Nonlinear Cardiac Dynamics and Morning Dip : 위험한 일중리듬 An Unsound Circadian Rhythm

염명걸,김남수,오재원,김창렬,이재웅,김순길,이철범,노정일,최정연,윤용수 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.3

Original Article : Geographic difference of epidemiological features of HCV infection in Korea

( Kyung Ah Kim ),( Sook Hyang Jeong ),( Eun Sun Jang ),( Young Seok Kim3 ),( Youn Jae Lee ),( Eun Uk Jung ),( In Hee Kim ),( Sung Bum Cho ),( Mee Kyung Kee ),( Chun Kang ) 대한간학회 2014 Clinical and Molecular Hepatology(대한간학회지) Vol.20 No.4

Background/Aims: The prevalence of hepatitis C virus (HCV) infection in Korea exhibits significant geographic variation, with it being higher in Busan and Jeonam than in other areas. The reason for this intranational geographic difference was investigated in this study by conducting a comparative analysis of the risk factors related to HCV infection among three geographic areas: the capital (Seoul), Busan, and the province of Jeolla. Methods: In total, 990 patients with chronic HCV infection were prospectively enrolled at 5 university hospitals located in Seoul (n=374), Busan (n=264), and Jeolla (n=352). A standardized questionnaire survey on the risk factors for HCV infection was administered to these three groups of patients, and a comparative analysis of the findings was performed. Results: The analysis revealed significant regional differences in exposure to the risk factors of HCV infection. By comparison with patients in Seoul as a control group in the multivariate analysis, patients in Busan had significantly more experience of invasive medical procedures, acupuncture, cosmetic procedures, and multiple sex partners. In contrast, patients in Jeolla were significantly older, and they had a higher prevalence of hepatocellular carcinoma, a lower prevalence of multiple sex partners, and had experienced fewer invasive procedures. Conclusions: There was a significant geographic difference in the exposure to potential risk factors of HCV infection between patients from the three studied regions. This may explain the regional variation of the prevalence of HCV infection in Korea, and should be taken into account when planning strategies for the prevention and management of HCV infection. (Clin Mol Hepatol 2014;20:361-367)

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

다제내성 그람양성균에 대한 Linezolid(Zyvox^(�))의 시험관내 항균력 비교

박대원,정희진,엄중식,황병연,김성범,이재갑,이연주,정혜원,정성주,박재형,이진수,손장욱,김우주,김민자,박승철 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

배경 : MRSA, VRE, VRSA같은 다제 내성 그람 양성균의 등장에 따라 glycopeptide를 대체할 새로운 항생제의 개발이 필요하게 되었고 결과적으로 새로운 항생제인 linezolid라는 항생제가 개발되었다. Linezolid는 이전의 항생제와는 다른 새로운 계열의 oxazolidinone으로 경구 이용률이 우수하다. 원내 및 원외감염의 중요한 원인균이 되고 있는 MRSA, VRE에 대한 적절한 경구용 항균제가 없는 국내에서 폐렴 및 피부 연조직 감염에서 경구용으로 사용해 볼 수 있는 약제이다. 본 연구에서는 고대 구로 병원에서 분리된 MRSA, VRE 등을 대상으로 다른 여러 항균제와 비교한 linezolid의 시험관내 항균력을 조사하고자 하였다. 재료 및 방법 : 연구대상은 1998년 1월부터 2000년 12월까지 본원에서 입원 및 외래를 통하여 피부 연조직 감염증 및 호흡기 감염증, 요로감염증으로 진단된 환자들의 가검물로부터 분리된 MRSA 60균주, VRE 43균주, PRSP 25균주를 액체배지 또는 한천배지 희석법을 통하여 linezolid 및 기타 항균제에 대한 최소발육억제농도를 구하였다. 결과 : 실험에 사용한 S. aureus는 모두 MRSA였고 이들은 linezolid에 대해 MIC_(90) 2㎍/㎖(MIC 범위 1-2㎍/㎖), Enterococcus spp는 모두 VRE로 linezolid의 MIC_(90)은 2㎍/㎖로 MIC 범위는 1-4㎍/㎖였다. 한 개의 균주에서 MIC 4㎍/㎖로 중등도 감수성을 보였으나 MIC breakpoint가 (8㎍/㎖인 내성균주는 없고 모두 감수성을 보였다. S. pneumoniae의 경우 penicillin 내성이었고, linezolid MIC_(90) 1㎍/㎖ (MIC 범위 0.5-1㎍/㎖)로 전부 감수성을 보였다. 결론 : Linezolid는 MRSA를 위시한 VRE, PRSP 등의 다제 내성 그람 양성균에 대하여 우수한 시험관내 항균력을 보임을 알 수 있었다. Background : The emergence of multi-drug resistant Gram-positive cocci, such as MRSA, VRE, and VRSA, necessitated to develop new antibiotics, which could replace the glycopeptide. As a result, a new antibiotics named linezolid was developed. Linezolid is different line of oxazolidinones with a good oral bioavailability, compared to other antibiotics. Since appropriate oral antibiotics are not presently available for MRSA, which is a major cause of nosocomial and community acquired infections, the introduction of linezolid will have favorable effect on treatment of infections such as pneumonia or skin infections. In this study, we investigated the antibiotic effect of linezolid on MRSA and VRE isolated from patients who were treated in Korea University Guro Hospital. Material and Methods : By using broth microdilution and agar dilution method we measured minimum inhibitory concentration (MIC) with sixty S. aureus, forty three Enterococcus spp., and twenty five S. pneumoniae isolates from patients who were diagnosed as skin, soft tissue, respiratory, and urinary infections in Korea University Guro Hospital from January, 1998 to December, 2002. Results : All of S. aureus used in this study were MRSA, and MIG_(90) of linezolid was below 2 ㎍/㎖ (MIC ranged between 1-2 ㎍/㎖). All of Enterococcus spp. were VRE, and had MIG_(90) of 2 ㎍/㎖ (MIC ranged between 1 to 4 ㎍/㎖). One of the VRE showed intermediate susceptibility with MIC of 4 ㎍/㎖. However, none was resistant with MIC breakpoint above 8 ㎍/㎖. All of S. pneumoniae were resistant to penicillin, but they were susceptible to linezolid with MICao of 1 ㎍/㎖(MIC range 0.5-1㎍/㎖). Conclusion : In conclusions, linezolid has an excellent in vitro antibiotic effect on multi-drug resistant Gram-positive cocci, such as MRSA, PRSP, and VRE.

급격한 온도 변화에 순응한 모래무지(Peudogobio esocinus) 젖산탈수소효소 활성과 동위효소의 변화

김재범,김선균,염정주 청주대학교 산업과학연구소 2003 産業科學硏究 Vol.21 No.1

Changes of activities and isozymes of lactate dehydrogenase(EC 1.1.1.27, LDH) in Pseudogobio esocinus acclimated to acute change of temperature were studied. The LDH activities of heart, liver, eye, and brain acclimated to 10℃ were detected higher level than those acclimated to 20℃. And the LDH activity of skeletal muscle showed higher level when acclimated to 20℃. And acclimation temperature had no significant effect on the LDH activity of the heart. When the temperature was acutely changed, the variation of the LDH activity had maximum state within 2 hours. The activity of subunit which has higher activity among subunit A and B was decreased and that of the subunit having lower activity was increased. The metabolism of liver tissue was regulated by the increase of C₄ isozyme activity and the decrease of A₄ isozyme. LDH was played role as lactate oxidase in skeletal muscle, heart, and liver, and as pyruvate reductase in eye and brain tissue. As a result, the change of LDH activity and isozyme to acute increase of temperature might be the acclimation process to the control of metabolism with surroundings.

재벌과 비재벌기업의 자본구조 결정요인에 대한 실증 연구

김창배,홍재범 동의대학교 경제경영전략연구소 2004 經濟經營硏究 Vol.2 No.2

The government of Korea has driven to reduce the leverage level of private firms unanimously under 200 percent in the wake of Korean Crisis of 1997. The policy is focused on the Chaebol-related firms which are called the kingpin of the Korean Crisis of 1997. The regime is devised by policy makers, and critics attacked that the policy is lacking the economic rationale. This paper aims to investigate the dynamics and determinants of debt structure of Korean companies, especially the role for Chaebol and non-Chaebol companies. The evidence indicates that the high debt ratio of Korean companies are mainly due to Chaebolrelated firms. The leverage-reducing policy of the government turns out to be superficially successful. However, the private firms sought to fulfill the government guideline by re-valuation of fixed assets such PPE (plant, property, and equipment), by intentional boosting of the equity by seasoned equity offerings, and even by the cross equity investment among Chaebol affiliated companies. Those imply that the dynamics and determinants of debt structure of Korean companies have never been affected by the government policy before and after the Korean Crisis of 1977.

海砂 混合率 變化에 따른 水中不分離性 콘크리트의 特性에 관한 硏究

김명식,윤재범,김광민,이상명 釜慶大學校 1999 釜慶大學校 論文集 Vol.4 No.1

The objective of this study is to investigate the characteristics change of antiwashout underwater concrete with variation of blen ratio of sea sand to total fine aggregates through experimental studies. The flowability(slump flow test), antiwashout properties(pH and suspension test), filling property(box test), air and chloride contents property, and the unit weight and the compressive strength of both cast-in-fresh water and cast-in-sea water have been examined experimentally. According to the experimental results, when sea sand are mixed in antiwashout underwater concrete mixture by about 40% per total fine aggregates, it is found that the flowability fit and the compressive strength is higher than others.

CCA 처리재로부터 방부제 유효성분의 용제추출

김규혁,공일곤,나종범,조재성,김재진 한국목재공학회 2003 목재공학 Vol.31 No.4

본 연구는 CCA 처리재로부터 방부제 유효성분을 추출하기 위한 적정 용제를 선정하고, 선정된 용제의 최적추출조건을 평가하기 위 해 수행되었다. 추출수율과 용제의 사용 및 환경 안전성을 고려할 때, 과산화수소가 CCA유효성분을 추출하는 데 가장 적절한 용제로 선정되었다. 과산화수소를 이용한 추출 결과. 추출온도, 추출용제농도, 추출시간 간에 상호작용이 존재하였으나 추출온도와 추출용제의 농도가 높을수록, 그리고 추출시간이 연장될수록 CCA유효성분의 추출수율은 증가되었다. 경제적인 측면을 고려할 때 가능하면 낮은 농도의 추출용제를 사용하여 저온에서 추출하여야 하나, 이 경우에는 필요한 추출수율을 달성하기 위한 추출시간이 상당히 길어지기 때문에 40℃ 이상의 온도에서 추출이 바람직하며 사용할 추출용제의 농도는 추출시간을 고려하여 최종적으로 결정하여야 된다고 사료된다. This research was performed to select an appropriate agent to extract preservative components from CCA-treated wood, and then to evaluate the effect of reagent concentration, extracting temperature, and CCA-treated wood, and then to evaluate the effect of reagent concentration, extracting temperature, and extracting time on the removal of chrome, copper, and arsenic from treated wood. Hydrogen peroxide was selected as the best extracting agent when considered extraction yield as well as use and environmental safety. Its extraction yield was dependent on extracting variables (temperature, concentration, and time), and a highly significant interaction existed among variables. It should be possible to optimize extraction by manipulating these extracting variables. The results may suggest that the required temperature conditions for the reasonable removal of CCA components are at least above 40℃ because extracting time is too long at low temperature (20℃). Reagent concentrations for extracting at above 40℃ should be decided by considering the extracting time.

감광성 Maleimide 공중합체의 합성과 Epoxyacrylate의 영향

김태호,김용범,이재우,김상민 成均館大學校 科學技術硏究所 1997 論文集 Vol.48 No.1

Poly[[N-(4-hydroxyphenyl)maleimide]-co-styrene] and epoxyacrylate were synthesized. In order to give photosensitive properties cinnamoyl group was added to the copolymer and epoxyacrylate was mixed with copolymer for high crosslinking density and conversion rate. And the chemical structures of synthesized materials were confirmed using instrumental analysis such as FT-IR and ^1H-NMR. Mn￣ of the copolymer was measured via GPC 17300 and Tg of the copolymer was measured via DSC 130-180℃. Photosensitive characteristics of the prepared resins were tested using UV and FT-IR. From this test the following phenomena were found; 1)the conversion rate of crosslinkable double bonds in early stage of photoreaction was increased as increase the ratio of epoxyacrylate to copolymer, 2)the final conversion was also increased, 3)the resolution power of the mixture was up to 2㎛.

소나무와 잣나무 원목에서 변재변색 발생

김규혁,김재진,나종범 한국목재공학회 2002 목재공학 Vol.30 No.2

본 연구는 동절기 (1월 중순)에 벌채된 후 목재집하장으로 운반되어 야적장에 저목 중인 소나무와 잣나무 원목을 대상으로 변재변색의 발생시기와 변색 특성을 조사하기 위하여 수행되었다. 벌채 후 3, 4, 5, 6, 8개월 경과시 변색 평가를 실시하였는데, 매 평가시 원목 3개를 임의로 선정하여 원목당 수축방향에 대해 일정 간격으로 7∼9개의 두께 3 ㎝ 원판을 채취하여 변색 원인균을 분리한 후 변재변색의 방사방향 최대 침투깊이와 % 변색율을 측정하였다. 변재변색은 전적으로 층형변색이었으며, 주요 변색원인균인 Ophiostomatoid 균을 매개하는 수피천공충은 소나무좀으로 확인되었다. 소나무와 잣나무 원목은 5월 이전까지는 변재변색의 위험없이 저목할 수 있으나 5월 이후부터는 원목의 변재변색이 급속하게 증가하였다. 변색의 정도는 소나무보다 잣나무에서 심하였으며, 장마철 저목 중에 소나무 원목에서 개떡버섯과 치마버섯의 자실체를 다수 관찰할 수 있었다. 본 연구를 통해 밝혀진 결과들은 앞으로 동절기에 벌채되어 저목 중인 소나무와 잣나무 원목에 발생하는 변재변색을 예방하기 위한 제반 조치를 취하는데 매우 중요한 자료로 사용될 것이다. This study was conducted to investigate the influence of storage time on the sapstain development of Japanese red pine and Korean pine logs during storage in log yard, and their stain characteristics. Japanese red pine and Korean pine trees were harvested and cut into logs in mid January of 2001. These logs were transported to the two local sawmills where they were closely stacked in remote parts of log yard. The logs were then sampled destructively by cutting seven to nine 3-㎝ long discs along the length of each log at intervals of 3, 4, 5, 6, and 8 month after felling. The stain coverage and maximal radial penetration of stain were measured from the discs of the sampled logs after the isolation of causal staining fungi. The sapstain was primarily infested by the attack of bark beetles and the species of bark beetle was identified as Tomicus piniperda. The main fungal species isolated from stained wood was Ophiostoma species. Based on the present study, the logs could be stored in log yard until May without stain; but stain development was rapid after May and the severity of stain increased proportionally with storage time. Korean pine was more susceptible to fungal stain than Japanese red pine. During summer storage, decay started to develop in logs and the main species were identified as Tyromyces sp. and Schizophyllum commune. Information provided in this paper would be very useful to develop more effective control strategies for sapstain prevention in Japanese red pine and Korean pine logs.