신부전이 동반된 당뇨병 환자에서 발생된 침습성 모균증 : 수술과 Liposomal amphotericin B 및 GM-CSF 병합 요법에 의한 성공적인 치험 1예

이원영,오기원,임국희,장재혁,이동건,최정현,강무일,신완식,차봉연,이광우,손호영,강성구 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.4

저자들은 신부전이 동반된 당뇨병 환자에서 발생된 부비동형 모균증에 대하여 수술과 함께 liposomal amphotericin B 및 GM-CSF의 복합치료를 하여 성공적으로 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Mucormycosis (zygomycosis) primarily affects diabetic or immunocompromised patients and typically progresses rapidly, necessitating surgical excision and antifungal therapy with amphotericin B. Large doses of amphotericin B are needed for cure, but it has the risk of causing significant renal toxicity. The recent development of liposomal amphotericin B allows antifungal therapy to be administered with potentially improved efficacy and reduced nephrotoxicity. We have experienced a case of paranasal mucormycosis successfully treated with surgery, liposomal amphotericin B and GM-CSF. A 59-year-old male suffering from diabetes mellitus for 6 years was admitted with pain at left maxillary area. He was diagnosed as mucormycosis after cytologic exam on the necrotic nasal mucosa, which showed typical hyphae. He have had diabetic nephropathy with macroproteinuria and had rapidly rising serum creatinine levels with the amphotericin B treatment: creatinine levels reverted to basal level with the use of liposomal amphotericin B. Despite surgical excision and continued antifungal therapy, his infection was not effectively controlled. Therefore, GM-CSF was administered additionally to improve phagocytic activity of leukocytes. He was finally cured after receiving a combination of aggressive surgery, liposomal amphotericin B and GM-CSF. To our knowledge, this is the first detailed clinical description of the treatment of mucormycosis with liposomal amphotericin B in Korea.

建築工業敎育科 敎育改善에 관한 硏究 : 敎育課程을 中心으로 Focused on the development of curriculum

李昌甲,朴萬植,延吉煥,崔武革,李基男 충남대학교 공업교육연구소 1981 論文集 Vol.4 No.1

Due to the radical change of society and the technological innovation, it is inevitable to rearrange the educational objective of the Department of Architectural Engineering Education and to reorganize the curriculum responding to the objective. In this study, all the current curricula of architectural institutions have been analized to identify problems, and the educational objective of the department of architectural engineering education have been established based on the objective of the College of Industrial Education. As the result of the above studies, the model curriculum for the major subjects have been developed in order to have following characteristics. 1. The required subjects were limited to the basic fields in order to cover the education in the technical high school. 2. The elective subjects were organized into three fields, namely, architecture, structural engineering, and building materials and construction to meet the diversified demands to a possible maximum extent.

만성 화농성 중이염의 세균학적 고찰

조남순,이영훈,강기훈,최제환,송태현,이병돈,장혁순,강주원,김연준 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Background and Objectives : Chronic suppurative otitis media is one of the frequent diseases in otolaryngologic field. It is important to choose of antibiotics in the management of infectious disease. But the organisms in infections have been changed and resistance to antibiotics has been grown as the development of antibiotics has been achieved. And so it has been necessary to recognize the changes of organisms and resistance in antibiotics. Our study was performed to identify the pathogens isolated from discharges in chronic otitis media and evaluate the antibiotic agents, to recognize the change of to resistance to·antibiotic agents and to use the appropriate anitiotics. Materials and Methods : Retrospectively, authors reviewed the backeriologic study of 114 cases of chronic suppurative otitis media who visited the Department of Otolaryngology, Soonchunhyang University in Seoul from Nov. 1996 to Oct. 1999 and analyzed 101 strains and its sensitivity test to various antibiotics. Result : In 93 cases in which pathogenic organism was isolated, single infection was 85 cases(91.4%) and mixed infection was 8 cases(8.6%). The most frequent pathogenic organism was Staphylococcus aureus(59.4%), Pseudomonas aeruginosa(13.9%), Providencia(4.8%), Alcaligenes(3.0%) and Streptococcus pneumoniae(2.9%) were the next. Methicilline-Resistance Staphylococcus aureus was 34 cases(57.6%) of Staphylococcus aureus. Staphylococcus aureus was sensitive to Vancomycin(96.7%), Trimethoprim-Sulfamethoxazole (57.6%), Cefuroxime(42.4%) and Ciprofloxacin(40.7%) but resistant to Penicillin(94.9%). Pseudomonas aeruginosa was sentitive Amikacin(100%), Ciprofloxacin(100%) and Gentamicin(67%). Conclusion : As MRSA recently was wide spread in community accquired infection as well as nosocomial infection, we must consider strict control of MRSA.

Neuronal Apoptosis Inhibitory Protein is Overexpressed in Patients with Unfavorable Prognostic Factors in Breast Cancer

Choi, Jaewon,Hwang, Yu Kyeong,Choi, Young Jin,Yoo, Ki Eun,Kim, Jeong Han,Nam, Seok Jin,Yang, Jung Hyun,Lee, Sang Jin,Yoo, Keon Hee,Sung, Ki Woong,Koo, Hong Hoe,Im, Young-Hyuck The Korean Academy of Medical Sciences 2007 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.22//SUP No.-

<P>Neuronal apoptosis inhibitory protein (NAIP) is a recently identified inhibitor of apoptosis protein. However, the clinical relevance of NAIP expression is not completely understood. In an attempt to determine the clinical relevance of NAIP expression in breast cancer, the levels of NAIP and survivin expression were measured in 117 breast cancer samples and 10 normal breast tissues using quantitative reverse-transcriptase-polymerase chain reaction. While there was no evidence of NAIP expression in the normal breast tissue, NAIP was expressed in all breast cancer samples. The level of NAIP expression in breast cancer was significantly higher (257 times) than in the universal tumor control. There was a strong correlation between the level of NAIP expression and the level of survivin expression (<I>p</I>=0.001). The level of NAIP expression in patients with a large tumor (≥T2) and patients with an unfavorable histology (nuclear grade III) was significantly higher than in those patients with a small tumor (T1) and patients with a favorable histology (nuclear grade I, II) (<I>p</I>=0.026 and <I>p</I>=0.050, respectively). Although the level of NAIP expression was higher in patients with other unfavorable prognostic factors, it was not significant. The three-year relapse-free survival rate was not significantly the patients showing high NAIP expression and patients showing low NAIP expression (86.47±4.79% vs. 78.74±6.57%). Further studies should include the expressions of NAIP in a larger number of patients and for a longer period of follow-up to evaluate correlation with metastasis and treatment outcome. In conclusion, NAIP is overexpressed in breast cancer patients with unfavorable clinical features such as stage and tumor size, suggesting that NAIP would play a role in the disease manifestation.</P>

Esophagorespiratory fistula in patients with esophageal cancer (초)

( Moon Ki Choi ),( Jung Yong Hong ),( Hee Kyung Ahn ),( Su Jin Lee ),( Jun Ho Yi ),( Yeon Hee Park ),( Won Ki Kang ),( Keun Chil Park ),( Young Hyuck Im ) 대한내과학회 2008 대한내과학회지 Vol.75 No.1S

수수 × 수수 교잡종의 수확시기가 원형 곤포사일리지의 품질에 미치는 영향

최기춘(Ki Choon Choi),정민웅(Min-Woong Jung),김원호(Won Ho Kim),김천만(Cheon Man Kim),윤세형(Sei Hyung Yoon),최은민(Eun Min Choi),김종근(Jong Geun Kim),이상문(Sang Moon Lee),최종만(Jong Man Choi),김혁기(Hyuck Gi Kim),임영철(Young Chu 한국초지조사료학회 2011 한국초지조사료학회지 Vol.31 No.2

본 연구는 수확시기가 수수×수수 교잡종 원형 곤포사일리지의 품질에 미치는 영향을 구명하기 위하여 천안에 위치한 국립축산과학원 자원개발부에서 수행되었다. 수수 × 수수 교잡종 SS405를 이용하여 숙기별 2회 (출수기 및 완숙기)에 걸쳐 수확을 하여 사일리지로 조제하였다. 숙기가 진행됨에 따라 수수 × 수수 교잡종원형 곤포사일리지의 조단백질은 증가하는 경향을 보였으나 NDF 및 ADF 함량 그리고 TDN 함량은 비슷한 수준을 유지하였다. 그리고 숙기별 in vitro 건물소화율도 비슷하였다. 숙기별 사일리지의 pH는 3.8~4.4을 유지하였으며, 출수기의 pH는 완숙기의 보다 높았다. 수수 × 수수 교잡종 원형 곤포사일리지의 수확시기가 늦어짐에 따라 젖산 함량은 증가하였으나 초산 함량은 감소하였다 (P<0.05). 그리고 출수기의 원형 곤포사일리지의 초산 함량은 트랜치 사일리지보다 증가되었다 (P<0.05). 완숙기에서는 제조방법에 따라 젖산과 초산 함량은 큰 차이를 보이지 않았다. 이상의 결과를 종합하여 볼 때 양질의 수수 × 수수 교잡종 원형곤포 사일리지 조제를 위해서는 출수기와 완숙기 사이에 수확하여 사일리지를 만드는 것이 사일리지 발효를 향상시킬 수 있다. This study was performed to investigate the effects of harvest stage of sorghum × sorghum hybrid (SSH) on nutritive values and quality of round baled SSH silage manufactured with SSH grown in paddy land of Department of Animal Resources Development, National Institute of Animal Science, RDA. SSH “SS405” was harvested at two different growth stages (heading and ripen stage) and ensiled at each harvest stages. Crude protein content of round baled SSH silage increased with delayed harvest maturity, but contents of ADF (acid detergent fiber), NDF (neutral detergent fiber), TDN (total digestible nutrient) and in vitro dry matter digestibility (IVDMD) was not changed. The pH in round baled SSH silage ranged from 3.8 to 4.4 at two different harvest stages, and pH in heading stage was higher than that of ripen stage. The content of lactic acid of round baled SSH silage increased with delayed harvest maturity (P<0.05), but the content of acetic acid decreased (P<0.05). The contents of lactic acid and acetic acid in ripen stage were not influenced by manufacture method of silage. The content of acetic acid in round baled SSH silage of heading stage increased as compared to that of trench SSH silage (P<0.05). Therefore, this study suggest that round baled SSH silage manufactured in both heading and ripen stage can improve the silage fermentation.

Esophagorespiratory fistula in patients with esophageal cancer (초)

( Moon Ki Choi ),( Jung Yong Hong ),( Hee Kyung Ahn ),( Su Jin Lee ),( Jun Ho Yi ),( Yeon Hee Park ),( Won Ki Kang ),( Keun Chil Park ),( Young Hyuck Im ) 대한내과학회 2008 대한내과학회 추계학술발표논문집 Vol.2008 No.-

체외수정시술을 위한 과배란유도시 Highly Purified FSH 사용 군과 FSH / hMG 사용 군과의 비교연구

최기동(Ki Dong Choi),홍민(Min Hong),김일한(Ill Han Kim),최창익(Chang Ik Choi),오갑영(Gab Young Oh),한혁동(Hyuck Dong Han) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.8

Objective : It is known that normal follicular growth and pregnancy are possible using Follicular stimulating hormon(FSH) alone during controlled ovarian hyperstimulation(COH) for IVF-ET. The purpose of this study was to compare and analize the results of COH for IVF-ET between a group using only FSH-HP and a group using FSH/hMG Method : 111 cycle of the total 280 COH for IVF-ET cycles belonged to the FSH-HP group, and the FSH/hMG group accounted for remaining 169 cycles. The amount of gonadotropin administered, the duration of hormonal therapy, the number of embryos transfered, the endometrial thickness, and the pregnancy rate were compared between the two groups and statistically analized using the t-test. p values less than 0.05 deemed statistically significant. Result : There were no statistical differences on the amount of gonadotropin administered, the duration of hormone therapy, number of oocytes retrieved, nor the endometrial thickness between the two groups. However,the serum E2 level was significantly lower, and the number of embryos of high quality(GradeⅠandⅡ) significantly higher in the FSH-HP group. In pregnancy rate, FSH-HP group shows higher than FSH/hMG group(38.8% VS 34.2%). but the difference was not large enough to be considered statistically significant. Conclusion : The results of this study show that compared to using FSH/hMG, treatment with FSH-HP alone allowed the retrieval of more embryos of high quality, and although not statistically significant, achieved a higher pregnancy rate, thus indicating that it can be used as an effective method for COH.

인공적 보조생식기술에 의하여 임신된 쌍태임신에 대한 삼태임신의 임산부 및 주산기 예후비교

최창익(Chang Ik Choi),정인배(In Bai Chung),오갑영(Gab Young Oh),최기동(Ki Dong Choi),최현일(Hyun Il Choi),한혁동(Hyuck Dong Han),이영진(Young Jin Lee) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.9

The present study was performed to compare maternal and perinatal outcomes in triplet and twin pregnancies with the result of ART(Assisted Reproductive Technology). Each pregnancy of 18 triplet pregnancies with 18 weeks or more was matched for maternal age, EDC(estimated date of confinement), parity, history of preterm delivery, indication of ART with two sets of twin pregnancies. Triplet pregnancies had a significantly shorter gestational age at delivery than twin pregnancies(30.4 versus 34.6 weeks), and a significantly lower mean birth weight(1,514 versus 2,286g). The mean hospital stay was significantly longer in triplets(22.3 versus 10.1 days). The incidences of 5 min Apgar score less than 7, neonatal deaths were significantly more often in triplets than twins ; 18(33.3%) vs 6(8.3%), 15(27.8%) vs 7(9.72%), respectively. There were significant differences in the incidence of neonatal complications such as respiratory distress syndrome ; 14(25.9%) vs 7(9.72%), ventilatory support ; 18(33.3%) vs 5(6.9%) , neonatal seizure ; 9(16.7%) vs 0, btween the two groups. However, there were no significant differences between the groups in maternal complications or neonatal morbidity such as congenital malformations or hyperbilirubinemia, intraventricular hemorrhage, or bronchopulmonary dysplasia. We suggest that counseling patient regarding the anticipated perinatal outcomes of triplet pregnancies with the result of ART should be conducted with our data.

Crystal Structure and Biochemical Analysis of a Cytochrome P450 Steroid Hydroxylase (BaCYP106A6) from Bacillus Species

( Ki-hwa Kim ),( Hackwon Do ),( Chang Woo Lee ),( Pradeep Subedi ),( Mieyoung Choi ),( Yewon Nam ),( Jun Hyuck Lee ),( Tae-jin Oh ) 한국미생물생명공학회 2023 Journal of microbiology and biotechnology Vol.33 No.3

Cytochrome P450 (CYP) is a heme-containing enzyme that catalyzes hydroxylation reactions with various substrate molecules. Steroid hydroxylases are particularly useful for effectively introducing hydroxyl groups into a wide range of steroids in the pharmaceutical industry. This study reports a newly identified CYP steroid hydroxylase (BaCYP106A6) from the bacterium Bacillus sp. and characterizes it using an in vitro enzyme assay and structural investigation. Bioconversion assays indicated that BaCYP106A1 catalyzes the hydroxylation of progesterone and androstenedione, whereas no or low conversion was observed with 11β-hydroxysteroids such as cortisol, corticosterone, dexamethasone, and prednisolone. In addition, the crystal structure of BaCYP106A6 was determined at a resolution of 2.8 A to investigate the configuration of the substrate-binding site and understand substrate preference. This structural characterization and comparison with other bacterial steroid hydroxylase CYPs allowed us to identify a unique Arg295 residue that may serve as the key residue for substrate specificity and regioselectivity in BaCYP106A6. This observation provides valuable background for further protein engineering to design commercially useful CYP steroid hydroxylases with different substrate specificities.