Lentinula edodes by Various Genes

Seung-Bin Im,Hae-Shin Je,Kyung-Je Kim,Kyoungsun Seo,Seung-Eon Ban,Young-Woo Koh,Sangwook Jeong,Sin-Ae Jeong,Seong-Woo Jin 한국버섯학회 2017 버섯 Vol.21 No.2

β-glucan is a safe and highly potent biological response modifier that nutritionally activates the immune response through the Macrophage, Dendritic and additional immune cells to yield various therapeutic effects. Shiitake mushrooms (Lentinula edodes) contanining β-glucans may be beneficial for human health; they have been used in the treatment of cancer, hypertension, and high cholesterol levels. The effect of different substrates and various developmental stages (mycelium growth, primordium appearance, and fruiting-body formation) on β-glucan production in the edible mushroom L. edodes was studied. The cap of the mature mushroom showed the highest β-glucan activity, and β-glucan activity seemed to be influenced somewhat by some well-known inducers or sawdust. In this study, we utilized five strains (JMI 10022, 10036, 10077, 10079, 10080) of L. edodes regardless of origin and growth conditions. This experiment showed that the expression of β-glucan was induced by glucose bond, and increased with the growing of L. edodes. Quantitatively, reverse transcription PCR utilized pairs of primers specific for β-glucan gene expression shows that expressed genes were most commonly indentified during the process of fruiting-body formation. We suggest that the results will provide valuable information to assist L. edodes industry.

스파이럴 볼트 변형률계를 이용한 연약지반기초 및 암반사면 거동 계측

강성승(Seong-Seung Kang),히라타 아츠오(Atsuo Hirata),정승회(Seong-Hoi Jeong),이우람(Woo-Ram Lee),제동광(Dong-Kwang Je),김대현(Dae-Hyeon Kim) 한국암반공학회 2010 터널과지하공간 Vol.20 No.2

본 연구에서는 연약지반기초 및 암반사면 거동 계측 도구로서 스파이럴 볼트 변형률계의 적용 가능성을 살펴보고자 한다. 이 변형률계가 지중에 설치되었을 때, 지반에 대한 인발 저항성이 높아 지반 보강용으로 적용될 수 있을 뿐만 아니라, 유연성의 특징을 가지고 있기 때문에 지반의 거동 상태를 파악하는데 유용하게 이용될 수 있다. 연약지반기초에 대한 스파이럴 볼트의 변형률 계측결과, 변형률 측정 초기에는 안정한 상태를 보이다가 400일이 경과한 시점에서는 스파이럴 볼트 변형률계의 윗부분과 중간부분에서 큰 변화가 관찰되었다. 이러한 변화는 동일한 시기에 강수량 증가와 함께 빈번하게 발생한 진도 1∼2의 지진에 의한 영향으로 지반이 이완되어 야기한 것으로 분석된다. 암반사면에 대한 스파이럴 볼트의 변형률 계측결과, 측정시작일로부터 50일 동안에 안정한 상태를 보였으며 50∼160일 기간에는 매설길이 4.2 m 지점(P6)의 변형률 게이지에서 가장 큰 변형률을 보였다. 그러나 P6 변형률 게이지를 제외한 나머지 게이지는 특이한 변화를 보이지 않았다. 스파이럴 볼트 변형률계의 측정결과를 종합적으로 살펴보면 측정대상인 연약지반기초와 암반사면은 안정적인 것으로 판단된다. 본 연구에서 소개하는 스파이럴 볼트 변형률계는 연약지반기초 및 암반사면 거동의 모니터링과 동시에 대상지반의 보강에 적용될 수 있을 것으로 사료된다. This study is to consider applicability of spiral bolt strain gauge as an instrument measuring behavior of soft ground foundation and rock slope. When the instrument was installed on the ground, it can be useful to identify the state of ground behavior because it has the characteristics of flexibility, as well as to apply the ground reinforcement because it has higher pull-out resistance to the ground. From the measurement of behavior to soft ground foundation, the strain shows a stable state in the beginning, then was observed significant change in the upper and the middle of spiral bolt strain gauge after 400 days. This is analyzed that ground loosening, which is due to occurred frequent earthquake of magnitude 1∼2 with increased rainfall, lead to the instability of the ground. From the measurement of behavior to rock slope, the strain shows a stable state with very little change in a period of 0∼50 days and the biggest strain at 4.2 m (P6) in a period of 50∼100 days, then other places except P6 was maintained at a stable state in a period of 100∼160 days. The reason is analyzed because that blasting for excavated limestone surrounding was affected to the largest at P6. However, based on the size of strain change by behavior of the soft ground foundation and rock slope, it is considered that the present condition are not effected on stability of retaining structure and rock slope. In conclusion, the proposed spiral bolt strain gauge can be useful to measure behavior of soft ground foundation and rock slope, and also to be measured behavior as well as reinforcement of the target ground.