중증 재생불량성빈혈에서 타인 혹은 HLA 불일치 혈연간 골수이식을 위한 cyclophosphamide와 antithymocyte globulin전처치 요법

이정희,이제환,김신,설미이,이정신,김우건,김상희,지현숙,박찬정,이규형 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.1

배경: Cyclophosphamide와 ATG의 전처치 요법은 HLA가 일치하는 형제간 골수이식에서는 매우 효과적인 것으로 알려져 있으나, 타인 혹은 HLA 불일치 혈연간 골수이식에서는 전처치 요법으로서 불충분한 것으로 보고되었는데, 주요 문제는 착상 부전이었다. 우리나라를 포함하는 극동아시아 지역의 국가들에서 발표되는 보고에 의하면 타인이식을 포함하여 골수이식 후 착상 부전과 이식편대숙주질환의 발생이 서구 국가들로부터의 보고에서보다 적은 것으로 알려져 있다. 저자 등은 6예의 중증 재생불량성빈혈 환자들에서 질병 초기에 Cyclophosphamide와 ATG만을 이용하여 전처치를 한 후에 타인 혹은 HLA 불일치 혈연간 골수이식을 시행하였다. 방법: 1999년 5월부터 2000년 4월까지 서울중앙병원에서 타인 혹은 HLA 불일치 혈연간 골수이식을 시행 받은 성인 중증 재생불량성빈혈 환자들을 대상으로 하였다. 골수이식을 위한 전처치 요법으로 cyclophosphamide (50 mg/kg/d x 4)와 ATG (30 mg/kg/d x 3)를 투여하였는데, 골수이식 전에 ATG에 대하여 과민 반응을 보였던 한 예 (UPN 120)에서는 ATG 대신에 fludarabine (30 mg/m2/d x 3)을 투여하였다. 이식편대숙주질환의 예방을 위하여 cyclosporine과 methotrexate를 투여하였다. 결과: 연구 기간 중에 모두 6예가 타인 혹은 HLA 불일치 혈연간 골수이식을 시행 받았는데, 5예는 타인으로부터 골수를 공여 받았으며, 1예는 HLA의 표현형이 하나의 유전자좌에서 일치하지 않는 형제로부터 골수를 공여 받았다. 타인 골수이식을 받은 5예 중에서 3예의 공여자는 HLA의 표현형이 일치하였으며, 1예는 하나의 유전자좌가 major mismatch였고, 1예는 하나의 유전자좌가 minor mismatch였다. 추적기간의 중앙값은 406일 (범위, 328-643일)인데, 6예 모두에서 착상된 상태를 유지하면서 생존해있다. 2예에서 3도의 급성 이식편대숙주질환과 전신성 만성 이식편대숙주질환이 발생하였다. 결론: Cyclophosphamide와 ATG의 전처치 요법은 재생불량성빈혈의 초기에 타인 혹은 HLA 불일치 혈연간 골수이식을 시행 받은 한국인 환자들에서 충분히 착상을 가져올 수 있는 요법으로 생각된다. 비록 본 연구의 대상 환자 수가 적지만 결과는 매우 고무적이다. HLA가 일치하는 형제가 없는 중증 재생불량성빈혈 환자의 경우에 타인 골수 공여자에 대한 검색을 조기에 시행해야 하며, 타인 혹은 HLA 불일치 혈연간 골수이식을 질병 초기에 적극적으로 고려해야 할 것으로 생각된다. Background: Cyclophosphamide (CY) and ATG regimen was reported to be insufficient for alternative donor BMT in SAA patients due to high incidence of graft rejection. The rates of graft rejection and GVHD after allogeneic BMT including unrelated donor transplants seemed to be lower in reports from Asian countries of Far East. We applied CY/ATG regimen to six patients with early stage of SAA transplanted with marrow from alternative donors other than HLA-identical siblings. Methods: Three patients were transplanted from HLA-phenotypically identical unrelated donors, two from one-locus mismatched unrelated donors, and one from an one-locus mismatched sibling donor. Four patients received no previous therapy for SAA, and two received one course of immunosuppressive therapy with ATG. Preparative regimen was CY (200 mg/kg) plus ATG (90 mg/kg) in all patients except one who had had an anaphylactic reaction to ATG prior to BMT and received fludarabine (90 mg/m2) in place of ATG. Cyclosporine plus methotrexate were given for GVHD prophylaxis. Results: All six patients engrafted and all are alive with durable engraftment at a median follow-up of 406 days (range, 328 to 643). Two patients developed grade III acute GVHD and extensive chronic GVHD. Conclusions: CY/ATG regimen may be sufficient in Korean patients with early stage of SAA transplanted with marrow from alternative donors. Although the number of patients in present study is small, results are encouraging. Stem cell transplantation using alternative donors may be considered at early stage of aplastic anemia.

녹동균 세포외막 단백질 백신 CFC-1-101의 안정성 및 면역원성 검토 : 임상 제 Ⅰ/Ⅱa상 시험

장인진,김익상,유경상,임동석,김형기,신상구,장우현,박완제,이나경,정상보,안동호,조양제,안보영,이윤하,김영지,남성우,김현수 대한감염학회 1998 감염 Vol.30 No.3

목적 : 제일제당에서는 녹농균의 세포외막 단밸질을 유효성분으로 하는 백신인 CFC-101을 개발하였으며, 동물시험에서 이 백신의 안전성과 유효성을 입증하였다. 본 연구에서는 이 녹농균 백신의 인체에 대한 안전성과 면역원성을 평가하는 동시에 인체 접종시의 최적 투여 용량을 결정하기 위하여 제 I/Ⅱa상 임상시험을 수행하였다. 방법 : 건강한 성인 남자를 피험자로 선별하여 각 용량군에 백신투여자 6명, 위약투여자 2명을 배정하였다. 백신 투여군은 0.25mg, 0.5mg 또는 1.0mg 용량의 녹농균 백신을 7일 간격으로 3회에 걸쳐 근육주사 하였으며, 위약 투여군에게는 세포외막 단백질을 제외한 동일한 성분을 투여하였다. 백신접종 후 국소적 또는 전신적인 반응의 발생여부를 관찰하고, 혈액시료를 체취하여 백신의 역가와 유효성을 검정하였다. 결과 : 녹농균 백신 CFC-101은 모든 접종자에서 양호한 내약성을 보였다. 또한 0.5mg 과 1.0mg 백신 투여군에서는 100%의 항체양전율을 나타내었다. 생성된 항체는 녹농균 세포외막단백질에 특이성을 보였고, 녹농균 감염에 대해 방어효능이 있었다. 결론 : 이와같은 결과로부터 이 녹농균 백신은 인체에 안전하게 투여할 수 있으며, 높은 항체 생성능으로 감염방어 효능을 보이고 0.5mg과 1.0mg이 최적용량인 것으로 판단되었다. Background : We developed a Pseudomonas aeruginosa outer membrane protein(OMP) vaccine CFC-101, and the prophylactic efficacy of which has been demonstrated in animal models. In order to evaluate the safety and immunogenicity of the P. aeruginosa vaccine, we carried out a phase I/Ⅱa clinical trial in healthy male volunteers. Methods : Groups of eight volunteers, including two placebo subjects, were vaccinated intramuscularly with three doses of 0.25, 0.5 or 1.0 mg of the vaccine at one week intervals. Sings of systemic and local reactions observed after vaccination were recorded for each vaccinee for 5 days. Physical examinations were performed on days 0, 1, 7, 8, 14, 15, 21, and 42, and clinical laboratory tests were done on days 0, 3, and 21. Blood samples for assay of serum antibody levels were obtained up to 42 days after the first vaccination. Results : The vaccine was generally well tolerated by all vaccinees, showing no significant side effects. In the three dosage groups, all vaccinees, except one receiving the 0.25 mg dose, showed significant elevation in serum IgG antibody titers against the vaccine proteins, indicating 100% seroconversion in 0.5 and 1.0 mg groups. The human antibodies induced by the vaccine were specific for P. aeruginosa OMPs, as confirmed by western blot analysis and immunoprecipitation assays. The capacity of the human antisera to enhance opsonophagocytic killing activity by polymorphonuclear leukocytes and to confer protection against P. aeruginosa infections indicates that the antibodies elicited by the vaccine have protective efficacy. Conclusion : We conclude that the P. aeruginosa OMP vaccine is safe and effective for human use and its optimal dose to be 0.5 or 1.0 mg.

물류전자문서교환방식(EDI)이 국제물류업무개선 효과에 미치는 영향에 관한 실증연구

이제현 국제무역학회 2002 국제무역연구 Vol.8 No.2

물류EDI의 활용율에 영향을 미치는 요인들을 분석한 실증연구결과는 다음과 같다. 첫째, 경영자가 국제물류비용에 큰 관심을 갖고 체계적으로 국제물류비용을 관리하는 수출기업에서 물류EDI의 활용율이 높게 나타났다. 둘째, 물류EDI시스템을 구축하기 위해서는 전산시스템에 많은 투자를 하여야 되기 때문에 전산시스템에 대한 투자금액이 많은 수출기업일수록 물류EDI의 활용율이 높게 나타나기 마련이다. 그러나 우리나라 기업의 대부분이 1990년에서 2001년 사이에 기업활동에 관련된 전산시스템에 투자를 하였기 때문에 전산시스템에 대한 투자금액과 물류EDI의 활용율간에 유의적인 차이가 없는 것으로 나타났다. 셋째, 물류EDI에 대한 교육투자가 많은 수출기업에서 물류EDI의 활용율이 높은 것으로 나타났다. 넷째, 수출기업과, 운송회사, 창고, 포장, 내륙컨테이너기지, 하역, 운송주선인, 내륙운송회사, 통관회사, 보세운송회사, 항만간에 국제물류과정에서 정보를 서로 공유하는 정도가 높은 경우에 물류E야의 활용율이 높은 것으로 나타났다. 여섯째, 수출기업과 포워더, 선박대리점, 내륙컨테이너기지, 검수/검량회사, 사설컨테이너야드, 보세장치장, 하역회사, 터미널, 검역소, 해운항만청, 철도청, 관세청, 통관회사간의 고객의식이 높으면 고객요구를 만족시키기 위해서 물류EDI를 이용할 것으로 보았으나 본 연구결과는 유의적인 차이가 없는 것으로 나타났다. 일곱째, 물류EDI를 활용한 수출기업에서 국제물류비용이 크게 감소하여 물류E야가 국제물류 업무를 개선시키는데 중요한 역할을 하고 있는 것으로 분석되었다. The logistics electronic data interchange means the electronic transfer from computer to computer of information, documents an agreed standard among export business firms, marin transportation company, cargo handling, freight forwarder, local transportation company, port authority, air cargo terminal, customs clearance company, container terminal, container yard, container on flat car, bonded transportation company, warehouse. The logistics electronic data interchange can manage the international physical distribution activities and relationship internally within korean export business firms and externally within marin transportation company, cargo handling, freight forwarder, local transportation company, port authority, air cargo terminal, customs clearance company, container terminal, container yard, container on flat car, bonded transportation company, warehouse. The major purpose of this dissertation are to investigate the relationship between the logistics electronic data interchange and the international logistics process improvement. For these purpose, a theoretical model is designed as descriptive forms and three hypotheses are tested with the data collected from 380 korean export business firms. As a result of this research, the following are claimed. First, The more international logistics cost-oriented the Korean export business firms are the higher the utilization degree of logistics electronic data interchange, to improve the export business firm's international logistics cost, Korean export business firms should manage them with logistics electronic data interchange. Second, the more education of logistics electronic data interchange-oriented are the higher the utilization degree of logistics electronic data interchange, to manage the international logistics cost by logistics electronic data interchange, Korean export business fins must educate logistics electronic data interchange continuously. Fourth, the information share-oriented of Korean export business fines, mann transportation company, cargo handling, freight forwarder, local transportation company, port authority, air cargo terminal, customs clearance company, container terminal, container yard, container on flat car, bonded transportation company, warehouse are the higher the utilization degree of logistics electronic data interchange. Fifth, the more relationship of logistics process of Korean export business firms, mann transportation company, cargo handling, freight forwarder, local transportation company, port authority, air cargo terminal, customs clearance company, container terminal, container yard, container on flat car, bonded transportation company, warehouse are the higher the utilization degree of logistics electronic data interchange. Sixth, the utilization rate of logistics electronic data interchange have a good effect on the improvement of the international logistics process.

補益藥의 補血機轉에 對한 本草學的 解釋

이제현,이한구,김진숙,김연태,김정숙 대한본초학회 1997 大韓本草學會誌 Vol.12 No.2

Hematopoietic actions induced by administration of Astragali radix, Angelicae gigantis radix, Rehmanniae radix preparat and Cervi pantotrichum cornu were compared in SAM R1 and P6. We measured complete blood cells such as RBC, Hb and Hct using Coulter's method and compared the results each other in a view of traditional Korean medicine. The administration of Angelicae gigantis radix did not induce hernatopoietic actions in SAMs and also was quite different those from the other 3 herbs. Thus, the mechanisms of the hematopoietic action by Astragali radix, Angelicae gigantis radix, Rehmanniae radix preparat and Cervi pantotrichum cornu could be different each other.

Treacher Collins 증후군 환아의 증례보고

박지현,김승혜,송제선,김성오,이제호 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.3

Treacher Collins 증후군(TCS)은 25,000명에서 50,000명당 1명의 빈도로 비교적 드물게 발생하는 난치성 질환이다. 이 질환은 정상적인 부모에게서 돌연변이로 발생하거나 상염색체 우성으로 유전된다고 알려져 있다. 하악과 상악, 협골의 발육 부전, 부정교합, 양측성 이개 기형, 안검렬의 반몽고증 사면(antimongoloid slant)이 특징적이며, 종종 구순열, 구개열, 외이도 폐쇄, 중이와 내이의 기형에 의한 청각소실, 왜소증, 심장과 골격의 이상 등을 동반한다. 또한, 인두의 형성부전, 소구, 거설증, 악골의 기형에 기인하여 수면 중 무호흡증, 만성 폐쇄성 무호흡증 등의 호흡 장애가 있을 수 있으며, 전신마취 유도 시에 기관내 삽관이 어렵다고 보고된 바 있다. 치과의사는 관련 신드롬에 대한 충분한 이해를 통해 환자에게 보다 안전하게 치료를 제공해야 하며 구강 건강 관리 및 선천성 안면 기형에 대한 문제 해결을 돕기 위해 적절한 치료 및 안면 수술에 관련된 가이드를 제시해야 한다. 본 증례는 전반적인 치아우식을 주소로 연세대학교 치과병원 소아치과에 내원하여 외래에서 치아우식 치료를 받은 TCS 환아에 대한 것으로, 문헌 고찰을 통해 얻은 다소의 지견을 함께 보고하는 바이다. Treacher Collins syndrome(TCS) is a rare, incurable condition occurring in approximately 1 of 25,000 to 50,000 births. It may occur as a spontaneous mutation out of genetically normal parents or it may be manifested as an autosomal dominant pattern. TCS is characterized by facial deformities such as, underdevelopment of the maxilla, mandible and zygoma, malocclusion, bilateral deformities of auricles, antimongoloid slant of the palpebral fissures. The syndrome is often associated with cleft lip and palate, ear malformations and hearing loss, short stature, and anomalies of the heart and skeleton. Respiratory difficulty associated with air way obstruction may also be observed, and there is considerable difficulty in airway management during general anesthesia. It is necessary that dentists provide safe dental treatments and guidelines to TCS patients by providing adequate understanding about the characteristics of the syndrome and proper ways of managements. The purpose of this study is to report the dental and medical characteristics of the patient who visited the Department of Pediatric Dentistry, Yonsei University for multiple dental caries treatment and to review the literatures of TCS.

우리 전통의약학 자료의 보호 방안 : WIPO의 전통지식에 관한 지적재산권 보호 논의의 대응 방안 모색 Finding ways against discussions of intellectual property protection on traditional knowledge by WIPO

이제현,김용진,최환수 대전대학교 한의학연구소 2004 한의학연구소 논문집 Vol.12 No.2

WIPO international government committee will finish to develop toolkit for making documentation on discussions of intellectual property protection with TK, GR until the late 2003. As they construct DB of TK, GR, it becomes in a hurry to construct DB of TK information in Korea. We looked into application of copyright in force and a lot of problems in terms of analyzing medical books in the resent condition or protecting them in Korea. There are 29 kinds which have been lost, 12 kinds which could have read in parts, 136 kinds which have been existed of Korean medical books before 1900. There are also a lot of medical books which have been published after 1900 and still are unpublished. It would be 406 medical books from China totally, 111 kinds from Chosun Dynasty version, 134 kinds from Euybangeuchui, 225 kinds from Hyangyackjibsungbang, 78 kinds from Dongeuybogam. We consider to know whether Korean medical books could been applied to the copyright in force or not in accordance with discussions of WIPO on the period, subject(author), contents of protection. If it is applied to the copyright in force, it will be decided to revise according to discussions of WIPO. On the other hand, the problem which is occurred to protect Korean medical books is friction with China as importing their medical books, to find our medical books actively which has been unpublished. Finally, We have to revise administration and intellectual property standards or protect our medical books by making new administration laws.

라즈베리파이와 아두이노를 활용한 캠핑 멀티 박스

김종현,오제용,함승수,이재건,이순흠 순천향대학교 부설 산업기술연구소 2021 순천향 산업기술연구소논문집 Vol.27 No.2

There is a rising hobby in the COVID-19 pandemic era. At this point, camping accidents are also occurring a lot as more people are camping in cars and outdoors. Most of the casualties among them are carbon monoxide poisoning accidents. Therefore, to prevent carbon monoxide poisoning, we measured with an Arduino board using a "DHT22" sensor and an "MQ7" sensor to know temperature, humidity, and carbon monoxide levels, and then printed it out on LCD after storing it in Raspberry Pi database. Therefore, it is implemented through 3D printing on the appearance modeled directly to the actual user.

IEC 61131-3 표준을 따른 PC용 소프트웨어 PLC의 개발

이철수,정구,이제필,심주현 한국공작기계학회 2002 한국생산제조학회지 Vol.11 No.1

This paper describes a converting algorithm between programmable languages of a software PLC. It is based on IEC 61131-3 standard and PC. The proposed control logic is designed by the software model and common element with data type, variables, POUs(program organization unit) and execution control unit commonly used within programmable languages of IEC 61131-3 Standard. The generation method of object file is proposed on five programmable languaged based on IEC 61131-3. It is represented as follows; 1) the generation method using conversion algorithm for LD to IL with FBD(function block diagram), 2) the generation method using C code generation algorithm from SFC using the SFC execution sequence with FBD and ST(structured text). The proposed control logic generator was implemented by Visual C++ 6.0 and MFC an MS-windows NT 4.0.

월경전기증후군의 심리적 요인에 관한 연구

이현제,최용성,권택술 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.2

Authors surveyed how the psychologic factors, especially the personality traits were related to the premenstrual syndrome, using PAF and MMPI, with 110 married nurses and 106 unmarried nursing students. The results were as follows : 1) There were no relations between the premenstrual syndrome and the demographic characteristics. 2) The high-scored types in PAF were turned out to be fatigue, lability, anxiety and atypical depressive features in rank order. On the contrary, the low-scored types in PAF were turned our to be increased well-being, hostility/anger, miscellaneous mood/behavior changes and impulsivity in rank order. 3) In the mean comparison of the MMPI scales among three clusters Pa, Pt and Sc scales showed statistically significant relations both in married and unmarried group, also D scale showed statistically significant relation in married group only and Hs, Ma scales showed statistically significant relation in unmarried group only. 4) In the mean comparison of the MPDS scales among three clusters BDL, ANT, CPS, PAG, PAR and STY scales showed statistically significant relations both in married and unmarried group, also DEP scale showed statistically significant relation in unmarried group only.

MOCVD법에 의해 제조된 Fe₂O₃-TiO₂계 산화물 박막의 내식특성에 관한 연구

李在鉉,杉本克久,許聖康,尹在弘,金顯洙,邊應善 國立 昌原大學校 産業技術硏究所 1998 産技硏論文集 Vol.12 No.-

Fe₂O₃-TiO₂artificial passive films were formed at the temperatures of 200-350℃ by low pressure MOCVD technique. The relationship between the formation temperature and corrosion resistance of the Fe₂O₃-TiO₂films was examined in acid solutions. Fe₂O₃-TiO₂films deposited above 300℃ were crystalline and the films deposited below 250℃ were amorphous. The dissolution rate of the Fe₂O₃-TiO₂films deposited at 200 and 250℃ decreased with increasing the formation temperature in 5 M HCl, but the films deposited at 300 and 350℃ hardly dissolved in the solution. The films deposited at 200 and 350℃ easily dissolved at cathodic potentials in 1 M H₂SO₄and HCl owing to te selective reduction of iron oxide components in the films. But, the selective reduction in the films deposited at 300 and 350℃ was suppressed. The Fe₂O₃-TiO₂films deposited above 300℃ have higher corrosion resistance than that of the films deposited below 250℃, because the former have high crystallinity and cotain high chemical resistant oxides.