Monoclonal Antibody를 이용한 Streptococcus mutans 검출 방법의 임상적 적용에 관한 연구

홍희정,김종수,김용기 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

Monoclonal antibody를 이용한 Saliva-check Mutans키트의 타액 Streptococcus mutans검출방법으로서의 활용도와 임상적 우식지수 및 기존의 세균배양방법과의 상관관계를 알아보기 위해 2008년 2월에서 5월 중 평촌키즈웰치과에 내원한 만 2세에서 만 8세 사이의 92명의 아동을 대상으로 Streptococcus mutans 검출검사를 실시하였으며 또한 우식에 영향을 미치는 다른 요인인 치면세균막 pH와 타액완충능력검사를 실시하여 다음과 같은 결론을 얻었다. 1. Saliva-check Mutans 검사결과 양성을 나타낸 아동은 27명으로 29.3%이었고, 음성을 나타낸 아동은 65명으로 70.65%이었다. 우식경험유치면률은 음성 아동 13.89%, 양성 아동 25.23%으로 나타났다. 2. Monoclonal antibody를 이용한 검사방법 인 Saliva- Mutans와 기존의 세균 배양방법인 -SM은 각각 상이한 검사방법을 이용함에도 불구하고 검사결과 높은 상관관계를 보였다(p<0.01). 3. Saliva-check Mutans검사와 치면세균막 pH검사와는 역상관관계를 나타내었으나(p<0.01),타액완충능 검사와는 상관관계가 나타나지 않았다(p>0.05). 이상의 결과로 보았을 때 Monoclonal antibody를 이용한 검사방법인 Saliva-check Mutans는 구강 내 Streptococcus mutans를 측정하는 방법으로 적당하며 또한 검사에 필요한 시간을 대폭 줄일 수 있고 사용방법도 매우 간편하게 개발되어 환자들에게 적용함에 있어 효과적이라고 사료되었다. The purpose of this study was to evaluate the clinical effectiveness of new streptococcus detection system which used monoclonal antibody against Streptococcus mutans. 92 children aged between 2 and 8 were involved in this experiment and their saliva samples were collected for testing. Streptococcus mutans were measured by both monoclonal antibody-based detecting system (Saliva-check Mutans) and dip slide detecting system(Dentocult-SM). The results showed that Saliva-check Mutans levels had a significant correlation with dfs rate of subjects and the two test kits, Saliva-check Mutans and Dentocult-SM were shown to have a good correlation although they were based on different mechanism.

남성유방에 발생한 지방육종

최종범,임성철,기근홍,전호종,서재홍 대한병리학회 1992 Journal of Pathology and Translational Medicine Vol.26 No.3

대학 전산 정책의 방향설정 및 추진계획에 관한 연구

홍상은,이병수,조충호,이상정,주경수,안종근,황순기 순천향대학교 1994 논문집 Vol.17 No.1

It has been rapidly given to the importance of the embodiment of the efficient computer systems in university education. Since the recent trend of the adoption of the openess policy in university education systems significantly affects on the realization of the embodiment of the efficient computer systems which is very essential to promote the international competition in many areas of university education. So it is greatly needed that our Soonchunhyang university must have the following principles for the embodiment of the efficient computer systems. (1) It is required that the appropriate computer education and the good quality of research environment must be given. (2) The establishment of the synthetic computer network system for efficient the university administrations is needed. (3) It is needed to establish the computer system for the consideration of the future performance. (4) It is also needed to improve the organization and the administration systems of the university computer center. (5) It is required on the establishment of the local area network(LAN) systems in the Soonchunhyang university, and the LAN must be connected to other outer national and international computer systems. And we propose the following requirement for the establishment of the convienent computer systems in our university and we have been greatly though about the significant change of the environment in university computer system. [1] The subject of the basic computer must become as the required subject for the all students in the curriulum. [2] The new computer systems both in hardware and software must be introduced. [3] It is needed to the change of the present name of the university computer center into the university information and computer center. And its organizations must be furthur developed [4] The training center for the university emploee is also needed. [5] The establishment of the database systems for the automtion of the university administation is needed. [6] It is strongly required on the establishment of the local area network system in the Soonchunhang university to connect the Bitnet and the Internet through the Hankook communication. [7] The computerization for the central library is needed. The indepent local area network system for the library is also needed to establish the own database system. Finally we hope that the LAN will be connected to the national wide library computer system.

이황화탄소 폭로가 혈압과 콜레스테롤치에 미치는 영향

洪起天,李恩一,金光鍾 고려대학교 의과대학 1994 고려대 의대 잡지 Vol.31 No.3

To study the effects of exposure to carbon disulfide on blood pressure and serum cholesterol level, we gathered the informations from file of the periodic health examination for occupational disease, the periodic health examination for general disease and medical records in, Wonjin factory clinic. The study subjects were 266 workers who had worked in spinning department as exposure group, and 207 male office workers and 59 female office workers as non-exposure group. The results are as follows; 1. The slope coefficients of systolic blood pressure(as dependent variable) and age and exposure duration(as independent variable) were 0.013 and 0.066 respectively in exposure group. And the slope coefficients of diastolic blood pressure(as dependent variable) and age and expoure duration(as independent variable) mere 0.010 and 0.051 respectively in expoure group. 2. The slope coefficients of systolic blood pressure(as dependent variable) and age and tenure duration(as independent variable) were 0.019 and 0.009 respectively in male unexposure group, and were 0.032 and 0.018 respectively in female unexposure group. And the slope coefficients of diastolic blood pressure(as dependent variable) and age and tenure duration(as independent variable) were 0.016 and 0.009 respectively in male unexposure group, and were 0.019 and 0.033 respectively in female unexposure group. 3. The slope coefficient of exposure duration was greater than that of age in exposure group and that of age was greater than that of tenure duration in male unexposure group. 4.There was no significant difference of blood pressure between the exposure and non-exposure group. 5.The slope coefficients of Serum cholesterol(as dependent variable) and age and exposure duration(as independent variable) were 0.03 and 0.035 respectively in exposure group. The slope coefficients of serum cholesterol(as dependent variable) and age and tenure duration(as independent variable) were 0.102 and -0.012 respectively in male unexposure group. And the slope coefficients was very low in female unexposure group. 6. The slope coefficient of exposure duration was similar to that of age in exposure group, and only age was positively related to serum cholesterol in male unexposure group.

T.S. Eliot와 형이상시의 부활

홍기종 釜山大學校 1989 人文論叢 Vol.34 No.1

퍼지집합 理論을 利用한 構造物의 最適設計에 관한 硏究

이종호,홍영기,우호길 충남대학교 공업교육연구소 1999 論文集 Vol.22 No.1

There exists a vast amount of fuzzy information in both objective and constraint functions of the optimization problem. Also most engineering design problems require the consideration of multiple and conflicting objectives. To handle these problems, the approach based on both fuzzy set theory and Dempster-Shafer theory is presented in this paper. In other words, original partly fuzzy multi-objective optimization problem is defuzzified into a crisp generalized multi-objective optimization problem using fuzzy set theory. The crisp generalized multi-objective problem is then transformed into an equivalent single objective optimization problem using a Dempster-shafer theory. The resulting problem can be solved to seek the best compromise solution by a common optimization technique.

남북한 방송 언어의 운율 특성 비교연구 : 억양을 중심으로

김기호,홍종선,이용재 서울대학교 어학연구소 1996 語學硏究 Vol.32 No.3

This paper is to compare North and South Korean media languages acoustically and to describe its main prosodic characteristics. The result of the acoustic experiments shows that North and South Korean media languages share the same prosodic features. That is, in general report style, they both show ⅰ) the same basic accentual phrase (AP) pattern ((LH) LH) like Seoul dialect's and ⅱ) the same closing boundary tone, or L%. However, acoustically, they differ in the following aspects: in comparison with South Korean media language, the North Korean one tends to show ⅰ) more APs, ⅱ) wider pitch variation between the first and the second syllable of the AP, ⅲ) wider maximum pitch variation between the adjacent syllables, ⅳ) a more radical falling slope in that closing boundary tone, and, of more importance, it does not show clearly the downdrift phenomena ⅴ) between the intonational phrases as well as ⅵ) between the APs, which are the prosodic characteristics of South Korean dialects. On the other hand, in Kim Il-sung-related reports, the North Korean media language shows somewhat different prosodic features, i.e. in addition to the basic (LH)LH AP pattern, it shows another AP pattern, or LHL^0, similar to the Honam dialect (LHL) and it also shows a rather different closing boundary tone, or LHL%.

비알콜성 지방간과 대사성 질환들과의 연관성

김홍규,서찬종,윤효중,황용하,이기영,박혜영,김갑환,강문호 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.4

연구배경: 비알콜성 지방간은 일반적으로 비만, 제2형 당뇨병 및 고지혈증과 연관성이 있는 것으로 알려져 있으나, 인슐린 저항성과의 독립적인 연관성여부나, 대사 증후군과의 연관성에 관해서는 아직 연구가 많지 않다. 한편, 최근 건강검진센터를 중심으로, 초음파를 이용한 지방간의 진단이 흔하게 되었는데, 이런 대상에서의 지방간의 임상적인 의미에 대해서는 잘 알려져 있지 않았다. 따라서, 본 연구에서는 초음파로 진단된 비알콜성 지방간과 비만, 당대사이상, 이상지질혈증 및 인슐린 저항성과의 연관성을 알아보고, 대사성 증후군과 비알콜성 지방간의 동반정도를 알아보고자 하였다. 방법: 2000년도 4월부터 6월까지 종합건강진단을 위해 가천의대 길병원 건강증진센터에 내원한 262명 중 음주력과 바이러스성 간염, 심한 간기능 또는 신기능이상 및 현성 갑상선기능이상을 보인 147명을 제외한 115명을 대상으로 하였다. 지방간의 진단은 경험 있는 1명의 방사선과의사에 의해 복부 초음파로 진단하였다. 대사성 증후군의 정의는 당대사이상이 있으면서 비만, 이상지질혈증, 그리고 고혈압 중 두 가지 이상의 이상이 있는 경우로 하였다. 결과: 대상자 115명중 비알콜성 지방간이 있는 경우는 30명, 대조군은 85명이었다. 1) 수축기 및 이완기 혈압, 체중, 체질량지수, 체지방량 및 체지방률, 총콜레스테롤과 중성지방, 공복 혈중 인슐린 및 HOMA 인슐린저항성지표는 비알콜성 지방간군에서 의미 있기 높았다. 2) 나이, 성별, 체질량지수, 허리-둔부 둘레비, 체지방량, 체지방률, 공복혈당, 총콜레스테롤, 중성지방, HLD-콜레스테롤, 인슐린, HOMA 인슐린 저항성지표, 그리고 고혈압유무를 포함하여 로지스틱 회귀분석을 실시하였을 때, 체질량지수, 총 콜레스테롤 및 HOMA 인슐린저항성지표가 비알콜성 지방간과 독립적인 연관성이 있었다. 3) 비알콜성 지방간과 대사성 증후군의 연관성을 조사하였는데, 비알콜성 지방간을 가진 사람의 27%에서 대사성 증후군을 동반하였고, 대사성 증후군의 가진 사람의 53%에서 비알콜성 지방간을 동반하였다. 4) 대조군과 비알콜성 지방간군에서 대사성 증후군의 각 구성 인자인 당대사이상, 비만, 이상지질혈증 및 고혈압 중 2개 이상의 인자를 갖는 경우는 각각 28%와 73%로 비알콜성 지방간군에서 현저하게 높았다. 결론: 본 연구의 결과는 비알콜성 지방간이 인슐린 저항성과 독립적인 연관성을 가질 가능성을 시사하였고, 비알콜성 지방간이 있는 경우에 당대사이상, 비만, 이상지질혈증 및 고혈압 중 두 가지 이상의 대사성 질환을 가질 확률이 대조군에 비해 약 3배나 높음을 보여주었다. 따라서, 비알콜성 지방간으로 진단된 환자들에서 이러한 대사성 질환들에 대한 적절한 평가와 이를 호전시키기 위한 노력 및 주의 깊은 경과관찰이 필요할 것으로 생각되었다. Background: Non-alcoholic fatty lever disease (NAFLD) is known to be frequently associated with obesity, type 2 diabetes and dyslipidemia. Recently, the diagnosis of fatty lever disease, based on ultrasonographic findings, has increased. Therefore, we examined the association between NAFLD and various metabolic disease, such as obesity, glucose intolerance, dyslipidemia, and hypertension or metabolic syndrome, and tried to find out whether NAFLD was independently related to insulin resistance. Methods: From April to June 2000, 262 subjects, attending for routine physical check-ups, were screened. Of these, 115 one hundred fifteen subjects were studied, with the other 147 excluded due to significant alcohol consumption, evidence of viral or toxic hepatits, significant liver or renal dysfunction, and overt thyroid disease. Fatty lever was diagnosed if the subject had a 'bright' liver on ultrasonographic examination. All diagnoses were made by a singled experienced radiologist. Results: of the 115 subjects. 30(26%) showed NAFLD. 1. Systolic and diastolic blood pressures, body weight, serum total cholesterol, triglyceride, fasting insulin levels, and HOMA IR (homeostasis model assessment insulin resistance index) were higher in the subjects with NAFLD than in the controls. 2. Multiple logistic regression analysis, including age, sex, BMI, waist to hip ratio, fasting serum, glucose, lipids and insulin levels, HOMA IR, and hypertension showed that BMI, total cholesterol and HOMA IR were independently related with NAFLD. 3. 27% of the subjects with NAFLD showed metabolic syndrome, and 53% of subjects with metabolic syndrome had NAFLD. 4. The percentage of subjects who had more than two factors of metabolic syndrome was three times higher in the subjects with NAFLD compared to the controls. Conclusion: These results suggest that NAFLD may be independently related with insulin resistance. Metabolic diseases, such as glucose intolerance, obesity, dyslipidemia and hypertension, were more prevalent in the subjects with NAFLD than in the controls. Therefore, we should try to assess the status of the metabolic disease, and treat them in patients with NAFLD (J Kor Soc Endocrinol 17:526∼534, 2002).

Southern Blot Hybridization법을 이용한 악성 림프종의 면역유전형에 관한 연구

전호종,기근홍,김윤신,이미숙,이미자,장원재,장숙진,박영진,정춘해,정종훈,양성훈,이광민 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2

Immunogenotyping using gene rearrangement analysis has emerged as a precise laboratory aid in the diagnosis and classification of malignant Iymphoid neoplasms. The lineage and clonality of the malignant Iymphoid neoplasms can be identified by the demonstration of rearrangements of antigen receptor genes of the immunoglobulin and T-cell receptor genes. The analysis of the gene rearrangements on the malignant Iymphoid neoplasms are also useful as a sensitive unique clonal markers to detect early recurrence in patients with malignant Iymphoid neoplasms after treatment. To analyze the sensitivity and specificity of gene rearrangements in the diagnosis of malignant Iymphoid neoplasms. 24 cases of malignat Iymphoma were examined by Southern blot hybridization using CTβ-T cell receptor β chain gene-DNA probe and JH-immunoglobulin heavy chain gene-DNA probe. The results of the immunogenotypings using Southern blot hybridization disclosed high correlation between the immunophenotyping using immunohistochemical stain with monoclonal antibodies (B-cell Iymphoma 84.2%. T-cell Iymphoma 75% ). The analysis of the gene rearrangement of the angioimmunoblastic lymphadenopathy(AILD) and unclassifiable Iymphoma using immunohistochemical stain could resolve the monoclonality and lineage . Rearranged bands to the CTβDNA probe were observed in one case out of 2 cases of AILD. One case of unclassifiable Iymphoma showed rearranged bands to the CTβ DNA probe. There were no rearrangements in reactive follicular Iymphoid hyperplasia and paracortical Iymphoid hyperplasia. In conclusion, DNA gene rearrangement study should be applied to differentiate the clonality and cell lineage in the malignant Iymphoma with indistinctive immunophenotype.

한국의 정신분열병 외래 환자의 직ㆍ간접비용

박종익,송선희,서동우,장현종,이종국,장안기,김윤,이철,홍진표 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3

연구목적 : 정신분열병 외래 환자의 직접 비용과 간접 비용을 추산해 보고, 의료 자원의 적절한 운용과 효과적인 배분을 위한 보건 정책의 기초자료로 사용하고자 한다. 방 법 : 정신분열병 진단을 받은 289명의 환자를 대상으로 6개월간 외래를 방문하면서 사용한 의료비와 시간을 조사하여 직접 비용을 추산하였고, 이 기간 동안 소실된 생산성을 간접 비용으로 환산하였다. 만성질환인 관상동맥 질환을 앓고 있는 환자 82명을 대조군으로 하여 비용을 비교하였다. 결 과 : 정신분열병 환자의 실업률은 72.1%였으며, 직장을 가지고 있는 경우에도 단순노무직의 비율이 64.5%로 매우 높았다. 정신분열병의 직접 비용은 평균 81.5만원으로 관상동맥 질환의 평균 71.5 만원보다 상대적으로 많이 추산되었으나 유의하지는 않았다. 간접 비용은 평균 645.6만원, 258.9 만원으로 정신분열병군이 2.5배 정도 높았다. 결 론 : 정신분열병은 다른 만성질환에 비하여 상대적으로 매우 고비용이 요구되는 질환이며, 보다 체계적인 비용의 추산을 통하여 양질의 정신 보건 서비스를 제공할 수 있는 토대가 마련되어야 할 것이다. Objectives : We have aimed to estimate the direct and indirect costs of treating out-patients with schizophrenia in Korea, to use this fundamental data for the effective management and proper distribution of the medical resource. Method : To estimate the direct cost, we surveyed the medical cost and time of two hundred and eighty-nine out-patients with schizophrenia for six months. And the lost productivity as many months was converted into the indirect cost. Those of eighty-two coronary heart disease patients were also estimated as a comparison group. Results : An unemployement rate of schizophrenic patients was 72.1 percent. Moreover the ratio of the laborer in the sample was, even if employed, 64.5 percent. The mean direct cost of schizophrenic patients was, about 815,000 won, higher than that of coronary heart disease, 715,000 won however it was not statistically significant. The former was also estimated 2.5 times more than the latter for the indirect cost, or 6,456,000 won versus 2,589,000 won. Conclusion : Schizophrenia is a relatively costly illness compared to other chronic illness, so the systematic estimation of the cost is necessary to provide mental health service of high quality.