노인 외상 환자의 중증도 분류 시 Triage-revised Trauma Score의 의의

양영모,하영록,정성필,김승환,유인술 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Backgrouds: The mortality of geriatric trauma patients is higher than that of other age groups. However, little research has been done the methods or criteria of triage for geriatric trauma patients. This study evaluated a clinical significance of the triage-revised trauma score(t-RTS) for triage of geriatric trauma patients. Methods: We retrospectively analyzed clinical data on 528 trauma patients over 65 years of age who were treated from Jan 1999 to Dec 2000. The t-RTS was calculated utilizing the RR(respiratory rate), SBP(systolic BP), and GCS scores and the ISS was abstracted from the final diagnosis. The obtained t-RTS and ISS were evaluated using the measures of sensitivity, specificity, accuracy, and AUC curve. Results: The overall mortality rate was 9%, and there was no significant differences between the survival group and the mortality group according to age and sex. The mean scores of SBP, RR and GCS of the survival group were significantly higher than those of mortality group(p=0.001). The mean of t-RTS and RTS of the survival group were also significantly higher(p=0.001), but the ISS was significantly higher in the mortality group(p=0.001). The t-RTS, RTS, and ISS showed good prediction rates on the ROC curve(p=0.001), and the AUC value was higher in the ISS than in the t-RTS and the RTS. The sensitivity and the accuracy were high in the t-RTS and the RTS, and the specificity was high in the ISS. The t-RTS is less than 10 for a survival probability of 50% or less Conclusions: Implementation of the t-RTS in the triage of geriatric trauma patients in the field and in emergency room would be very useful. The probability of death in geriatric trauma patients is high when the t-RTS is less than 10.

Chinchilla 달팽이핵에서 calbindin D-28ka 양성세포에 관한 면역조직화학적 연구

장인엽,윤상필,정윤영,정종중,문정석,허영,모근석,김흥중 대한해부학회 1997 Anatomy & Cell Biology Vol.30 No.5

응급실에서의 확산강조 자기공명 영상

정성필,이석우,양영모,하영록,김승환,유인술 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: This study was designed to review the cases of patients who had undergone diffusion-weighted magnetic resonance imaging(DWI) in the emergency department(ED), and to investigate its clinical usefulness and current indications. Methods: We analyzed the cases of 152 consecutive patients who underwent DWI in the ED from Jan to Mar 2001. DWI was obtained with the use of a multislice, single-shot, spin-echo plana imaging technique(GE SignaR). Imaging time was less than one minute. The medical records, the DWI films and the computed topography results were reviewed. We investigated the chief complaint, initial findings of physical examination, final diagnosis, decision-making department, interval from admission to imaging, and DWI findings. Results: DWI showed positive findings of high signal intensity in 84 patients(55.3%). Among the 68 patients who yielded a negative result, false negative occurred with 12 patients(17.6%): 10 lacunar infarctions, a pons infarction, and a brainstem infarction. Eleven patients were determined as having a cerebral hemorrhage, all of whom showed the abnormal finding of a mixed signal in DWI. The sensitivity and the specificity of DWI to rule out stroke were 85.5% and 98%, respectively. Current indications for DWI in our ED are age older than 60, alert mental status, and one of the symptoms or signs among lateralyzing sign, language disturbance, and dizziness/vertigo. Conclusion: DWI was highly specific to rule out stroke, so emergency care professionals should be familiar with this new technology. Further prospective study is required to determine the proper indications and clinical usefulness of DWI in the ED.

PC12를 이용한 신경세포 허혈모델에서 irp94 유전자의 발현

김승환,양영모,하영록,정성필,유인술,김인병 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: The ischemia responsive protein 94 kDa(irp94) gene belongs to the heat shock protein 110 family and was isolated in 1999 from rat brain by transiently induced forebrain ischemia. The PC12 cell is the pheochromocytoma cell line of rat, which is differentiated to a sympathetic neuron-like cell by the stimulation of a nerve growth factor. This study is to determine whether irp94 is expressed when an ischemia-like condition is induced by ATP depletion in cultured PC12 cells in vitro. Methods: PC12 cells were maintained as monolayer cultures in RPMI-1640 medium(Sigma) supplemented with 10% horse serum, 5% fetal bovine serum, 5 mg/ml transferrin, and 1 mg/ml insulin in a humidified 5% CO2 incubator at 37℃. The ATP depleting agent antimycin A was added at concentrations of 1, 2.5, and 5 μM to simulate ischemia, and 10 μg/ml of tunicamycin, which is expected to express heat shock protein maximally, was used as a positive control. The cells were harvested after a 60-minute incubation, and the total RNA was extracted. The reverse transcription polymerase chain reaction(RT-PCR) was performed to use 501 bp irp94 cDNA as a molecular probe, and the expression of irp94 mRNA was analyzed by northern blotting. Results: The irp94 mRNA expression was enhanced, compared to the negative control group, as the concentration of antimycin A was increased. Conclusion: This study suggests that irp94 mRNA expression is enhanced as the severity of ischemia is increased. Thus, it is possible to investigate the mechanism of ischemic neuronal injury indirectly by using this in-vitro model of neuronal ischemia.

종계장 및 부화장 환경 시료에서 살모넬라균의 분리 및 동정

최지현, 우창곡, 모인필 충북대학교 동물의학연구소 2006 Journal of Biomedical and Translational Research Vol.7 No.2

본문참고

Pathological Evaluation of Natural Cases of a Highly Pathogenic Avian Influenza Virus, Subtype H5N8, in Broiler Breeders and Commercial Layers in South Korea.

Bae, Yeon-Ji,Lee, Seung-Baek,Min, Keong-Cheol,Mo, Jong-Suk,Jeon, Eun-Ok,Koo, Bon-Sang,Kwon, Hyeok-Il,Choi, Young Ki,Kim, Jeom-Joo,Kim, Jong-Nyeo,Mo, In-Pil American Association of Avian Pathologists [etc.] 2015 Avian diseases Vol.59 No.1

<P>Outbreaks of highly pathogenic avian influenza (HPAI) virus, subtype H5N8, were observed in two different flocks of local broiler breeder farms and a commercial layer farm in South Korea. Clinically, the cases were characterized by a gradual increase in mortality, slow transmission, and unrecognizable clinical signs of HPAI. Gross observations in both cases included hemorrhagic or necrotic lesions in internal organs, such as serosal and mucosal membranes, spleen, and pancreas. Both cases exhibited similar histopathologic lesions, including multifocal malacia in the brain and multifocal or diffuse necrosis in the spleen and pancreas. Immunohistochemical results indicated that neurons and glial cells in the brain, myocytes in the heart, acinar cells in the pancreas, and mononuclear phagocytic cells in several visceral organs were immunopositive for avian influenza viral antigen. To experimentally reproduce the low pathogenicity and the mortality observed in these two cases, 18 specific-pathogen-free chickens and 18 commercial layers were divided into an H5N8 virus-inoculated group and a contact-exposed group. The mortality of the chickens in the inoculation group was 50%-100%, whereas the mean time to death was delayed or death did not occur in the contact-exposed group. The distributions of the viral antigens and histopathologic lesions in the experimental study were similar to those observed in the field cases. These findings suggest that the H5N8 virus induces a different pattern of pathobiology, including slow transmission and low mortality, compared with that of other HPAI viruses. This is the first pathologic description of natural cases of H5N8 in South Korea, and it may be helpful in understanding the pathobiology of novel H5N8 HPAI viruses.</P>

제주재래흑돼지와 Landrace, 교배집단 F<SUB>2</SUB>에서 척추의 수적 변이와 도체형질의 상관관계

조인철(In-Cheol Cho),김상금(Sang-Keum Kim),김유경(Yoo-Kyung Kim),강용준(Yong-Jun Kang),양성년(Sung-Nyun Yang),박용상(Yong-Sang Park),조원모(Won-Mo Cho),조상래(Sang-Rae Cho),김남영(Nam-Young Kim),채현석(Hyun-Seok Chae),성필남(Pil-Nam 한국생명과학회 2013 생명과학회지 Vol.23 No.7

포유류 중 돼지의 척추 중 요추, 흉추의 수는 고정되지 않은 형질로 개체간의 차이를 나타내는 것으로 알려져 있다. 본 연구는 제주재래흑돼지와 Landrace, 두 품종 간 F₂ 교배집단에서 경추 수, 흉추 수, 요추 수, 척추 수 등 체형관련 형질과 도체형질의 상관관계를 살펴보기 위해 수행되었다. 세 축군 모두 경추 수의 변이는 나타나지 않았으나, 흉추 수, 요추 수, 척추 수는 상이한 양상을 보였다. 도체형질의 성적과 요추 수만이 세 축군들 사이에서 통계적인 유의성을 나타내지 않았고(p>0.05), 도체중, 육색, 근내지방도, 등심단면적, 등지방두께, 도체장, 흉추 수, 척추 수 등은 통계적인 유의성을 나타내었다(p<0.05). 제주재래흑돼지는 흉추 수 14-16 개, 요추 수 5-6 개, 척추 수 27-29 개의 범위, Landrace는 흉추 수 15-16 개, 요추 수 5-7 개, 전체 척추 수 28-29 개, F₂ 교배집단은 흉추 수 14-17, 요추 수 5-7 개, 전체 척추 수 27-30 개로 확인되었다. F₂ 교배집단에서 흉추 수와 척추 수의 증가는 도체중, 도체장, 등지방두께의 평균이 유의적으로 다른 양상을 보인다(p<0.05). 또한 척추 수의 증가는 요추 수의 증가보다 흉추 수의 증가에 더 많은 영향을 받는 것으로 나타났다. 흉추 수 및 척추 수의 증가가 등지방두께를 점점 두껍게 만들기는 하지만, 도체중과 도체장 등 경제성을 결정하는 핵심적인 도체형질을 향상시킨다는 점은 추후 제주재래흑돼지나 Landrace 품종을 활용한 양돈산업에서 체형개선을 통한 생산성 증가를 유발할 수 있는 좋은 전략이 될 것으로 판단된다. The number of thoracic and lumbar vertebrae is known to be an unfixed trait among mammals. This study focused on the relationship between numerical variations of cervical (CER), thoracic (THO), and lumbar (LUM) vertebrae and the total number of vertebrae (TNV) and carcass traits in Jejunative black pigs (JBPs), Landrace pigs, and their intercrossed F₂ population. There were no numerical variations in CER vertebrae. On the other hand, the numbers of THO and LUM vertebrae and the TNV varied in all three populations. Of the traits investigated in the three populations, only the means±SE of the LUM vertebrae did not show statistical significance (p>0.05). The carcass weights (CW), meat color (MC), marbling score (MS), backfat thickness (BFT), carcass length (CLE), THO vertebrae, and TNV all showed statistical significance (p<0.05). The JBP had 14-16 THO vertebrae, 5-6 LUM vertebrae, and 27-29 TNV. The Landrace pigs had 15-16 THO vertebrae, 5-7 LUM vertebrae, and 28-29 TNV. The F₂ population had 14-17 THO vertebrae, 5-7 LUM vertebrae, and 27-30 TNV. In the F₂ population, increased numbers of THO vertebrae and TNV were associated with a significant increase in the CW, CLE, and BFT (p<0.05). In particular, the increase in the TNV was caused by an increase in the number of THO rather than LUM vertebrae. Although the animals with a greater number of THO and TNV had thicker backfat, they had a longer CLE and a heavier CW. Both these traits are economically more important than the level of backfat when determining the productivity level. These results suggest that genetic selection to increase the number of vertebrae, especially in Landrace pigs, JBPs, and their related populations, may be an excellent strategy for improving productivity.

Measuring the Effectiveness of an Ecosystem Service to Regulate Air Quality in Wetland, South Korea

Kim, Jung In,Lee, Kyungeun,Yeo, Inae,Choi, Tae-Young,Lee, Beom Hee,Jung, Pil Mo,Joo, Wooyeong National Institute of Ecology 2021 국립생태원회보(PNIE) Vol.2 No.1

This study aimed to verify the suitability of an air quality regulating service for wetland ecosystem service evaluation by investigating the effect of reducing particulate matter (PM) on vegetation in wetlands. We installed tunnel-type experimental plots at Yonghwasil Pond in the National Institute of Ecology and set up the input and output of PM by applying the natural vegetation of the relevant wetlands. We took measurements by replicating four different conditions four times each. The air quality regulating service in each experimental plot was measured based on PM10 concentration; further, the difference between the input and the output concentration of PM passing through the Phragmites australis community tunnel was measured using a light scattering method. For the Phragmites australis community in the outdoor conditions and bare land, the PM concentration was measured with the same specifications as tunnel-type experimental plots without setting up the input and output. For the tunnel-type experimental plots, PM10 concentration was significantly lower in the output than in the input. Furthermore, in the outdoor conditions, a comparison between the Phragmites australis community and bare land showed that the concentration was relatively low in the former than in the latter. This confirmed the PM reducing effect due to the blockage and absorption of PM depending on the growth of Phragmites australis. Based on the results of this study, we assessed the air quality regulating service in wetlands as an evaluation indicator.

國內 市販 飼料의 微生物 汚染에 관한 硏究 第1報. 單味飼料 및 配合飼料중 살모레라속균 및 大腸菌群의 分布

Ki Seuk Kim(金基錫),Sun Namgoong(南宮琁),In Pil Mo(毛仁筆),Kyoung Rok Oh(吳璟祿),Gi Seuk Nam(南基晳) 한국예방수의학회 1984 예방수의학회지 Vol.8 No.1

Feed samples collected from a commercial feed mill located in Kyunggi Province during October in 1982 to April in 1983 were investigated for contamination of coliforms and Salmonella. The ranges of most probable number (MPN) of coliforms per gram of samples were 3,500 to 33,000,000 in corns, 6,400 to 30,000,000 in brans, 4,200 to 430,000 in soybean meals, 3,200 to 48,000,000 in fishmeals, 48,000 to 320,000 in assorted feeds for breeding hens and 360,000 to 45,000,000 in assorted feeds for laying hens. And all 29 samples from 6 kinds of feed were positive in contamination of coliforms.

국내 산란계의 주요 바이러스성 질병에 대한 혈청학적 모니터링 결과 및 분석 (pp.361-372)

이혜림(Hae Rim Lee),김종만(Jong Man Kim),김진형(Jin Hyung Kim),김창문(Chang Moon Kim),소현희(Hyun Hee So),이동우(Dong Woo Lee),하봉도(Bong Do Ha),홍성철(Song Chol Hong),모인필(In Pil Mo) 韓國家禽學會 2010 韓國家禽學會誌 Vol.37 No.4

본 연구에서는 충북대학교 조류질병학실험실에 2009년 한 해동안 의뢰된 산란계의 혈청 검사 결과에 대해 분석하여, 산란계의 주요 질병에 대한 국내 산란계의 면역 상태 및 질병 감염 실태를 파악하였다. 검사 대상 질병은 AI, ND, IB, aMPV, EDS'76, IBD, CIA이었으며, 산란계의 성장 단계에 따라 주령 구간을 나누어 분석하였다. AI, ND, IB는 모체이행항체가 감소한 후 산란 기간에 걸쳐 혈청 역가가 안정적으로 형성되는 특징을 보여 주었다. 그러나 AI는 모든 주령 구간에 걸쳐 음성인 계군이 존재하는 반면, ND는 3~10주령 구간의 한 음성 계군을 제외하고 전 주령에 걸쳐 100%의 계군 양성률을 보이고, ND의 평균 GMT가 AI의 평균 GMT보다 높았는데, 이는 두 질병의 백신 정책의 차이에 기인한 것이다. IB의 산란기의 안정적인 역가는 백신 역가에 산란기 전반에 걸친 야외 감염 개체의 존재로 인한 야외감염 역가가 더해진 것으로 판단된다. aMPV는 2009년에 백신을 실시하지 않았던 질병이므로, 양성 역가를 통해 aMPV의 야외 감염을 추적할 수 있었으며, GMT 변화 및 계군 내양성 개체율의 증가 경향을 통해 일령이 증가할수록 야외감염률이 증가하는 양상을 파악할 수 있었다. EDS'76은 산란 기간에 걸쳐 높은 양성률과 낮은 변이계수를 보여 야외감염이 아닌 백신에 의한 역가 형성이 대부분임을 알 수 있었다. IBD의 모체이행항체는 높은 수준으로 이행되는 것을 확인하였으며, CIA는 백신을 적용하지 않은 계군에서 양성과 음성 계군이 모두 존재하였으며, 그 차이는 차단 방역에 기인하는 것으로 판단되었다. 본 연구를 통하여 국내 산란계에서의 혈청 역가 분포를 파악하는데 많은 정보를 얻을 수 있었으나, 향후 지속적인 야외 계군의 혈청학적 모니터링이 되어야 할 것으로 판단된다. Serological evaluation for the poultry is important for various reasons, such as designing and assessing the vaccination program and diagnosing diseases and for this reason, serologic tests for the layer flocks have been conducted on a regular basis. Moreover, the nationwide serological survey and analysis are essential to understand the epidemiological status of national poultry industry. In this sense, the study was conducted to evaluate the immune status of the layer flocks with the sera submitted to Avian Disease Laboratory, Chungbuk National University in 2009, and several important viral diseases were selected for evaluation including low pathogenic avian influenza (LPAI), Newcastle disease (ND), infectious bronchitis (IB) and avian metapneumovirus (aMPV). For LPAI and ND, the age-related patterns of geometric mean titer (GMT) changes were similar but there were differences in the flock positive rate and the level of GMT due to the different vaccination policy. In the case of IB, the values of GMT showed that the field infection was more prevalent than expected. For aMPV, positive birds in a flock increased as the layers got older, which reflected the course of field infection because vaccination against aMPV was not allowed in 2009. From this study, the immune status for the main viral diseases in layers became more clarified but this information was limited because of only one year study. Therefore, serological survey needs to be conducted on a yearly basis and furthermore include broilers and breeders for a better understanding of the health status in the national poultry industry.