백서 심근경색모델에서 시간경과와 경색의 크기에 따른 심자도의 변화

김미성(Mi Sung Kim),박영선(Young Sun Park),권순길(Sun Gil Kwon),지정훈(Jeong Hoon Ji),신종성(Jong Sung Shin),오광식(Kwang Sik Oh),양용모(Yong Mo Yang),연태진(Tae Jin Youn),김동운(Dong Woon Kim),조명찬(Myeong Chan Cho),이용호(Yong Ho 대한내과학회 2002 대한내과학회지 Vol.62 No.1

N/A Background: Magnetocardiogram (MCG), which records the changes of magnetic fields generated by the heart`s electrical activity, theoritically can provide unique data for clinical application. To date, MCG has been investigated only at a single time point after myocardial infarction (MI) with severe left ventricular dysfunction in rats. The purpose of the present study was to investigate sequential changes of MCG after MI and to evaluate effects of infarct size on MCG. Methods: Acute MI were induced by the permanent ligation of left coronary artery in 22 rats. Magnetic fields were recorded just above a rat with Nb Superconducting Quantum Interference Device (SQUID) gradiometer inside a magnetically shielded room. MCG was measured before and immediately after surgery and it was subsequently recorded at the time points of 1, 4 and 6 hours post operatively. MCG was also measured at 1, 3, 7 and 21 days after surgery. Results: Elevation of ST segment and appearance of pathological Q wave on the MCG were evident immediately after the ligation of coronary artery and persisted to 6 hours after MI. On MCG, ST segment was depressed and T wave was inverted from 1 day after MI. In rats with small-and moderate- sized MI (infarct size〈30%), ST depression returned to near the isoelectric level and Q wave disappeared from 7 days after MI. However, ST depression and Q wave were still present in rats with larger infarct (infarct size≥30%). Conclusion: Evolutional changes of MCG were well-recognized up to 21 days after MI. Furthermore, the infarct size can be expressed by the extent of Q wave and ST segment depression on MCG. Taken together, these data indicate that MCG is a helpful modality for the diagnosis, evaluation of infarct size and follow up after MI.(Korean J Med 62:42-48, 2002)

심근경색 모델 흰쥐에서 스트레스가 B-type Natriuretic Peptide 발현 및 심박변이율 변화에 미치는 영향

이삼윤(Sam Youn Lee),이미경(Mi Kyoung Lee),김남호(Nam-ho Kim),주민철(Min Cheol Joo),조항정(Hyang Jeong Jo),강지숙(Ji Sook Kang),김병숙(Byung Sook Kim),윤선식(Sun Sik Yoon),최을식(Eul Sig Choi),이문영(Moon Young Lee) 대한스트레스학회 2010 스트레스硏究 Vol.18 No.3

심박변이율의 감소는 심근 경색 환자에서 예후의 악화와 관련되어 있다. 심박변이율 중 very low frequency가 심부전환자의 예후를 판단할 수 있는 독립적 인자로서 사용이 가능하다고 보고된 바 있으며, 심실의 압력 증가에 반응해서 생성되는 B-type natriuretic peptide가 심근 경색의 예후 인자로서 사용할 수 있음 역시 보고된 바 있다. 본 연구에서는 심근경색 모델을 제작하여 일정의 회복 기간을 거친 다음 다시 일정 기간의 스트레스를 겪게 한 후 심박변이율의 변화 및 심실 조직에서의 BNP 발현 정도를 비교하여 스트레스에 의한 영향을 관찰하고자 하였다. Sprague-Dawley계 수컷 흰쥐 15마리를 대상으로 하였다. 실험동물은 인위적 스트레스 및 수술을 받지 않은 대조군(CON, n=5), 심근경색 수술을 받은 후 restraint stress를 받지 않은 군(MI+No Stress, n=5), 심근경색 수술을 받은 후 1주일 동안 restraint stress를 받은 군(MI+Stress, n=5)으로 분류하였다. 심근경색 모델 제작 직후 15분 이상 심전도의 변화를 기록하였으며, 2개월 정도 후 심근경색 수술을 받은 동물을 두 군으로 나누어 그 중 한 군에는 1주일 동안 restraint stress를 가한 후 restraint stress를 가하지 않은 동물과 심박변이율을 비교 분석하였다. 심실 조직은 좌심실 전벽 부위의 위축을 관찰할 수 있었고, 대식세포에 의하여 응고, 괴사된 심근세포의 탐식과 혈관이 풍부한 육아조직 및 섬유 변화를 볼 수 있었다. 심박변이율은 심근경색 수술을 받은 직후 심박수는 유의한 증가를 보였고, standard deviation of the normal to normal intervals (SDNN), very low frequency (VLF) 및 low frequency (LF)의 유의한 감소를 보였다. 심근경색 수술을 받았던 동물에서 두 달 정도의 회복 기간을 거친 후 스트레스를 받지 않은 군은 심박수 및 기타 심박변이율 분석에서 SDNN 값을 제외하고는 정상군과 유의한 차이를 관찰할 수 없었던 반면 1주일 동안 스트레스를 받은 군에서는 심박수가 다시 유의하게 증가했을 뿐만 아니라 SDNN, VLF 및 LF 역시 정상군과 유의한 차이를 보였다. 이상의 결과를 종합하면 심근경색 동물에 대해 1주일 동안 스트레스를 가한 결과 심박변이율이 감소하고 심실에서의 BNP 발현은 더욱 증가하여 악화함을 보여주고 있다. Diminished heart rate variability (HRV) is associated with less favorable prognosis after myocardial infarction (MI). It has been reported that very low frequency (VLF) power in HRV analysis is an independent risk predictor in patients with congestive heart failure and B-type natriuretic peptide (BNP) can be used as a prognostic factor of MI. The purpose of this study was to investigate whether stress has an effect to the changes of BNP expression and/or heart rate variability in MI model in rats. Male Sprague-Dawley rats were divided into 3 groups: control group (CON), MI group (MI+No Stress), and MI followed by stress group (MI+Stress). MI+Stress group rats were raised for a two month recovery period after the operation, followed by being exposed to restraint stress for 2 hours per day for 1 week. Electrocardiogram was recorded after the operation and the last day after 1 week of stress. The frequency components of HRV were calculated in the frequency domain such as VLF, low frequency (LF), high frequency (HF) and so on. In HRV analysis, standard deviation of the normal to normal intervals (SDNN) was significantly reduced in both groups compared to the control group. VLF and LF also were significantly reduced in MI+Stress group compared to the control groups. In addition, BNP expression in western blotting was shown the strongest bands in MI+ Stress group among experimental groups. These results suggest that BNP and HRV were aggravated by stress in MI rat model. (Korean J Str Res 2010;18:275∼285)

심근경색의 위험인자로서 Thrombomodulin유전자변이의 의의

박현영,김영미,권혁문,지선하,조승연,정남식,심원흠,장양수 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.6

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

Histone deacetylase 3 is selectively involved in L3MBTL2-mediated transcriptional repression

Yoo, Jung-Yoon,Choi, Kyung-Chul,Kang, HeeBum,Kim, Young Jun,Lee, Jeongmin,Jun, Woo Jin,Kim, Mi-Jeong,Lee, Yoo-Hyun,Lee, Ok-Hee,Yoon, Ho-Geun Elsevier 2010 FEBS letters Vol.584 No.11

<P><B>Abstract</B></P><P>This is the first report that L(3)mbt-like 2 (L3MBTL2) specifically interacts with the histone deacetylase domain of histone deacetylase 3 (HDAC3) via its MBT domain. Here, we show that L3MBTL2 selectively interacts with HDAC3, but not other class I HDACs. An in vitro peptide-binding assay demonstrated the specific association of HDAC3 with methylated histone-K20 tail and L3MBTL2. Furthermore, depletion of HDAC3 resulted in a decrease of methylated K20-H4, as well as an increase in acetylated histone H3. Consequently, HDAC3 knock-down selectively suppressed L3MBTL2-mediated transcriptional repression. Taken together, our results reveal the concerted action of both HDAC3 and L3MBTL2 in histone deacetylation and methylation-dependent transcriptional repression.</P><P><B>Structured summary</B></P><P>MINT-7719975: <I>L3MBTL2</I> (uniprotkb:Q969R5) and <I>HDAC3</I> (uniprotkb:O15379) <I>colocalize</I> (MI:0403) by <I>fluorescence microscopy</I> (MI:0416)</P><P>MINT-7719941, MINT-7719921: <I>L3MBTL2</I> (uniprotkb:Q969R5) <I>binds</I> (MI:0407) to <I>HDAC3</I> (uniprotkb:O15379) by <I>pull down</I> (MI:0096)</P><P>MINT-7719991: <I>HDAC3</I> (uniprotkb:O15379) <I>physically interacts</I> (MI:0915) with <I>L3MBTL2</I> (uniprotkb:Q969R5) by <I>anti bait coimmunoprecipitation</I> (MI:0006)</P><P>MINT-7719958: <I>L3MBTL2</I> (uniprotkb:Q969R5) <I>physically interacts</I> (MI:0915) with <I>HDAC3</I> (uniprotkb:O15379) by <I>anti tag coimmunoprecipitation</I> (MI:0007)</P><P>MINT-7719897: <I>HDAC3</I> (uniprotkb:O15379) <I>physically interacts</I> (MI:0915) with <I>L3MBTL2</I> (uniprotkb:Q969R5) by <I>two hybrid</I> (MI:0018)</P>

대동맥 협착증과 동반된 출혈성 위장관 동정맥 기형에서 Estrogen-Progesterone 치료 1예

김도연,김화정,김효정,남준식,박수영,박영미,신정은,주미순,황민규,정혜경,손혜영,이선영,이한주 大韓消化器內視鏡學會 1999 Clinical Endoscopy Vol.19 No.부록2

교양소설의 두 유형에 나타난 교양주체의 의미

김미영 ( Mi Young Kim ) 한국언어문화학회 2015 한국언어문화 Vol.0 No.56

This paper presents an attempt to “re-read” The Square by Choi In-hun and Portrait of the Days of Youth by Lee Mun-yeol from the perspective of bildungsromans. The plots and embodiments of subject of culture in both the novels are similar to those of German"Bildungsroman"and also exhibit enough Korean features. Culture builds characters as intellectuals and cultured individuals and thus becomes a criterion to show the cultural refinement of the upper class of the time. It also contains the policy and ruling ideology of the time. Subjects of culture ultimately seek after harmony with the world through an ego exploration process, but the results are sometimes unsuccessful. The processes and results can lead to the disillusive and romantic types of bildungsromans. While The Square by Choi In-hun is one of the representative works in the disillusive type of bildungsromans, Portrait of the Days of Youth by Lee Mun-yeol is one of the representative works in the romantic type of bildungsromans. In disillusive bildungsromans, the subjects of culture fail to narrow down the gap between the world and themselves and eventually face frustration. In romantic bildungsromans, the main characters secure their own worlds. In The Square, Lee Myeong-jun, who is capable of criticizing the contradictions of political and social reality, is one of the utmost intellectuals and cultured men of the time, but he has a feeling of disappointment due to the gap between his own ideal and the reality and chooses to take his own life. In Portrait of the Days of Youth, Lee Yeong-hun, on the other hand, strengthens his own artistic world through ego exploration and achieves harmony with the world. Here one cannot disregard the gender differences in culture building between male and female subjects of culture. While male subjects of culture build their culture through"books"both in disillusive and romantic bildungsromans, their female counterparts build their culture by the influence of male subjects rather than on their own. In The Square, the female subject is perceived as the object of abasement by the male subject rather than being embodied as a perfect cultured person. The bildungsroman by Lee Mun-yeol, however, shows different aspects from the bildungsroman by Choi In-hun, embodying female subjects of culture in two types. They either receive instructions for culture building from the male subject or become subjects of culture through their own abilities. The former become the objects of criticism to male subjects like in The Square, the latter are set as helpers that exert influences on the ego exploration process of male subjects. Those changes to female subjects are the results of accepting the changes to the consciousness of culture.

Comparison of fall recurrence between young-old and old-old

Yujeong Kim,Mi Young Kim 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim: As the elderly population is increasing, fall-related problems are emerging as important health problems. This study aimed to identify factors related to recurrent falls in community-dwelling young-old (65-74 years old) and old-old elderlies (≥75 years). Method: Data from 2017 National Survey of Older Koreans were used, and a total of 10,044 subjects over the age of 65 were included in analysis. Χ2 test, ANOVA, and logistic regression were performed for data analysis. Results: In the young-old elderly, limitations in ADL (OR=2.25, 95% CI: 1.44~3.54), visual aids (OR=1.56, 95% CI: 1.18~20.7), cognitive function (OR=0.93, 95% CI: 0.90~0.97), suicidal thoughts (OR=1.69, 95% CI: 1.17~2.45), number of chronic diseases (OR=1.22, 95% CI: 1.13~1.32), and number of prescribed medications (OR=1.06, 95% CI: 1.02~1.11) were factors that affected fall recurrence. In the old-old elderly, spouse (OR=0.76, 95% CI: 0.59~0.98), national basic livelihood security system (OR=1.53, 95% CI: 1.05~2.20), exercise (OR=1.48, 95% CI: 1.14~1.91), limitations in ADL (OR=1.98, 95% CI: 1.46~2.69), visual aids (OR=1.54, 95% CI: 1.17~2.02), suicidal thoughts (OR=1.63, 95% CI: 1.10~2.43), number of chronic diseases (OR=1.18, 95% CI: 1.11~1.26), and Parkinson"s disease (OR=3.53, 95% CI: 1.83~6.79) were factors that affected fall recurrence. Conclusion: Through this study, it was observed that there were differences in factors related to recurrent falls between young-old and old-old elderlies. Based on the findings, it would be necessary to develop appropriate interventions in order to prevent recurrent falls.

Mycobacterium intracellulare에 의한 요추부 척추염 1예

장은영,김미영,김정욱,송은희,백관미,정용필,성흥섭,김미나,김양수,우준희,이상호 대한감염학회 2007 감염과 화학요법 Vol.39 No.3

비결핵성 미코박테리아에 의한 척추염에 대한 증례 보고가 국내에서는 아직 없었다. 저자들은 기저질환이 없는 환자에서 M. intracellulare에 의한 척추염을 rpoB 유전자에 대한 PCR-RFLP 방법을 통해 진단하였고 수술적 치료와 3제 병합 항균 요법으로 성공적인 임상 경과를 보인 1예를 경험하였기에 보고하는 바이다. We report a case of vertebral osteomyelitis due to Mycobacterium intracellulare in a 60-year-old man without predisposing conditions. He was successfully treated with surgical excision of the inflamed tissue and combined antimycobacterial therapy consisting of clarithromycin, ethambutol, and rifampin. In this case, polymerase chain reaction-restriction fragment length polymorphism analysis (PCR-RFLP) based on the rpo B gene of cultured isolates allowed rapid identification of M. intracellulare. Although very rare, nontuberculous mycobacteria (NTM) should be suspected as a causative pathogen of vertebral osteomyelitis. To the best of our knowledge, this is the first case of vertebral osteomyelitis caused by NTM reported in the Korean literature.

황석영 소설에 나타난 여성인물 연구

김미영 ( Kim,Mi-young ) 한국문학이론과 비평학회 2005 한국문학이론과 비평 Vol.29 No.-

Female subjectivity in novels written by Hwang Seok-young has maternity, post-colonialism and critical feature. Of these, maternity was given concrete expression most widely and deeply. In < Near Ipseok >, his debut work, < Pig Dream >, < The Way to Sampo >, and < A Bird of Molgaewol > he wrote in the early days, maternal imagination was showed, which became a sprout of maternality in his next works. < The Way to Sampo > and < A Bird of Molgaewol > shows dismantled family in the industrial era through maternity led by sister complex. Han Yun-hee, the character of < Old Garden > has maternity which rises above family and leans toward the outside. Maternity Han Yun-hee bestows a favor on her father is a form in family, while maternity she shows to other characters including Oh Hyeon-woo, Lee Hui-soo, Song Young-tae, Choi Mi-kyeong rises over blood relation. There exists more extended maternity in「Sim Cheong」. That’s because it represents a maternal family unit bonded with sororal love. At the same time, deification of female maternity is achieved through indicating altruistic maternity above a people. Post-colonialism of female subjectivity is showed through Oh Hye-jung, the character of「The Shade of Arms」, Yohan’s wife of「Guest」, and Sim Cheong of「Sim Cheong」. In these works, post-colonialism is realized through free female who is not under men, female who recognizes and confronts new colonial condition, their dauntless attitude toward conflict of ideology, and their recognition in the process of East Asia being eroding by imperialism. Last, critical feature of female subjectivity is represented through female practice teacher of「For Younger Brother」, Han Hey-ja of「Annals of Mr. Han」and Park Mi-ri of「A Slender Hand」. The target female subjectivity criticizes is absurdity of reality, contradiction of capitalism, and adherence of divided people. These female features enables Hwang Seok-young to get out of a prejudice that he wrote male masculine works and emphasized masculinity.