비혈연간 조혈모세포이식 후 재발한 만성골수성백혈병에서 Gleevec에 의한 완전관해 및 공여자 조혈 재건 1예

박사라,김우건,이제환,최성준,형철호,손희정,강혜진,지형석,이정신,이규형 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.2

저자들은 만성골수성백혈병으로 동종 골수이식 후 림프구성급성전환으로 재발한 환자에서, Gleevec 투약 후 DLI (donor lymphocyte infusion) 없이 공여자 조혈(donor hematopoiesis)의 재건이 이루어지고, 세포유전학적, 분자생물학적 기준에서 모두 완전관해에 이르고, 12개월째 관해를 유지하고 있는 환자를 경험하였기에 이를 보고하는 바이다. 본례의 환자에서 Gleevec은 동종 골수이식 후 급성전환기로 재발한 환자에서도 매우 효과적인 것으로 나타났다. Gleevec은 동종 골수이식 후 재발한 만성골수성백혈병에서 Interferon-α, DLI, 2차골수이식 등 기존의 치료의 문제점을 보완할 수 있는 유용한 치료방법으로 사용될 수 있을 것으로 생각되며, 이의 장기적 치료효과의 평가와 기존치료와의 병합요법의 유용성 등에 대한 향후 연구가 필요할 것으로 생각된다. We report a 32-year old woman with chronic myelongenous leukemia (CML) in lymphoid blast crisis, who underwent allogenic bone marrow transplantation (BMT) from HLA phenotype full mached unrelated donor. Her disease relapsed into full-blown blast crisis. Upon treatment with gleevec, she achieved immediate remission of leukemia as well as the donor type hematopoiesis without donor lymphocyte infusion (DLI). Our case suggests the high effectiveness of gleevec in CML relapsed after allogeneic BMT. Further studies are needed to define the role of gleevec (with or without DLI) in the management of CML relapsed after allogeneic BMT.

한국재벌의 비관련다각화 요인에 관한 자원적 접근

李光哲,金炯成 홍익대학교 경제연구소 1993 經濟硏究 Vol.9 No.-

Peripheral, soft tissue odontoma에 관한 증례보고

이종갑,최병재,최형준,이광출 大韓小兒齒科學會 1999 大韓小兒齒科學會誌 Vol.26 No.1

1. Peripheral odontoma는 매우 드문 질환으로 확진을 위해서는 생검이 필수적이다. 2. Peripheral odontoma는 치은의 종창을 동반하며 서서히 성장하는 임상적 특징을 가진다. 3. 골내 치아종과 마찬가지로 Peripheral odontoma의 치료로는 완전한 외과적 절제가 추천되고 예후 또한 양호하다. Odontomas, hamartomas of odontogenic origin, are composed of all the structures that make up teeth. The WHO distinguishes odontoma into two types. The complex odontoma is defined as "a malformation in which all the dental tissues are represented, individual tissues being mainly well-formed but occurring in a more or less disorderly pattern." The compound odontoma is defined as "a malformation in which all the dental tissues are represented in a more orderly pattern than in the complex odontoma, so, that the lesion consists of many toothlike structures. Most of these structures do not resemble morphologically the teeth of normal dentition, but in each one enamel, dentine, cementum, and pulp are arranged as in the normal tooth." Almost all odontomas are located intraosseously, but they have occasionally been reported in extrabony location. Peripheral or soft tissue odontomas, those arising outside of the alveolar bone, are very rare. Peripheral or soft tissue odontoma are defined as tumors that demonstrate the histologic characteristics of their intraosseous counterparts but occur solely in the soft tissue covering the toothbearing portion of the mandible and maxilla, When they mature, they appear as a radiopaque mass without the peripheral halo. The final diagnosis should be confirmed by biopsy. The origin of peripheral odontoma is probably related to remnants of the dental lamina in the gingiva. The treatment of choice is complete surgical excision, similarly to intraosseous odontoma and it does not tend to recur. This report presents a case of 5-year-old boy with swelling on labial gingiva of primary central incisor. And it was diagnosed as peripheral odontoma by excisional biopsy.

정상 관동맥을 가진 심장 점액종 환자에서 발생한 급성 심근 경색증 1예

이정민,이현승,전은정,윤호중,정욱성,오용석,김철민,김재형,최규보,홍순조,이교영,심상인 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.9

음압에 의한 인체 표피의 팽창 정도 및 형태학적 변화에 관한 연구

이민재,강형철 梨花女子大學校 醫科大學 醫科學硏究所 1996 EMJ (Ewha medical journal) Vol.19 No.3

이화 여자 대학교 의과대학 부속 동대문 병원 백반증 크리닉을 방문한 백반증 환자중 표피이식술을 시행한 11명의 전흉부와 복부 18부위에서 일정한 시간동안 일정한 음압으로 흡입수포를 만들었을 때 표피 면적의 팽창 정도를 측정하고, 흡입으로 팽창된 표피의 형태학적 변화를 주사전자현미경과 투사전자현미경으로 관찰하여 다음과 같은 결과를 얻었다. 표피직경은 흡입 전 평군 7.6mm에서 흡입후 평군 11.0mm로 평균 46.4%, 표피면적은 평균 45.0㎟에서 95.9㎟으로 115.0% 증가하여, 팽창도 증가는 통계학적으로 유의하였다(p<0.05). 형태학적 변화로는 표피두께가 현저히 감소되고 표면과 평행한 방향으로 표피의 기저세포, 핵 및 세포간교가 신장된 소견을 보였으며, 각화세포 및 멜라닌세포의 핵 주변에 공포화 현상을 나타내었다. 결론적으로 표피의 팽창 정도 및 형태학적 변화 측정이 피부 표피의 물리학적 성질과 구조를 이해하는데 도움이 되며, 표피 이식수술시 필요한 정확한 공여부 피부면적을 예측하는데 이용될 수 있으리라 생각된다. Recently, autologous epidermal graft using suction-blister has been used in the treatment of depigmented diseases. The suction-blister is produced by separation of epidermis from dermis by negative pressure, and the separated epidermis is a good source for studying the properties of the epidermis itself. In this day, we measured the pre-expanded control diameter and post-expanded diameter induced by negative pressure in the anterior chest and abdomen of patients and calculated the expansibility of epidermis from the measurements, and studied the morphological changes of the expanded epidermis using scanning electron microscope and transmission electron microscope. As a result, the diameter of epidermis was elongated 46.4%, from a mean of 7.6mm to 11. 0mm and the calculated area was expanded 115.0%, from a mean of 45.0㎟ to 95.9㎟ by suction. Both were statistically significant(p<0.05). And morphologically, the thickness of epidermis was markedly decreased and the basal keratinocytes, their nuclei and intercellular bridges were elongated parallel to the skin surface, and paranuclear vacuolization was observed in keratinocytes andmelanocytes. In conclusion, above results are helpful in understanding the physical property and structure of epidermis and can be used for estimating the exact size of the donor skin needed for epidermal graft.

Two Stage 발효에 의한 고산도 식초 생산

이영철,이금용,김형찬,박기범,유익제,안평욱,최춘언,손세형 한국산업미생물학회 1992 한국미생물·생명공학회지 Vol.20 No.6

산업적으로 산도 17.0% 이상의 고산도 식초를 생산하기 위하여 반연속식인 1st stage와 유가식인 2nd stage로 구성된 two stage 초산 발효를 온도 30 ℃, 교반속도 600 rpm, 통기량 0.1 vvm에서 실시하였다. 1st stage에서 초기 에탄올 농도를 50.0 g/ℓ, 잔류 에탄올 농도를 5.0 g/ℓ로 정하여 반연속적으로 초산발효를 하고, 2nd stage 에서 발효시간의 경과에 따라 에탄올을 유가식으로 첨가하여 초산발효액내의 에탄올 농도를 5.0 g/ℓ에서 10.0 g/ℓ로 유지했을 때 산도가 17.6%인 고산도 식초를 생산할 수 있었으며, 또한 이 ??의 최대 초산 생산성은 3.3 g/ℓ·hr였다. The production of vinegar containing 16.0 ∼18.0% of acetic acid was examined in two stage fermentation consisting of semi-continuous and fed-batch type. The optimum conditions were obtained when the fermentation was carried out at agitation of 600 rpm, aeration of 0.1 vvm and temperature of 30℃. The initial and residual ethanol concentration in 1st stage were 50.0 g/ℓ and 5.0 g/ℓ, respectively, and the ethanol concentration in 2nd stage was maintained from 5.0 to 10.0 g/ℓ. The maximum productivity was 3.3 g/ℓ-hr and the acidity was 17.6% after the two days of acetic acid fermentation.

肝蛭(Fasciola hepatica)의 脂質에 關한 硏究

李純炯,宋哲鏞 중앙대학교 의과대학 의과학연구소 1979 中央醫大誌 Vol.4 No.1

The present study was undertaken to observe the quality and quantity of lipids in the adult worms of sheep liverfluke, Fasciola hepatica. Lipid extract was done by the methods of Folch et al. (1957) and Kenny (1952), and the the extracted lipid fractions of the worms were separated by thin layer chromatography. Those fractions were also subjected to perform the quantitative analyses of glycerides, cholesterols and phospholipids. The results obtained were summarized as follows. 1. Total amount of glyceride was 45.29㎎ per gram wet weight of worm tissue: the amount of monoglyceride was 4.46㎎; diglyceride, 13.59㎎; and triglyceride, 25.63㎎ per gm wet weight of worm tissue. 2. Total amount of cholesterol was 8.10㎎ per gm wet weight of worm tissue, and the amount of esterified cholesterol(5.21㎎/gm) was much more than that of free cholesterol (2.15㎎/gm). 3. The following 10 phospholipids were detected in the worm tissue of F. hepatica, i.e., lysophosphatidylcholine, phosphatidylinositol, sphingomyelin, phosphatidylcholine, phosphatidylglycerol, phosphatidylserine, phosphatidylethanolamine and three species of unknown phospholipides.

캔음료중 epichlorohydrin 의분석법에 관한 연구

이광호,곽인신,최재천,전대훈,김형일,강경모,최병희,김귀정,이철원 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

캔식품중에 잔류하는 epichlorohydrin을 분석하기 위한 pu링e & trap-Cc/uf통D 분석법을 확립하여 캔의 lacauer 코팅제에서 식품으로 이행되어 잔류하는 epichtorohydfn을 측정하고, 식품유사용매에 의한 용출시험을 통해 일일추정섭취량을 산출하였다. epichlorohydrin의 검량선은 y=0.0006x+0.OO6?(R큰0.9983)의 직선성·라 0.05#ga의 검출한계를 나타내었다. 각종 음료 및 식품유사용매에 일정량의 epichlorohydrin을 첨가한 후 분석하였을 때 회수을은 72~91%였으며, 실제 시판되는 f5건의 캔음료 중 잔류하는 epichlorohydrin을 측정한 결과 모든 캔음료에서 검출한계(0.1#94) 이하였다. 제관업체에서 구입한 modifed epoxy, epoxy phenolic, vinyl organosol, epoxy phenol ester 등의 BADGE(bisphenol A diglycidyt ether)형 에폭시수지로 lacquer 코팅된 식품용 캔에 식품윤사용매인 10% 또는 95% 에탄올을 층L진한 후 90~121'c의 드라이오븐에서 30분~2시간동안 용출시켰을 패 캔의 lacquer 코팅재에서 식품유사용매로 이행되는 epichBorollydirn은 코팅재질, 그리고 가열온도 및 시간에 문관하게 모든 캔에서 검출한계(0.4#ga)이하 였다. 위의 용출결과를 FD.f_의 "Recommendation for Chemistry Data for Indirect Food Additive Petition" 윽 일일추정섭취량 산출법에 적용하여 얻은 epichtorohydrin의 일딜추정 섭 취 량은 0.2r조persorday이하였다. A sensitive ana1?~7tical method based on gas cl)romatogFapy~mass spectrometry with a selected ion monitoring (GE/hfS-Slhf) and the purge-and-trap concentrator ))·asdeveloped for determining ot'epicillorohydrin in canr;ed be)#erages coated with eporl· resin. Thecalibration rurve in the ranre of 0.j ~50nr had'correlation coefficient of 0.9983 and detection limit of 0.Osrga. Recoveries of epichlorohydrin spiked to beverages were in the range of 72 ~91% with detection limits of 0.1 #ga. fn survey of epichlorohydff in twenty commercialcanned beverage samples, epichlorohydrin was not found in all the samples with the detectionlimit of 0.1 r9a. In migration test of various cans coated with BADGE-based coating cans;modifed epoxy, epoxy phenolic, vinyl organosol, epox?· phenol ester were exposed to the foodsimulants of 10% ethanol and 95% ethanol. flfo delectable epichlorohydrin migrated to foodsiHulants was found in aTl the cars with detection Jimit of 0.4 #9/L. Using the miEration data,along uTith the applicstion of food and beverage cans complied with FDA's "Recommendationfor Chemlstry Data f,3r Indirect Food Additive Petition" , the potential dietary exposure toepichlorohydrin was estlmated to be under 0.2rf/person/day.

專門大學 體育舞踊科 敎育課程의 開發硏究

李鐵煥,金泰亨,李任仙,姜信和 진주여자전문대학 1986 論文集 Vol.8 No.-

엄지발가락에 발생한 건초 섬유종 1예

이경호,조유경,한예원,김진아,김형민,박철종 대한피부과학회 2006 大韓皮膚科學會誌 Vol.44 No.4