여러 가지 안정화 물질이 오미자 색소 추출물의 가열 변색에 미치는 영향

전향숙,김현정,조성빈 한국식생활문화학회 2003 韓國食生活文化學會誌 Vol.18 No.5

The effects of selected stabilizers and sugars on color deterioration of anthocyanin in Schizandra fructus were examined at 100℃ for 120~180 min. Among four test sugars, it was found that fructose accelerated the thermal color deterioration while maltose retarded the color deterioration by 40%. Maltodextrin and γ-cyclodextrin showed the highest stabilizing effect on the thermal color deterioration of crude pigment extract from Schizandra fructus(CPES) containing 2mg% of anthocyanin. Addition of maltodextrin or γ-cyclodextrin 5% retarded thermal color deterioration of CPES. In gel system, 5% of maltodextrin also retarded the color deterioration by 15~20% during storage at 25℃ and 35℃.

흰쥐 십이지장 점막의 Polyamine 대사, [^(14)C]Spermine 단백 결합능 및 [³H]Thymidine DNA 섭취에 대한 Calcitriol과 Prednisolone의 상호작용

최상현,이영재,정휘정,김형건,신경호,천연숙,전보권 고려대학교 의과대학 1997 고려대 의대 잡지 Vol.34 No.1

Calcitriol has been shown to induce the duodenal synthesis of the spermine-binding protein. and hydrocortisone was reported to increase the intestinal polyamine contents. This study examined whether prednisolone might enhance or reduce the calcitriol effects on the polyamine contents, [^(14)C]spermine-protein binding activity, and [^(3)H] thymidine DNA synthesis of the rat duodenum. The mucosal contents of putrescine. spermidine. and spermine were increased by 198.8%, 84.0%, and 78.3%, respectively, within 6 hours after calcitriol. 5 ㎍/kg (CT) and fell down to the control values at 12 hours. And prednisolone. 10 mg/kg (PD) also increased the polyamine contents in similar patterns. They did not counteract each other in the polyamine metabolism. CT increased the [^(14)C]spermine-binding activity of the cytosol protein fraction from the duodenal mucosa by 71.1%. But PD increased the binding activity by 28.0% and did not affect the CT-induced increase. CT increased the [^(3)H]thymidine DNA synthesis of the duodenal mucosa by 42.3%. but PD reduced it slightly. The CT-dependent increase of the synthesis was significantly inhibited by PD. These results suggested that the inhibitory effect of glucocorticoids on the vitamin D dependent increases of the duodenal calcium absorption and mucosal proliferation seems not to be associated with the metabolic changes of polyamines in the duodenal mucosa.

농촌지역 노인들의 우울증상에 관련된 요인들의 특성

송미숙,전기홍,송현종,김정은,박승구,신상건,이동훈,정성현,최연주,최완철,최민규,황재철,홍지만 아주대학교 1997 아주의학 Vol.2 No.2

This study was performed to identify risk factors for depression among the elderly in a rural area. A survey was done for the elderly living in Gosam-myenn, Ansung-kun during the period of July 28, 1997 and July 30, 1997. Demographic and sodoeconornic characteristics, and functional and health Status were assessed using a structured questionnaire, and the level of depression was measured by GDS score. The data obtained were analyzed by frequencies, percentage, t-test, ANOVA, and multiple regression, and the results were as follows: 1. The total sample consisted of 133 elderly. Of them, 47 elderly (35.4%) showed significant depressive Symptoms. 2. The GDS score was the highest for the group over 85 years of age (p < 0.05). Those living alone or widowed showed lower GDS score than those living with someone or married (p < 0.05). 3. The GDS score was the highest in the absolutely dependent group, followed by the partially dependent group, and the independent group (p < 0.01). The elderly who perceived their health Status as excellent showed the lowest GDS score. In contrast, those who had more than five chronic diseases showed the highest GDS score. 4. The elderly receiving financial and emotional support from their family or friends showed lower GDS score compared to those without any support. 5. The economically dependent group showed higher GDS score than that of independent group. 6. The elderly who involved in leisure activities showed lower GDS score than those without any involvement. 7. In terms of risk factors for depression, we found that perceived health Status, subjective economic Status, leisure activities, living arrangement and financial support were inversely associated with GDS score, whereas labor support was positively associated with GDS score. Based upon the above findings, this study suggests that these risk factors for depression in the elderly should be taken into consideration for a comprehensive mental health program for the elderly living in the rural area.

결식아동의 실태와 특성

박장숙,전진호,김성준,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Objective : The unprivileged children without lunch(UCWL) has been being markedly increased and becoming one of the social problem in Korea. This study was performed to assist the development of efficient support program through the investigation of the status and characteristics of the UCWL. Methods and Material : Subjects were 104 students sho were receiving the meal aid from the six social welfare facilities and 110 ordinary students of an elementary school in Pusan area. Questionnaire survey was conducted from February to March, 2001. Data was analyzed using SPSS program(ver 10.0). Results : There was no difference in gender and school years' distribution. The phenomenon of family deficient, instability of parents' job, unsatisfaction to the home's atmosphere, ill adaptation to their school life, and be alienated from their colleague were more frequent in UCWL(p<0.05). Impulse of runaway from home and suicide showed no difference, however, the present worries, preference of way for assist showed differences(p<0.05), The majority(88%) of UCWL has been giving the meal and less than on year. The most common way was food stuff(76%) and financial support for school meal program(73%), while the most preferred way was financial support for everyday life(43%). Conclusion : UCWL satisfied and gave thankful mind to the present supports, however, showed negative aspects - like emotional unstability and difficulties in their school life. Therefore, it thought to be needed the touch on the emotional aspects, not only on the formal and economic aids.

구진상괴사성 결핵진 3례

손보성,송준영,정재봉,김병천,이상숙,류영욱,이규석 啓明大學校 醫科大學 1994 계명의대학술지 Vol.13 No.4

Papulonecrotic tuberculid is an eruption of necrotizing papules, particularly affecting the extremities and occurring in more or less symmetrical crops, and responding to antituberculosis therapy. Individual lesions heal with scarring. Histologically, vascular involvement is seen in early lesions. Late lesions are divided into two forms. In superficial forms, wedge shaped area of necrosis forms in epidermis and upper dermis. Epithelial and lymphoid cells gather around its periphery. In deep forms, with no epidermal change, granulomatous changes surrounded by well defined palisading histiocyte and lymphoid, epithelioid cells are seen. In mid-dermis and perivascular area, vessel shows vasculitis. In the first case, leukocytoclastic vasculitis and early granuloma formation were seen. In the second case, palisading granuloma formation was seen. In the third case, tuberculoid granuloma formation was seen. We report three cases of papulonecrotic tuberculid showing three different stages of histological finding, in individual cases.

일개 대학병원에서 치료중인 만성질환자의 금연,절주 및 운동 실천 정도

손혜숙,전진호,이종태,정귀원,김성준,엄상화,유병철 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.3

Background: Many chronic diseases are associated with the lifestyle such as smoking, alcohol drinking and exercise. Attention is increasingly paid on the effect of exercise for the management of chronic disease these days. Objective: The purpose of this study was to evaluate the status of the smoking habit, alcohol drinking and physical exercise of the patients with chronic diseases. Methods: Total 793 persons(normal:422, chronic disease patients:371) in a hospital were questioned regarding the habits of smoking and alcohol drinking, and a practice of physical exercise in 1999. The patients with chronic illness were divided into three groups(Group I included the patients of hypertension and diabetes mellitus. Group II includes respiratory disease and cancer. Group III included liver disease ). The rate of exercise, the rate of smoking cessation and the rate of abstinence were assessed. In logistic regression analysis with each independent variables in each disease groups(I, II and III), odds ratio for the presence of disease was controlled for age and education. Results: The rate of exercise, the rate of smoking cessation and the rate of abstinence was 31.5%, 27.3% and 9.5% in the patients with chronic disease, respectively. In control group, those were 31.5%, 21% and 2.1%, respectively. In logistic regression analysis with exercise as independent variable, odds ratios(95% CI) for age and education were significantly high, with smoking cessation, odds ratio for age was high and with abstinence, odds ratio for disease was high in all disease groups. Conclusion : It was suggested that an effort for proper changes of lifestyle related to disease such as smoking, alcohol drinking and exercise should be intervened in the patients with chronic diseases.

한국인의 급성 골수성 백혈병 및 골수 이형성 증후군과 HLA 연관성

윤정숙,김원일,한경자,김용구,임지향,민우성,김춘추 대한조혈모세포이식학회 2000 대한조혈모세포이식학회지 Vol.5 No.1

배경:주조직 적합항원 복합체(Major Histocompatibility Complex : MHC)는 쥐에서 처음 이식 항원으로 발견된 이래 이식 면역 분야에서 광범위하게 연구되어 왔으며, 면역 반응을 조절하는 주요 유전자로서 감염, 종양, 자가면역 질환 등의 발생에 관여한다. 사람에서 자가 면역 질환과 HLA 연관성이 증명되어 있으나, 백혈병에서 HLA 연관성에 관한 연구는 드물며 대상군 수가 유의한 결론을 얻기에 부족하다. 본 연구에서는 급성 골수성 백혈병(AML)과 골수 이형성 증후군(MDS) 환자를 대상으로 HLA class I, II 항원 및 2-유전자좌 일배체형 빈도를 구하고, 이를 정상 대조군과 비교하는 통계적 방법으로 AML 및 MDS군과 연관된 HLA 항원 및 일배체형이 있는지 살펴보고, AML군은 FAB 분류와 면역 표현형 분류에 따른 아군으로 분류하여 각 아군과 연관된 HLA 항원 및 일배체형을 관찰함으로써 AML 및 MDS군과 HLA의 연관성을 규명해 보고자 하였다. 방법:1991년 1월부터 1998년 7월까지 성모병원에 내원하여 NIH standard microlymphocytotoxicity를 이용한 혈청학적 방법으로 HLA class I, II 항원 형별 검사를 실시한 415례의 AML과 62례의 MDS 환자를 대상으로 하여 각 질환군과 FAB, 면역 표현형 아군에서 HLA 항원 빈도와 유전자 빈도를 구하고, 항원 빈도를 대조군과 비교하여 Haldane’s method에 따라 상대 위험도(RR)를 구한 뒤 chi-square 법으로 유의성을 검증하였다. AML, MDS 각 질환군과 아군에서 square root법을 이용하여 HLA A-B, C-B, B-DR 2-유전자좌 일배체형 빈도를 구하고, 이를 대조군과 비교하여 chi-square 법으로 유의성을 검증하였다. 결과:1) Cw8이 AML, MDS 질환군에서 RR이 0.10, 0.22로 매우 감소하여 이들 질환과 강한 연관성 정도를 나타냈다(p<0.001). 2) Blank 유전자 빈도의 증가가 AML, MDS 질환군의 각 HLA locus에서 관찰되었으며, 특히 이 분석 결과는 DR locus에서 현저하여, AML과 MDS군에서 DR-blank 빈도는 11.6%, 7.0%로 매우 증가하였다. 3)AML군과 A2-B61, Cw8-B61, B62-DR11 일배체형 연관성과, MDS군과 Cw3-B51, B62-DR14, B35-DR9 일배체형 연관성이 관찰되었다. 4)FAB 분류별 아군에서 AML-M3와 A33 항원 연관성과 AML-M1과 A2-B51 일배체형 연관성이 높은 통계적 유의성을 나타내었다(p<0.001). 5) AML 면역 표현형 아군에서 HLA-A29, B56 항원과 panmyeloid 면역 표현형인 CD33, CD15와의 연관성이 관찰되었고, A2-B48, Cw7-B44 일배체형과 myeloid 면역 표현형인 CD34, CD33, CD11c와의 연관성이 관찰되었다. 결론:AML과 MDS는 HLA와 연관성 있는 질환이며, AML과 MDS군의 발생 및 AML군에서 백혈병 세포의 분화 단계를 예측하기 위해 본 연구 자료가 유용할 것으로 생각된다. Background:The Major Histocompatibility Complex (MHC) has been widely studied in the field of transplantation immunology, since initially defined as transplantation antigen in mouse in 1936. Although associations have been demonstrated between many autoimmune diseases and HLA in human, the studies of HLA association with human leukemia are rare, and have too small sample size to get a significant result. We tried to invesgate the association of AML and MDS with HLA, and the association of FAB, immunological subgroup with HLA in AML group by using appropriate statistical methods. The purpose of this study is to elucidate the HLA role in the development of AML and MDS, and find any HLA antigens or haplotypes which can predict the development of AML or MDS. Methods: The subject of this study was 415 patients with AML and 62 patients with MDS who admitted in St. Mary's hospital between 1991. 1. and 1998. 7., and were typed for HLA class I, II antigens by using serological method of NIH standard microlymphocytotoxicity. We calculated the HLA antigen, gene and 2-locus haplotype frequencies in AML and MDS group and FAB, immunological subgroup, calculated relative risk by Haldane's method by comparing HLA antigen frequencies in disease group with those in normal control population. The Chi-Square method or Fisher's exact test was used to assess the significance of the differencies in the antigen and haplogtype distributions in the control vs disease population. Results: 1)The frequencies of Cw8 were severely decreased in AML and MDS population with relative risk of 0.10, 0.22, and revealed high statistical significance with p-values less than 0.001, suggesting strong Cw8 association with AML and MDS. This means Cw8 may be a gene which resists to the development of AML and MDS, or may be linked to other recessive gene, Cw8 may be a gene which encodes increased immune responses to exogenous antigens such as leukemia virus, or may be linked to other immune response gene, otherwise, Cw8 may be an antigen which has a key role in immune surveillance to the development of AML or MDS. 2) Blank gene frequencies were increased in AML and MDS group, and this phenomenon was prominent in DR locus, showing 11.6% and 7.0% of DR-blank gene frequencies in AML and MDS. This suggests increased HLA homozygosity or increased undetected antigens due to loss or modification of HLA alleles in AML and MDS. 3) The associations of A2-B61, Cw8-B61, B62-DR11 haplotypes with AML, and A30-B14, Cw3-B51, B62-DR14, B35-DR9 haplotypes with MDS were observed. 4) According to FAB classification in AML, highly significant HLA-A33 antigen association with AML-M3 and A2-B51 haplotype association with AML-M1 were observed. 5) According to immunological classification in AML, HLA-A29, B56 each antigen association with CD33, CD15, panmyeloid immunophenotypes and A2-B48, Cw7-B44 each haplotype association with CD34, CD33, CD11c, myeloid immunophenotypes were observed. Conclusion:AML and MDS is a disease associated with HLA, and this study will be valuable in predicting the development of AML and MDS, differentiation stages of leukemic cells in AML.

혈소판 Cyclic Nucleotide, Inositol Trisphosphate 및 [Ca^(++)]_(i)의 응집반응성 변동에 대한 항우울성 약물의 영향

최상현,박석산,이민수,전보권,천연숙 고려대학교 의과대학 1992 고려대 의대 잡지 Vol.29 No.3

The pharmacodynamic mechanisms of available antidepressant drugs have not yet clarified. Major depression is common and may more frequently occur for the first time in the eldery, and the incidence of thromboembolism is increased with advancing of age. And many studies have shown an usefulness of platelet as models of monoaminergic neurons. Therefore, this paper. deals with the anti-platelet activity of antidepressant drugs in view of the common action in platelet signal-transduction system of three antidepressants showing different modes of action. The IC_(50)s of amitriptyline alprazolam. and rolipram were 1.39×10^(-4), 2.63×10^(-4), and 8.11×10^(-4)M. respectively, and that of each of the reference drugs : sodium nitroprusside. chlorpromazine. and spermine were 1.26×10^(-6), 5.76×10^(-5) and 4.28 ×10^(-3)M. Rolipram and alprazolam produced the significant increase of platelet cGMP level with slight cAMP increase. showing their selectivity on typeⅡ cGMP-specific PDE. Spermine and antidepressants, particularly used in this study induced the marked increase of platelet IP_(3) level with the anti-platelet and [Ca^(++)]_(i),-decreasing activities. These findings suggest that the mechanism of action of antidepressant drugs seems to be related with their enhancing property of the neuronal IP_(3)-mediated signalling. and that the paradoxical mode of their actions on platelet metabolisms of [Ca^(++)]_(i) and IP_(3) may be a clue of the uncovering of a new cellular [Ca^(++)]_(i)-regulating mode.

2000년 부산광역시 서구에서 발생한 세균성이질 역학조사 평가

홍상기,김정규,전진호,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Purposes : Bacillary Dysentery is one of the representative infectious disease that widely occurred in recent years, Korea. This study was performed to propose the helpful advices for control of Bacillary Dysentery outbreak based on an assessment of the results of epidemiological survey for Bacillary Dysentery outbreak on May 16, 2000 in Busan. Methods : Subjects were 7,188 peoples who showed diarrhea and contacted with active participants in a religious meeting and suspected cases surveyed from May 16 to May 31, 2000. Direct interview about participation, presence of diarrhea, and history of spring water drinking, and rectal swab on the patients who had diarrhea were done. Results : Among 7,188 peoples, 458 patients had simple diarrhea, and 135 patients confirmed infected with Shigella sonnei. Among confirmed cases. 94.8% had actively participated the religious meeting. The first case occurred on May 10, and consecutive outbreak was concentrated on May 12 and 13. Elementary school children(40.7%) and their parents(35.6%), and women(65.2%) were majority of the confirmed cases. Drinking history of the spring water during the meeting was highly suspected as a cause of this outbreak(odds ratio=3.29, 95% confidence interval=1.59∼6.82). Food intake history was not checked because with low possibility of causing factor. Conclusions : This outbreak appear to be closely related to drinking not sterilized spring water when participating in a religious meeting. However, actual route of transmission was not defined because the epidemiological survey was started six days after the first attack, and, could not find the causative agent in the spring water. The prompt epidemiological survey thought to be essential and important when occurred episode. And also, cooperation with the corresponding health authorities would be very important when the outbreak occurred distant area as this episode. Personal and public concerns and efforts should be sustained to prevent the outbreak and spread-out of Bacillary dysentery.

BC₃H1 혈관평활근세포의 증식 및 분화과정에 있어서 Polyamine 대사의 역할에 관한 연구

최상현,문창택,민본홍,전보권,천연숙 고려대학교 의과대학 1992 고려대 의대 잡지 Vol.29 No.3

The influences of spermine (SM) and DFMO. an irreversible ODC-inhibitor, on the polyamine metabolism, CK-activity, [^(3)H]-thymidine DNA synthesis, and isoactin mRNA expression of BC_(3)H1 in culture were studied, with the references of phosphodiesterase(PDE)-inhibitors including isobutyl-methylxanthine (IBMX) and KR30075. BC_(3)Hl cells cultured in 10% fetal bovine serum (FBS)-DMEM for 24 hrs (the first : pre-drug phase) were cultivated in 10% FBS-DMEM added with one of the test drugs for further 96 hrs(the second proliferation phase), and then continue to grow in 2% FBS-DMEM for 48 hrs (the third : differentiation phase). The putrescine content of BC_(3)Hl harvested after the first phase was relatively higher in comparison with those of the other phases and was gradually decreased through the full phases of culture, and the spermine content was little changed. The spermidine (SD) content was. unlike other polyamines, increased by 26.5% at the end of the second phase, but that SD increase was moderately attenuated by PDE-inhibitors, particularly KR30075, and furthermore. the SD content of BC_(3)Hl cultured in the presence of DFMO, unlike other polyamines. showed the marked and gradual decrease throughout the full phases of culture. The [^(3)H]-thymidine DNA synthesis during the third : differentiation phase was not affected by IBMX and slightly inhibited by KR30075, but was significantly inhibited by SM plus DFMO or each of them. And the creatine kinase (CK) activity gradually increased in advancing with culture duration was not changed by PDE-inhibitors. but both SM and DFMO significantly enhanced the increase of CK activity. The synthesis of BC_(3)Hl α-actin and β-/ γ-actin mRNAs was significantly enhaced by DFMO, and the DFMO-induced enhancement was dramatically inhibited by SM. And PDE-inhibitors and SM little affected the synthesis of α-actin mRNA, but PDE-inhibitors attenuated the synthesis of β-/ γ-mRNAs, especially in the second phase. These results suggest that polyamines have a pivotal role in the proliferation and differentiation of BC_(3)Hl cells, that the enhancement induced by DFMO of expression of VSM isoactin gene seems to be an attractive subject to be studied in future, and that PDE-inhibitors may inhibit the synthesis of VSM β-/ γ-actin mRNAs.