관해 상태인 크론병 환자에서 Saccharomyces Boulardii 복용 후 Crohn's Disease Activity Index의 변화: 단일 기관 후향적 연구

오규만 ( Gyu Man Oh ),문원 ( Won Moon ),서광일 ( Kwang Il Seo ),정경원 ( Kyoungwon Jung ),김재현 ( Jae Hyun Kim ),김성은 ( Sung Eun Kim ),박무인 ( Moo In Park ),박선자 ( Seun Ja Park ) 대한소화기학회 2020 대한소화기학회지 Vol.76 No.6

Background/Aims: Crohn’s disease (CD) is characterized by uncontrolled inflammation of the intestine. Saccharomyces boulardii (S. boulardii), a probiotic, stabilizes the intestinal wall. This study examined the changes in the CD activity index (CDAI) after taking S. boulardii in patients with CD in clinical remission. Methods: In this single hospital-based retrospective cohort study, the medical records of CD patients in clinical remission, who had received S. boulardii for more than 6 months, were reviewed. The CDAI, BMI, and serum levels of hemoglobin (Hb), ferritin, iron, vitamin B12, folate, total protein, albumin, total cholesterol, CRP, and fecal calprotectin (FC) between the initiation and the 6th month were compared. The timing and reasons for the discontinuation were also investigated. Results: One hundred and fifty-four patients were included, and 92 patients, who received for more than 6 months, were analyzed. The changes in CDAI, BMI, Hb, and total cholesterol were significant as follows: CDAI from 38.52 to 30.53 (p<0.01), BMI (kg/m²) from 23.38 to 23.97 (p<0.01), Hb (g/dL) from 13.73 to 14.03 (p<0.01), and total cholesterol (mg/dL) from 154.9 to 161.5 (p<0.01). On the other hand, the changes in FC, CRP, ferritin, vitamin B12, folate, total protein, and albumin were not statistically significant. Only one patient stopped due to a flare-up, but this was not believed to be related to the drug. Conclusions: In patients with CD in remission, S. boulardii appears to improve the CDAI, BMI, serum Hb, and total cholesterol level without safety issues. Further randomized controlled studies will be needed. (Korean J Gastroenterol 2020;76:314-321)

교실 음향 개선을 위한 천장흡음재의 적용

오규인(Oh, Gyu-In),김용희(Kim, Yong-Hee) 대한건축학회 2022 대한건축학회 학술발표대회 논문집 Vol.42 No.1

임상적 관해기의 궤양성 대장염 환자에서 Escherchia coli Nissle 1917의 치료 효과: 단일 병원 코호트 연구

오규만 ( Gyu Man Oh ),문원 ( Won Moon ),서광일 ( Kwang Il Seo ),정경원 ( Kyoungwon Jung ),김재현 ( Jae Hyun Kim ),김성은 ( Sung Eun Kim ),박무인 ( Moo In Park ),박선자 ( Seun Ja Park ) 대한소화기학회 2021 대한소화기학회지 Vol.77 No.1

Background/Aims: Escherichia coli Nissle 1917 (EcN) alone therapy is as effective as mesalamine in inducing and maintaining remission in ulcerative colitis (UC). The efficacy and safety of EcN in combination with standard therapies have not been studied. This study examined the changes in the inflammation markers and symptoms following the additional administration of EcN to patients showing the clinical remission of UC. Methods: UC patients who received EcN after being in clinical remission for more than 3 months at Kosin University Gospel Hospital between 2013 and 2018 were evaluated through the retrospective medical-record-based review. The partial Mayo score, fecal calprotectin (FC), BMI, hemoglobin, serum cholesterol, serum albumin levels, and the safety profiles were examined at 3rd and 6th months after initiating EcN. Results: Ninety-four patients were included. After 3 months of treatment, there was no significant change in FC (156.3 μg/g to 141.1 μg/g) (p=0.653). On the other hand, partial Mayo score decreased significantly from 0.085 to 0.014 (p=0.025), and the bodyweight (p=0.001), BMI (p<0.001), hemoglobin (p=0.009), and cholesterol level increased (p=0.148). One patient (1.1%) experienced a serious adverse event with UC flare-up, and 14 patients (14.9%) discontinued EcN due to adverse events; all developed within 3 months. Conclusions: Additional administration of EcN to clinically remission-attained UC patients may improve the UC symptoms without changing the FC levels. EcN-associated adverse events develop within the early few weeks. (Korean J Gastroenterol 2021;77:12 -21)

한국의 강관산업 현황 및 기술 개발 동향

오규만 ( Kyu Man Oh ) 대한금속재료학회 1997 大韓金屬學會會報 Vol.10 No.5

실험적 돼지 삼출성 표피염에 관한 병리학적 연구 II. 피부의 면역조직화학적 및 전자현미경적 관찰

오규실,이차수,Oh, Kyu-shil,Lee, Cha-soo 대한수의학회 1995 大韓獸醫學會誌 Vol.35 No.3

To elucidate pathologic change of skin in porcine exudative epidermitis, immunohistochemical and electron microscopical observations were carried out in the skin of the suckling pigs inoculated with Staphylococcus hyicus subsp hyicus which were isolated from natural case. In immunohistochemistry, ATPase-positive dendritic cells were more populated in epidermo-dermal junctional areas and perivascular area in dermis than in epidermal area as the disease was proceeded. These dendritic cells were identified as Langerhans cell by immunoperoxidase staining and these cells were populated granulomatous bodies. Electron microscopical study showed various retrogressive degeneration and vacuolation of epidermal cell organelles with retention of amorphorous exudates in intercellular space, and cellular seperation. Langerhans cells present in intercellular space of epidermis were populated in epidermo-dermal junctional areas, in dermis, and around granulomatous bodies. Langerhans cells contained decreased Birbeck granules in number but increased lysosome and ribosome. These cells were in contact with lymphocytes. This study was discussed relation between the various immunocytes and the formation of granulomatous bodies, and this inflammation was considered as delayed type hypersensitivity.

실험적 돼지 삼출성 표피염에 관한 병리학적 연구 I. 육안적 및 병리조직학적 관찰

오규실,이차수,Oh, Kyu-shil,Lee, Cha-soo 대한수의학회 1994 大韓獸醫學會誌 Vol.34 No.4

To elucidate morphologic lesion of porcine exudative epidermitis which is occurred sporadically in Korea, Staphylococcus hyicus subsp. hyicus isolated from the naturally affected pigs was inoculated to suckling pigs. The infected piglets were observed grossly and histopathologically. Although affected piglets were taking acute, subacute, or chronic course, some piglets suffered from chronic disease showed poor prognosis and marked growth depression. Affected peglets had erythematous skin on the face, ear, and abdomen and these localized lesions appear as brownish spots of exudative epidermitis and fromed crust in the early stage. But, after this stage, the skin were covered by viscous greasy exudate and formed blackish brown crust and appeared fissures and hypertrophy. Grossly, there has been hemorrhage with the removal of crust-like materials of epidermis and edematous subcutis. The superficial lymph nodes were edematous and swollen or congested and hemorrhagic. Some piglets had swollen ureters, cysts in the renal cortex, or polyarthritis. A few cases had mild edematous swelling of kidney, intestinal catarrh and congestion of brain. Microscopically, skin lesions had detachment of keralinized layer and parakeratosis of epidermis, hydropic degeneration of epidermal cell, and retrogressive degeneration of hair root sheath. Dermis had edema, and infiltration of neutrophils and mononuclear cells. As the disease was proceeded, there was marked perivasculitis with lots of mononuclear inflammatory cells. More chronic lesions formed granuloma-like bodies(nodules) due to more mononuclear, perivascular inflammatory cell infiltration and proliferation of fibroblast. Lots of plasma cells and eosinophils were also present in dermis. Epidermis was hyperplastic by proliferation of basal cells stratum germinativum and epidermal pegs often extended into the dermis. In secondary infection, lots of neutrophils could be seen in epidermis and derms. Kidney had neutrophilic infiltration, necrotic and cystic glomeruli, and dilation of renal tubules and ureters. Purulent arthritis was sometimes observed in joints. Three days old mice administrated Staphylococcus hyicus subsp hyicus subcutaneously before had focal congestion and hemorrhage, necrosis, and subcutaneous edema of the skin. This observation was also seen in the study of mice administrated exfoliatin toxin of Staphylococcus which evoked human staphylococcal scalded skin syndrome.

Rompun을 투여(投與)한 흰쥐 가토(家兎) 및 견(犬)의 실질장기(實質臟器)에 대한 조직학적관찰(組織學的觀察)

오규실,이차수,Oh, Kyu-shil,Lee, Cha-soo 대한수의학회 1984 大韓獸醫學會誌 Vol.24 No.2

The present study was carried out to observe the histological changes of the parenchymal organs of the rats, rabbits and dogs intramuscularly injected with Rompun. The results observed are snmmarized as follows; The hematologic changes of the rabbits and dogs administered with Rompun were a pronounced decrease in erythrocytes and leucocytes. The percentage of lympocytes was decreased, while that of neutrophils was increased. There were severe hyperemia of spleen, hyperemia and extention of the central vein of the liver, centrilobular degeneration of liver, hyperemia and hemorrhage of the kidney, necrosis and hydropic degeneration of renal tubule, hyperemia of pulmonary alveolar septa and pulmonary edema. and in the cases injected with Rompun and histamine or pentothal sodium at the same time, the microscopical findings described above were more conspicuous than the cases injected with Rompun alone.

암 경험자의 직장복귀지원에 대한 요구도 및 관련 요인

이성원,이광민,오규한,염찬우,정상협,함봉진,Lee, Sungwon,Lee, Kwang-Min,Oh, Gyu-Han,Yeom, Chan-Woo,Jung, Sanghyup,Hahm, Bong-Jin 한국정신신체의학회 2020 정신신체의학 Vol.28 No.2

연구목적 암 경험자의 직장복귀는 암 관리의 중요한 영역이 되었지만 암의 예방과 치료 영역에 비해 관련한 지원이 부족한 상태이다. 본 연구에서는 암환자와 암환자 가족을 대상으로 암 경험자 직장복귀지원에 대한 요구도 및 관련 요인을 조사하였다. 방 법 2019년 세 차례 진행된 암 경험자를 위한 음악회에 참석한 암환자 182명을 대상으로, 디스트레스 온도계 및 문제목록과 0~10점 범위의 직장복귀지원 요구도 평가도구를 적용하여 직장복귀지원에 대한 요구도 및 관련 요인을 조사하였다. 또한, 음악회에 참석한 암환자 가족 114명을 대상으로 디스트레스 온도계 및 문제목록과 직장복귀지원 요구도 평가도구를 사용하여, 가족의 시각에서 암환자의 직장복귀지원에 대한 요구도 및 관련 요인을 평가하도록 하였다. 암환자 군 182명과 암환자 가족 군 114명에 대해 두 군간의 직장복귀지원에 대한 요구도를 비교하였고, 각 집단의 요구도 관련 요인을 로지스틱 회귀분석을 통해 조사하였다. 결 과 암 경험자를 위한 직장복귀지원이 "매우 필요"하다고 보고한 비율이 암환자 군과 가족 군에서 각각 34.6%, 28.1%이었다. 암 경험자 직장복귀지원에 대한 요구도는 암환자 군에서 6.60±3.365점, 암환자 가족 군에서 6.17±3.454점으로 유의미한 차이가 없었다(p=0.282). 암환자가 스스로 평가한 직장복귀지원에 대한 요구도는 수술 치료 경험이 있는 경우(OR=2.592, p=0.007), 가임능력 문제를 경험하는 경우(OR=6.137, p=0.025), 외모 문제를 경험하는 경우(OR=2.081, p=0.041), 피로를 경험하는 경우(OR=2.330, p=0.020) 높은 것으로 나타났다. 암환자 가족이 평가한 암환자의 직장복귀지원에 대한 요구도는 암환자가 유방암 경험자인 경우(호흡기 암종 대비 OR=13.038, p=0.022 ; 혈액암 대비 OR=4.517, p=0.025 ; 기타 암종 대비 OR=13.102, p=0.019), 직장/학교 문제를 호소하는 경우(OR= 4.578, p= 0.005), 우울을 호소하는 경우(OR= 3.213, p=0.022) 높은 것으로 나타났다. 결 론 암 경험자 직장복귀지원에 대한 요구도가 암환자 군과 암환자 가족 군 모두에서 높고, 요구도와 관련된 요인은 두 군간에 차이가 있음을 확인하였다. 암 경험자를 위한 직장복귀지원 대책이 필요하며, 대책 수립에는 암환자의 임상적 특성, 디스트레스, 암환자와 가족간의 차이를 고려해야 함을 시사한다. Objectives : The purpose of this study was to investigate the needs for return-to-work support of cancer survivors and related factors in patients with cancer and their caregivers. Methods : 182 patients and 114 caregivers were recruited. Distress Thermometer and Problem List and scale ranging 0~10 measuring the degree of needs for return-to-work support were utilized. The needs for return-to-work support between the patient group and caregiver group (patient's needs evaluated by the caregiver) were compared, and related factors were investigated using logistic regression analysis. Results : 34.6% and 28.1% of patients and caregivers reported return-to-work support of cancer survivors is "very necessary". The degree of needs was 6.60±3.365 points in the patient group and 6.17±3.454 points in the caregiver group, with no significant difference (p=0.282). The needs for return-to-work support evaluated by patients was high when they underwent surgery (OR=2.592, p=0.007), has fertility problems (OR=6.137, p=0.025), has appearance problems (OR=2.081, p=0.041), or has fatigue (OR=2.330, p=0.020). The needs for return-to-work support of patients evaluated by caregivers was high when patients treated with breast cancer (vs respiratory cancer, OR=13.038, p=0.022 ; vs leukemia/lymphoma, OR=4.517, p=0.025 ; vs other cancer, OR=13.102, p=0.019), has work/school problems (OR=4.578, p=0.005), or has depression (OR=3.213, p=0.022). Conclusions : The degree of needs for return-to-work support of cancer survivors was high, and factors related to the needs were different between the two groups. This suggests that return-to-work support of cancer survivors is required, and clinical characteristics, the distress of patients, and differences between patients and their caregivers should be considered in establishing a support plan.

개에 발생한 아연부족성 피부병의 임상병리학적 관찰

이차수(Cha Soo Lee),정재용(Jae Yong Chung),오규실(Kyu Shil Oh),한희석(Hee Seak Han),박청규(Chung Kyu Park) 한국수의병리학회 1999 한국수의병리학회지 Vol.3 No.1

N/A N/A

도축 타조에서 닭 및 돼지 질병에 대한 혈청학적 조사

김순태 ( Soon Tae Kim ),박인화 ( In Hwa Park ),김영환 ( Young Hoan Kim ),조광현 ( Kwang Hyun Cho ),오규실 ( Kyu Shil Oh ),손재권 ( Jae Kweon Son ),정종식 ( Jong Sik Jyeong ) 한국가축위생학회 2004 韓國家畜衛生學會誌 Vol.27 No.3

As all other intensively farmed domestic species, most mortality in ostriches is closely to rearing conditions. While ostriches is also highly sensitive to stress, species-specific infectious disease play only a minor role. But investigation of ostrich`s disease is not performed almost in Korea. The study was performed to investigate the titers of antibody for Newcastle disease(ND), Infectious bronchitis(IB), Egg drop syndrome ``76(EDS), Avian influenza(AI), salmonellosis, Mycoplasma gallisepticum infection(MG), Mycoplasma synoviae infection(MS), Infectious bursal disease(IBD), Brucellosis, Toxoplasmosis, Japanese encephalitis(JE), Porcine parvovirus infection, Encephalomyocarditis and Porcine reproductive respiratory syndrome (PRRS). The results obtained in the 62 ostrich sera slaughtered in Gyeongbuk province were summarized as follows: The average of antibody positive rates to ND, IB, EDS, AI(H9N1), JE, Porcine parvovirus infection and Encephalomyocarditis by HI test were 75.8%, 100%, 0%, 0%, 51.6%, 50% and 56.5% respectively. The antibody positive rates to salmonellosis, MG, MS by plate agglutination test were 12.9%, 25.8%, and 0% respectively. Antibodies to disease agent such as IBD and AI by agar gel precipitation(AGP) test, Brucellosis by tube agglutination, toxoplasmosis by latex agglutination test and PRRS by IFA were all negative.