18–30세 사이에 발생하는 뇌경색의 특징, 다기관 레지스트리 연구

장윤경,송태진,김용재,허지회,이경열,김영은,장민욱,조수진,강석윤 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.3

Objectives: Although there have been several reports that described characteristics for young age stroke, information regarding very young age (18–30 years old) has been limited. We aimed to analyze demographic factors, stroke subtype, and 3-month outcome in acute ischemic stroke patient who have relatively very young age in multicenter stroke registry. Methods: We evaluated all 122 (7.1%) consecutive acute ischemic stroke (within 7 days after symptom onset) patients aged 18 to 30 from 17,144 patients who registered in multicenter prospective stroke registry, 1997 to 2012. Etiology was classified by Trial of Org 10172 in Acute Stroke Treatment criteria. Stroke severity was defined as National Institutes of Health Stroke Scale (NIHSS) and stroke outcome was defined by modified Rankin scale (mRS) at 3 months after index stroke. Results: The mean age of all included patients was 25.1±3.7 years and 76 patients (62.2%) were male. The median NIHSS at admission was 4. Considering stroke subtype, 37 patients (30.3%) had stroke of other determined etiology (SOD), 37 (30.3%) had undetermined negative evaluation (UN) and 31 (25.4%) had cardioembolism (CE) were frequently noted. After adjusting age, sex and variables which had P<0.1 in univariable analysis (NIHSS and stroke subtype), CE stroke subtype (odds ratio, 4.68; 95% confidence interval, 1.42–15.48; P=0.011) were significantly associated with poor functional outcome (mRS≥3). Conclusion: In very young age ischemic stroke patients, SOD and UN stroke subtype were most common and CE stroke subtype was independently associated with poor discharge outcome.

유아의 성별, 연령에 따른 체력 특성

전영남,양점홍,김수진,이성민 釜山大學校 附設 體育科學硏究所 2005 體育科學硏究所 論文集 Vol.21 No.2

The purpose of this study is to examine the characteristics of young children's fitness development in accordance with gheir gender and age, providing information necessary for an effective physical education instruction for young children's growth and development. For the purpose, this researcher selected total 257 young children from K Kindergarten located at K-gu in B Metropolitan City who consisted of 73 boys and 45 girls, both of were fully aged 4, and 83 boys and 56 girls, fully aged 5.......

모체 Thyroxine 투여가 태아알코올효과를 가진 흰쥐 대뇌겉질 및 해마에서 NPY함유 신경세포의 생후 발달에 미치는 영향

김복,박상기,박영란,김종중,문정석,김주수,문영민,현영식,천관영,정윤영 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

Background and Objectives: Maternal alcohol abuse is considered to be one of the most prominent cause of neurobiological malformations in the postnatal and adult life of the offspring. In this study, we investigated the effects of maternal alcohol drinking on the postnatal development of NPY-containing neuron, and, the influence of thyroxine treatment on the cerebral cortex and hippocampus of pups of alcohol abused mother. Materials and Method: Time-pregnant rats were divided into three groups. Alcohol-fed group A received 35 calories of liquid alcohol diet daily from gestation day 6; control pair-fed group B was fed a liquid diet in dextrin replaced alcohol isocalorically: alcohol + T4 group C received 35 calories liquid alcohol diet and exogenous thyroxine subcutaneously. Results: Group C showed prominent NPY immunoreactivity in the cerebral cortex compared to group A and B at P7. In group C, NPY-containing neurons were widely distributed in the all layers of cerebral cortex after P14. Besides, numerical decrease of NPY-containing neuron as age increases was not found in group C. However, the decrease of NPY-containing neuron was clearly observed in group A compared to group C after P14. In hippocampus, group Band C were appeared similar patterns after P7. Additionally, in group C, NPY immunoreactivity was prominently appeared in CA2 and CA3 at P14 as compared to group B. Conclusions: The present results showed the increase of intensity and number of NPY-containing neurons in cerebral cortex and hippocampus of pups of exogenous T₄ supplemented alcohol-exposed dams as compared to control pair-fed and alcohol-exposed pups at P7. It presumably suggest that NPY-containing neurons might be regulated by the early postnatal growth stimulatory effect of the exogenously supplemented T₄. Therefore, the increase of NPY synthesis caused by maternal administration of exogenous thyroxine may ameliorate fetal alcohol effect, one of the ill effects as a result of the dysthyroid state following maternal alcohol abuse.

1~2기 본태성 고혈압 환자들에서 Imidapril 대 Enalapril의 항고혈압 효과를 평가하기 위한 무작위, 이중맹검 임상시험

최영진,손대원,김용진,이홍자,채인호,김효수,김철호,오병희,이명묵,박영배,채윤식,이영우 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.11

Synergistic effects of alkylated graphene oxide on the properties of polypropylene-based carbon nanocomposites.

Yun, Young Soo,Pyo, Hye-Ri,Lee, Jae Yun,Chin, In-Joo,Jin, Hyoung-Joon American Scientific Publishers 2013 Journal of Nanoscience and Nanotechnology Vol.13 No.10

<P>Polypropylene (PP)/carbon black (CB)-alkylated graphene oxide (AGO) hybrid nanocomposites were prepared via solution process and the synergistic effects of AGO on the properties of the PP/CB nanocomposites were investigated. AGO at a content of only 0.2 wt% formed an overlapped network structure in the PP matrix and affected the electrical, thermal and mechanical properties of the PP/CB nanocomposites. Specifically, PP/CB (5 wt%)-AGO (0.2 wt%) nanocomposites exhibited an electrical percolation threshold at lower CB contents than the PP/CB nanocomposites did, and the sheet resistance was decreased to 2.3 x 10(7) omega/sq. The thermal degradation temperature and recrystallization temperature of the PP/CB (10 wt%) nanocomposites were increased by 11.3 and 1.6 degrees C, respectively, by the addition of 0.2 wt% AGO. In addition, the Young's modulus of the PP/CB (10 wt%) nanocomposite was increased from 438.1 to 540.1 MPa.</P>

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

한국 재래식 된장과 고추장의 숙성 중 미생물, 효소활성 및 주요 성분의 변화

이종수,권수진,정성원,최영준,유진영,정동효 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.2

재래식 된장과 고추장의 가스 발생을 억제하여 저장성을 향상시키기 위한 생물공학적 방법을 개발하고자 먼저 재래식 된장(봄메주 된장과 가을메주 된장)과 고추장(순천식)을 제조하여 4개월간 숙성시키면서 미생물과 효소활성 및 주요 성분의 변화를 조사하였다. 호기성 세균은 된장과 고추장 모두 숙성 60일까지 증가한 후 큰 변화가 없었고 혐기성 세균은 숙성기간 동안 된장에서는 10^7~10^8/g, 고추장에서는 10^5~10^6/g이었으며 효모는 된장에서는 숙성 15일까지 급격히 증가한 후 변화가 없었으나 고추장에서는 숙성 15일에 출현하여 60일까지 10^6/g으로 증가하였다. α-amylase 활성은 가을메주 된장에서, glucoamylase는 고추장에서 숙성기간 전반에 걸쳐 제일 높았고 산성 protease와 중성 protease 활성은 대체로 숙성 15일~30일경에 최대를 보였다. pH는 된장에서는 숙성 60일까지 7.0까지 높아졌지만 고추장은 숙성기간 내내 pH 5.0으로 낮아졌다. 수분은 봄메주 된장과 고추장에서 숙성이 진행됨에 따라 낮아져서 숙성 120일 후 40%이었으며 환원당은 고추장에서 숙성 15일까지 19.9%로 증가한 후 감소하는 경향이었다. Changes in microorganisms, enzyme activities and major components of two types of Doenjang prepared with spring Meju and autumn Meju and Kochujang were investigated during 5 months of fermentation. The viable cell counts of aerobic bacteria in Doenjang and Kochujang were increased up to 60 days of fermentation, but viable cell counts of anaerobic bacteria did not show remarkable changes during fermentation. Viable cell count of yeast showed a rapid increase up to 15 days of fermentation in Doenjang and 60 days in Kochujang. It was found that α-amylase activity of autumn Meju Doenjang and glucoamylase activity of Kochujang were higher than the other. Acidic and neutral protease showed the highest activity during 15~30 days of fermentation. The pH of Doenjang was increased up to pH 7.0 until 60 days of fermentation, but pH of Kochujang gradually decreased during fermentation. Moisture content of spring Meju Doenjang and Kochujang decreased to 40% during fermentation and reducing sugar content of Kochujang increased up to 15 days of fermentation, but decreased after that.

태권도 선수의 인지 재구성에 의한 시합 불안 감소 연구

박영수 ( Young Soo Park ),양대승 ( Dae Seung Yang ),서진교 ( Jin Gyo Seo ) 국기원 2010 국기원태권도연구 Vol.1 No.1

본 연구의 목적은 김용승(1996)이 개발한 심리기술 강화 훈련 프로그램(시합불안 제어용)의 단축형을 스포츠 현장의 태권도 선수 남녀 2명에게 적용하고 그의 시합불안 제어효과를 조사하고자 하는 것으로 2개의 1인 대상연구 형태로 이루어 졌다. 개입프로그램은 합리적 정서적 치료(RET) 및 합리적 인지 재구성(CRR)을 기반으로 하여 개발된 것으로, 현장에서 심리학적 전문지식이 없어도 적용이 가능하도록 127개의 진술 항목이 개발되어 포함되어 있다. 대상은 남녀 대학 태권도 선수 2명이며 평소 시합불안 제어가 필요함을 표현하던 선수였다. 연구개입은 각각 4회기에 걸쳐 이루어졌고, 개입 전후에 SCAT 검사를 하여 특성 시합불안의 변화를 조사하였다. 개입 후에는 보충면접(Back-up Interview)을 통해 1인 대상 연구의 단점을 보완하고자 하였다. 남자 P의 경우 개입 프로그램 전후의 SCAT 점수는 15점에서 14점으로 1점의 감소를 보였으나, 보충면접을 통해 개입 프로그램이 시합 불안을 낮추는데 효과가 있었다는 것이 밝혀졌다. 피험자 L의 경우도 개입 프로그램 전의 점수가 20점이었으나 프로그램 개입 후의 점수는 12점으로 대폭 감소하여 개입 프로그램이 L의 시합 불안을 급격하게 감소시킨 것으로 나타났으며, 보충면접에서도 L은 개입 프로그램으로 시합 불안이 크게 감소하였다고 진술하였다. 따라서 이 프로그램은 태권도 선수들의 시합 시 불안을 감소시킬 뿐만 아니라 훈련 시에도 개입효과를 기대할 수 있다. This study aims to apply the simple version of Mental Technique Enhancing Training Program (for controlling game anxiety) developed by Young-Seung Kim (1996) to 2 Taekwondo players (male and female) in the sports field and to research the game anxiety control effect and was composed of 2 one-person studies. The intervention program was developed based on Rational-Emotive Therapy (RET) and Cognitive, Rational Restructuring (CRR) and is composed of 127 statement items developed for this research so that it can be applied without psychological expertise in the field. The subjects were 2 college taekwondo players who needed to control game anxiety usually. The intervention was performed 4 times for each player and examined the change of game trait anxiety by SCAT test before and after the intervention. Back-up interview was conducted to compensate for the weakness of one-person study after intervention. In case of male subject P, the SCAT score decreased from 15 to 14 after the intervention but it was concluded through the back-up interview that the intervention was effective in reducing game anxiety. In case of subject L, the SCAT score sharply decreased from 20 to 12 after the intervention, showing that the intervention program reduced game anxiety drastically. The subject L also stated that the game anxiety was reduced greatly due to the intervention in the back-up interview. Thus, it was concluded that this program can not only reduce anxiety during a game for taekwondo players but also have anxiety control effect during training session.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

Rat의 복강내에 투여한 5-fluorouracil-polyglycolic acid 제형이 장기에 미치는 영향에 관한 연구

강대영,송규상,최정목,노승무,정경수,오정연,김진향,양준묵,최선웅,이진호,조준식,민병무,김용백,김창식,박근성,김승영,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

For more effective intraperitoneal chemotherapy, the authers made 5-fluorouracil-polyglycolic acid composite disks(FU-PGA disks) with 5-fluorouracil and polyglycolic acid, a biodegradable polymer. We inserted the FU-PGA disk into the peritoneal cavites of Sprague-Dawley male rats, the control and three experimental groups; one FU-PGA disk insert group(300mg/kg), two FU-PGA disk insert group(600mg/kg), and three FU-PGA disk insert group(900mg/kg). The control group received a similar number of PGA disk inserts. A pharmacokinetic study was performed to measure the 5-fluorouracil concentration in the peritoneal fluid, blood, and tissues(liver, kidney and heart) at 24 hours, 72hours and 168 hours after insertion of the FU-PGA disk. Light and electron microscopic studies were done. The results were as follows: 1) The number of white blood cells and platelets decreased after FU-PGA insertion. The degree was proportional to the duration and amounts inserted. The change in the number of red blood cells varied slightly. 2) Light microscopically, slight changes were noted at 168 hours in the 3 disk insert group (900mg/kg). Mild fatty change and hepatocyte degeneration around the central veins of the liver were noted, with vacuolar degeneration in the proximal convoluted tubules of the kidney. 3) Electron microscopically,the liver showed focal increases of lipid droplets in the hepatocytes, and irregular nuclear membrane with focal nucleolar segregation of the fibrillar and granular elements. Also the double membranous structure of the hepatocytes and Kupffer cells was widened with bleb formation. The kidney showed wide separation of the nuclear double membrane in the proximal convoluted tubular cells and mesangial cells, with vacuolation and myelin figure formation in the mitochondria of the proximal convoluted tubular cells, at 72 hours and 168 hours in the 2 to 3 FU-PGA insert groups. The heart showed focal loss of cristae,vacuolation and myelin figure formation in the mitochondria of the 2 to 3 FU-PGA insert groups. In conclusion, despite the large amont of FU-PGA inserted, the histopathological changes in the liver, kidney and heart were slight, and consonant with the very low amount of 5-fluorouracil concentrations detected in the liver, kidney and heart. The above results suggest that the FU-PGA composite can serve as a new device for releasing drugs in a controlled manner and easily targeted to intraperitoneal organs. This device can improve the efficacy of intraperitoneal chemotherapy for gastric cancer.