The HBV DNA Amounts in Serum Have No relationship with ALT level and Hetergeneous Population Coexits in Chronic Hepatitis B Virus Infection

Chun, Yoon-Keun,Ha, Joo-hun,Hong-Jung-Woo,Oh, Soo-Myung,Kim, Sung-Soo 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Yoon-Keun Chun¹,Joohun Ha□Hong-Jung Woo□, Soo Myung Oh□,Sung Soo Kim□ ¹Department of Molecular Biology, College of Medicine,²Department of Surgery, college of Medicine,³Department of Internal Medicine, College of Oriental Medicine,and ⁴East-Weat Medical Reserch Institute,Kyung Hee University, Seoul, Korea. The HBV DNA Amounts in Serum Have No relationship with ALT level and Hetergeneous Population Coexits in Chronic Hepatitis B Virus Infection. Proceedings of International Symposium on East-West Medicine, Seoul. 212-230, 1999. -Hepatitis B is caused by hepadnavirus. Hepatitis B virus replicates through 3.5kb pregenomic RNA intermediate which is regulated by core promoter. Pathogenesis of hepatitis B virus has been bilieved the result of host immune response. But recently many studies have reported that high level of viral replication caused by mutation in core promoter might result in severs hepatitis. But these studies were performed in vitro, not in vivo. So there is yet debate about which factor, viral of host factor, is more important in pathogenesis of hepatitis B virus. So we measured real viral replication level in 204 chronic hepatitis B patients by quantifying HBV DNA from sera by our novel PCR-based more sensitive method, and compared these results with ALT level measured from same sera, which indicates liver cell damage. Surprisingly there are no significant correlation between HBV DNA quantity and ALT level. Then we cloned core promoter region. In SSCP, we found that many viral mutants coexist in one patient. Base on SSCP result, we chose main viral core promoter type in each patients, which is thought to determine overall viral replication level in this patient. Main type of core promoter region of each 41 patients were directly sequenced. And with these we measured promoter activity by luciferase assay system and compared promoter activity with on another. We found tha there were some differences in promoter activity according to core promoter sequences. And we constructed replication-competent viral constructs with core promoter from 41 patients and Transfected these into HepG2 cell and measured HBV DNA by southern blot. There were also differences in HBV DNA quantity according to core promoter sequences. On these all results we investigated correlation between the effect of HBV core promoter on viral replication in vitro and HBN DNA quantity, ALT level from sera of each patients. We found there is no significant correlation among them. As a result, we concluded that in determining severity chronic hepatitis B patients, host factors of each patient is more important rather than replicative activity of virus itself.

천연자원의 간기능 보호 효과에 관한 연구 : Benzo(a)pyrene에 의한 간기능 장해에 미치는 황금(Scutellaria baicalensis)의 영향 The Effect of Scutellariae Radix on the Benzo(a)pyrene-induced Hepatotoxicity in Rats

윤수홍,조수열,배선희,박상학 효성여자대학교 부설 한국환경위생연구소 1991 환경위생연구 Vol.1 No.1

환경 중의 어디에나 분포하여 인체에 발암작용을 일으키는 대표적인 약물 benzo(a)pyrene를직접 경구투여하고.동시에 간보호물질로서 황금을 전처리 투여하여 그 독성 및 손상 회복호과를 혈청 및 간에서의 효소활성을 측정하여 다음과 같은 결론을 얻었다. 1. 황금 수용액의 전처리로 혈칭에서 LDH, AST 및 ALT활성은 beozo(a)pyrene단독투여군에비하여 감소하였으며 ALT는 2,4주째에 유의성 있는 감소를 보였으나 ALP활성은 전 실험군과 시간경과사이에 별다른 유의성이 없었다. 2. 간장의 LDH, ALP, ALT, AST의 효소활성은 황금수용액의 투여로 benzo(a)pyrene 단독투여군에 비해 유의성 있는 회복을 보였으며 LDH의 경우는 2, 3, 4주에 매우 큰 효과를얻었으며 ALP의 경우 4주째에서 유의성 있게 회복되는 경향을 보였다. This study was conducted in an attempt to investigate the effectsof Scutellariae Radix on the activities of serum and liver enzyme and to evaluatethe utility of Scultellariae Radix as a hepatotropic agents in liver disease The results were as follows ; 1. Significantly increased enzyme activity was noted in benzo(a)pyrene-intoxica-ted rats. 2. Scutellariae Radix administration prevented the leackage of LDH, ALP, ALTand AST in serum. 3. Scutellariae Radix administration did not affect on the serum ALP activity. 4. The B(a) P induced liver toxicity was significantly decreased in ScutellariaeRadfx administration.

태권도 겨루기시 산소섭취량,호흡교환율,심박수,환기량 및 혈중 젖산농도 변화에 관한 연구

윤상화,김갑수,김현 龍仁大學校 武道硏究所 1998 武道硏究所誌 Vol.9 No.1

The purpose of this study was to compare changes of cardiorespiratory function, concentration of blood lactate while Taekwondo sparring. Subjects collected for this study were devided 2-types into 5 of A group(who won at national events more than three times within 1 year) and 5 of B group(who won at national events less than one within 1 year). For the process of the exercise, Taekwondo sparring, named to Exercise load used was that resting state insisted of 3 minutes, sparring time for 3 rounds(one round taking 3 mins and resting time for 1 min among rounds), and consumed to 10 min for recovery. Statistical methods used for the data analysis were paired t-test for appearing meaningful difference between groups. And error limited for group diffeence decided to p<0.05. The results were as follows: 1) There were significant differences of VO₂(ℓ/min), VO₂/W(ℓ/kg/min), and V??(ℓ/min) out of functions and concentration of blood lactate between groups after Taekwondo sparring.(p<0.05) 2) There was no significant difference of RER, HR between groups in resting time, after Taekwondo sparring, and after 10 minutes in recovering. (p>0.05) Synthethized above, The author considered taht Taekwondo sparring is to be one of the intermittent anaerobic exercise from a cardiorespiratory functional point of view. There was a meaningful difference to cardiorespiratory endurance between A and B groups, that is, A group was appeared to better than B, and two groups were intercorrelated between each bolld lactate and a cardiorespiratory function. For the fruther study, a more variety of programs advanced for scientific training related to validity can be applied to the field from the lab has required for the basic materials of the research.

나비에-스토크방식의 해석에 유한해석법의 적용

윤재복,서상호,신철수 崇實大學校 生産技術硏究所 1991 論文集 Vol.21 No.-

Finite analytic method is employed to solve the Navier-Stokes Equations with the velocity-pressure formulation. The Chorin's artificial compressibility method and the method of pressure corrections are employed in order to be able to compute the pressure explicitly. The results are compared with the stream function-vorticity ones, and those of finite element and finite difference methods.

특발성 자발성 신장 파열 1예

윤재철,김원,조규종,홍정석,이미우,장성은,오세현,임경수 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Primary aldosteronism is a syndrome characterized by hypertension, hypokalemia, suppressed plasma renin activity, and elevated serum aldosterone levels. Conn first described it 1955 in association with adrenal cortical adenoma(Conn's syndrome). Today, it can be divided into at least six distinctive sub-groups. The diagnosis of primary aldosteronism is usually suspected when the patient presents with poorly controlled hypertension with hypokalemia. The main issues in the evaluation of primary aldosteronism are to differentiate an adenoma from hyperplasia and to localize the adenoma. Basic hormonal studies and computed tomographic(CT) scanning can be used effectively for that differentiation. An adenoma is one of a few potentially curable forms of hypertension, and it is best treated by removing the adrenal tumor. We experienced a case of a typical adrenal adenoma. The patient was a 37-year-old male who had experienced in both his legs over a period of several days a weakness due to hypokalemia. He was diagnosed using basic hormonal studies and adrenal CT scanning. After, he received laparoscopic adrenalectomy and was discharged with improved condition.

고칼륨혈증에서 심전도의 진단적 의의

윤수영,박원녕,정성필,김승호,이한식 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

Background: Hyperkalemia is a common and potentially life-threatening metabolic disorder. The electrocardiogram(ECG) is known to be a relatively sensitive diagnostic tool for hyperkalemia. However many exceptions, in which patients showed normal ECG findings even though hyperkalemic, have been reported. The purpose of this study was to determine the extent of correlation between the ECG findings and hyperkalemia and to determine when the ECG has value for diagnosing hyperkalemia. Methods: Patients who had been diagnosed as having hyperkalemia at two university hospitals during three years were enrolled in this study. We reviewed the medical records of the patients and evaluated the following 6 ECG abnormalities: tall T waves, narrow T waves, QRS widening, atrioventricular block, loss of P waves, and sine waves. We defined tall T waves and narrow T waves as 20 percentiles of heights and widths of the T waves from the 100 patients with normokalemia. Results: During the study period, there were 100 hyperkalemic patients, and we analyzed 69 available electrocardiograms. Abnormal ECG findings were revealed in 67%of 69 patients. The higher the serum potassium level, the more abnormal ECG findings. The common ECG abnormalities were tall T waves and loss of P waves. The patients with normal ECGs even though hyperkalemic had relatively low potassium levels. And whether chronic renal disease was not correlated to the ECG abnormality. Conclusion: The electrocardiogram is a good diagnostic tool for hyperkalemia if it is used with accurate diagnostic criteria. Thus, hyperkalemia should be considered when the ECG shows tall T waves or loss of P waves.

緯度와 地形에 따른 溫帶中部 溪谷植生의 種多樣性 및 群集構造에 關한 硏究

尹相旭,辛壽哲,郭東勳,金昌浩 동국대학교 농림과학연구소 1994 農林科學 論文集 Vol.18 No.-

This study was Carried out to analyse species composition, species diversity and structure and variation trends of vegetation, of Mt. Odae, Mt. Sobaek, and Mt. Juwang following various latitudes and topographies which were in middle temperate zone in Korea. Obtained results are as follows : 1. As a result of the simple discriminant analysis, soil texture Showed the highest high percent contribution of each environmental factor to the discriminant of Studred area. And Mt. Odae showed high content of sand while Mt. Juwang Showed silt. 2. Mean stem density showed highest value in Mt. Juwang and mean D. B. H. was Mt. Odae, and on phisiographic locations showd high values of stem density and mean D. B. H in slow slope area, nothern aspect area, and high elevation area, in order. 3. Species that showed the highest importance value in each canopy-subtree-shrub layer in study area were Quercus mongolica-Acer pseudo-sieboldianum-Lindera obtusiloba were in Mt. Odae, Betula platyphylla var. japonica-Styrax obassia-Deutzia parviflora were in Mt. Sobaek, and Pinus densiflora-Acer pseudo-sieboldianum-Lindera obrusiloba were in Mt. Juwang. 4. Species that showed the highest importance value in each canopy-subtree-shrub layer on the physiographic location were Quercus mongolica-Acer pseudo-sieboldianum-Lindera obtusiloba in high elevation and southern aspect, Carpinus laxiflora-Acer pseudo-sieboldianum-Lindera obtusiloba in high elevation and southern aspect, Carpinus laxiflora-Acer pseudo-sieboldianum-Lindera obtusiloba in nothern slope, Carpinus laxiflora-Styrax obassia-Lindera obtusiloba in low elevation, and Betula platyphylla var. japonica-Styrax obassia-Deutzia parviflora in high elevation. 5. According to decrease of latitudes with going down from Mt. Odae to Mt. Juwang, the more Number of species and individuals were increased, and the deversity index was the highest value in Mt. Sobaek, the evenness was in southern aspect, and the dominance was in high elevation. 6. As a result of Cluster analysis, the study area were divided into 4 groups, Carpinus laxiflora community, Styurax obassia community, Deutzia parviflora community, and Quercus mongolica community. 7. As a result of COA analysis, communities of the study area were divided into Betula platyphylla var. japonica community, Deutzia parviflora community, Quercus mongolica-Acer pseudo-sieboldianum community, and species were divided into 4 groups as the major, the disturbed, the waterside, and the fertile. 8. As results of the simple discriminant analysis and the linear regression, sand and silt content, slope aspect, total nitrogen content, and elevation among environmental factors had high percent contribution to classification and ordination of vegetation communities of the study area. 9. Major tree species had the unstable layer structure due to lower importance values of canopies and subtrees than those of shrubs, and Pinus laxiflora and Betula platyphylla var. japonica were on the decline phase due to very low dominance and absence of next generation. while, Styrax obassia and Acer pseudo-sieboldianum were sustanable layer structure as being distributed on all the crown layer.

급성 호흡곤란 증후군으로 발현된 폐결핵 1례

윤여준,박성우,이준혁,장안수,박춘식 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Pulmonary tuberculosis as a cause of the acute respiratory distress syndrome is quite rare. The diagnosis of acute respiratory distress syndrome due to pulmonary tuberculosis is difficult because of the diversity of radiological patterns. The ability to identify patients at risk for the acute respiratory distress syndrome is important if therapies are to be developed to prevent the disorder. We experienced a young female compliants with mild fever, dyspnea who diagnosed pulmonary tuberculosis 1 months ago. She stoped anti-tuberculosis medication 2 day because confirmation of drug fever and after then sudden aggravated dyspnea. The clinical course of this case is similar with presentaion of ARDS. We started antituberculosis medication with steroid, which result in good prognosis.

요골동맥을 이용한 관동맥 조영술의 유용성

윤정한,이승환,이한요,김장영,김일회,최윤종,이형준,이명옥,김승년,황성오,홍인수,최경훈 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.10

태권도 격파 시범 수련이 어린이 인성교육에 미치는 영향

윤상화,김갑수 龍仁大學校 人文社會科學硏究所 2003 인문사회논총 Vol.- No.9

Human nature has various 'meaning. According to the academic tradition in eastern society, it's meaning is originated from Shimsungron(심성론) about human being. But recently common meaning people usually use is based on character or personality which is related to the academic logic in western society. The purpose of the beat training of Taekwondo is to discipline the body and the mind also to develop a phase of personality. Disciplining body is helpful in physical training, disciplining mind is good at spirit training. I would like to research the effects of beating training of Taekwondo to growing children's personality education and renew Taekwondo's physical, mental, social value by searching the effects in physical, emotional, social, behavioral attitude in school. Beating is powerful expressive means. The practical power and wonderful skills of Taekwondo is proved by beating obstacles in different ways. It shows high-concentration and strong aspects of overcoming, challenging the limit of human power and technology. With the spread of Taekwondo, people will have confidence by training. It will contribute to physical, social, mental health of a nation. Taekwondo should be a great education because it gives confidence to growing children and it is instructive in keeping desirable personality.