임상가검물에서 분리된 효모의 임상적 의의

유병용,이원길,김재식,전효진,노략균,이장백,김중명 慶北大學校 醫科大學 1990 慶北醫大誌 Vol.31 No.4

1988년 1월부터 동년 12월말까지 경북대학교병원 임상병리과에 의뢰된 가검물 중에서 효모가 분리되었던 환자는 159명이었고, 남자와 여자의 비율은 1.8이었으며 1세 이하와 30세 이상에서 많았다. 또 분리 동정된 효모 총 159주 중 객담에서 78주(49.1%), 요에서 64주(40.3%), 복막액 5주(3.1%) 편도와 대변 각각 4주(2.5%), 농에서 3주(1.9%) 뇌척수액에서 1주(0.6%) 순으로 분리되었다. 분리된 효모로는 Candida albicans가 68주(42.8%), Candida tropicalis 33주(20.8%) Torulopsis glabrata 20주(12.6%), Candida parapsilosis 17주(10.7%), Trichosporon beigelli 7주(4.4%), Torulopsis candida 5주(3.1%), Torulopsis inconspicua와 Saccharomyces cerevisiae가 각 4주(2.5%), Candida guilliermondii 1주(0.6%) 순으로 있었다. 환자들의 기존질병은 폐질환이 70예, 요로질환이 40예 악성종양 및 당뇨병이 각 22예, 간질환 16예, 순환기 질환이 12예 등으로 나타났으며, 유인중 항생제 사용은 114예(80.0%), 수술 49예(34.3%), 카테터 46예(32.2%), 스테로이드사용 28예(19.6%) 악성종양과 당뇨병이 22예(15.4%), 항암제 사용이 10예(7.0%)로 나타났다. 유인이 2개 중복된 경우는 43예, 3개 중복은 38예, 4개는 11예, 5개는 2예로 나타났다. Yeast infection is commonest fungal infection of human. And their incidence becomes to be increased as the frequency of altered host immune system is increased. Antibiotics, cytotoxic drug, malignancy, diabetes mellitus, operative procedures and catherizations are predisposition of fungal infection. Since antifungal drug within a selective or narrow range of activity are available, it is important that speciation of yeast in routine clinical microbiology practice should be effected rapidly and reliably. Author isolated 159 strains of yeast and that were identified by API 20C Auxanogram®. Patient charts were reviewed retrogradely in order to find predisposing factors of isolated yeast cells. Yeast isolation is 1.8(102:57) of male to female rtio and is more frequently below 1 year-old and above 30 year-old in both sexes. Septum(49.1%). urine(40.3%) were major specimens in which yeast isolated. Candida albicans(42.8%), Candida tropicalis(20.8%), Torulopsis glabrata(12.6%), Candida parapsilosis(10.7%) were frequently identified species in order. Candida albicans and Candida parapsilosis were frequently isolated species among various specimens. Pulmonary diseases, urinary tract diseases, malignancy, and diabetes mellitus were major underlying diseases. And antibiotic(80.0%), operative procedure(34.3%), catherterization(32.2%), steroid(19.6%), malignancy(15.4%), diabetes mellitus(15.4%) and cytotoxic drug(7.0%) were predisposed in order.

저급목재의 자기가수분해 전처리에 의한 고순도 셀룰로오스 기질의 제조

조남석,김병로,백기현 한국목재공학회 2002 목재공학 Vol.30 No.4

본 연구는 자기가수분해전처리를 통하여 반응성이 높은 고순도 셀룰로오스기질을 제조하기 위하여 수행되었다. 공시재의 일반 화학조성은 일본잎갈나무와 신갈나무간에 큰 차이가 있음을 알 수 있었다. 추출물함량은 일본잎갈나무가 신갈나무보다 상당량 많았다. 특히 냉·온수 추출물함량은 2.5∼3.5배 많았다. 이러한 추출물함량의 큰 차이는 일본잎갈나무에는 arabinogalactan이 많이 함유되어 있기 때문인 것으로 사료된다. 리그닌함량은 신갈나무가 잎갈나무보다 5% 정도 낮았으며, 그 대신 홀로셀룰로오스 및 펜토산함량이 각각 3% 정도 높은 값으로 나타났다. 22 ㎏/㎠ 수증기압력에서 5∼60분간의 자기가수분해 전처리과정에서 glucose 함량에는 변화가 없었으나, hemicellulose 및 lignin 함량은 급격한 변화를 보였다. 전처리과정에서 가수분해물의 pH는 3까지 저하되었으며, 이러한 경향은 신갈나무 및 일본잎갈나무에서 동일하게 나타났다. Sodium chlorite 및 sulfite 혹은 bisulfite 전처리 후 자기가수분해가 리그닌함량이 낮은 고순도셀룰로오스기질의 제조에 효과적이었다. 특히 자기가수분해처리재를 알칼리 및 산소-알칼리 2단처리함으로서 0∼0.2%의 리그닌함량을 가지는 고순도기질을 제조할 수 있었다. This study was performed to produce the high reactive lignin zero substrates from autohydrolyzed wood resources. In chemical compositions of used raw-materials, there were significant differences between two species, Japanese larch (Larix leptolepis) and oak (Quercus mongolica) woods. Japanese larch contained 2.5 to 3.5 times higher amounts of extractives than oak wood, which is mainly derived from high content of arabinogalactan in Japanese larch wood. Oak wood has 5% lower lignin content and 3% higher holocellulose and pentosans than larch wood. Concerned to changes in wood components during autohydrolysis pretreatment at 22 ㎏/㎠ steaming pressure for 5∼60 min, glucose content was constant during pretreatment, while hemicellulose and lignin were abruptly changed. Hemicellulose fraction was decreased significantly and lignin contents increased because of its condensation reaction with hemicellulose degradation products. The pH of hydrolyzates during pretreatment was decreased, reached upto pH 3 and since then leveled off. In the case of oak wood, same tendency was observed as in Japanese larch. Autohydrolysis followed by sodium chlorite and sulfite or bisulfite pretreatment was very effective in delignification of the substrates. In particular, two-stage delignification of autohydrolyzed woods with alkali and O_2-alkali resulted in very low lignin content substrates, such as 0∼0.2% lignin substrate.

토끼에서 Etofenprox와 Spinosad 합제의 국소자극성 시험

황윤환,김명석,송인배,박병권,양승호,임용현,송치용,안성한,남현수,임정교,정상일,명노일,윤효인 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2008 動物醫科學硏究誌 Vol.15 No.1

This study was performed to evaluation the skin and eye irritation of etofenprox 8% and spinosad 4% combination in male New Zealand White rabbits. In skin irritation test, the combination of etofenprox and spinosad did not showed any change of body weight but caused slight skin irritation with the P.I.I. (primary irritation index) value 0.25. The etofenprox and spinosad combination showed severe eye irritation 1 h, 24 h, 48 h, and 72 h after ocular treatment, having the A.O.I. (acute ocular irritation) value of 37.3. Therefore, these result indicated that the combination of etofenprox and spinosad might be irritant formulation on eye and skin.

한국의 발톱진균증 환자의 삶의 질에 관한 연구

조백기,박종갑,김형옥,김성욱,백승철,김진우,김시용,안규중,전재복,오지원,김낙인,이규석,오칠환,김수남,김상태,손숙자,신용우,김동석,이원우,권경술,서대헌,황규왕,이종석,고재경,강원형,정기양,최응호,김기홍,박석돈,강승주,함정희,명기범,김방순,구상완,김병수,원영호,김한욱,송은섭,정병수,노병인,홍창권,박장규,한지윤,김광중,구대원,김종민,김재홍,유희준,양경미 대한의진균학회 1998 대한의진균학회지 Vol.3 No.2

Background: Onychomycosis, especially toenail onychomycosis has become one of the common fungal infection and has historically been regarded as a cosmetic rather than medical problem by many patients, even by physicians. Recently, however, there are several reports that is a refractory disease which may cause a deleterious effect on patiets quality of life (QOL). Objective: The purpose of this study was to investigate the impact of toenail onychomycosis on QOL in Korea and to assess the chandes of QOL after treatment. Methods: Total 1004 patients with toenail onychomycosis which was confirmed by clinical findings and KOH preparation were were enrolled at 47 dermatologic centers in Korea, and interviewed with standardized QOL questionnaire before and after sytemic antifungal treatment. Responses to the questionnaire were scored by 5-point scale (1∼4) and averaged, and were analyzed for 5 dimensions of emotional impact, social impact, symptorn and functional impact, patients views concerning treatment, and relationship with doctor. Results: 1. Before and after treatment, the most serious impact was emotional dimension showing 1.90 and 1.30 in average score (AS), and social (AS: 1.14 and 0.83) and symptom and functional impact (AS: 1.05 and 0.92) was also affected. 2. In female rather than male, statistically more significant impact on patients QOL was observed in all dimensions. 3. After treatment, 3 of 5 dimensions were improved significantly - emotional dimension (AS : from 1.90 to 1.30), social dimension (AS: from 1.14 to 0.83), patients view concerning treatment (AS: from 1.34 to 1.02). 4. The drgree of patients satisfaction at the therapeutic effect was very high- 62.4% (immediately after treatment) and 65.8% (9 months affer initiation of treatment) of patients answered excellent or good. Conclusion: This study confirms that toenail onychomycosis has significant impact on the overall QOL of patients. Also the effect of antifungal therapy on patients QOL were watisfactory. Therefore, both doctor and patient should pay more attention to the treatment of onychomycosis. [Kor J Med Mycol 3(1): 115∼124]

인체 및 가토의 과립백혈구 점착도 변화에 관한 실험적 연구

盧炳宣(Byoung Seon Rhoe),池勳商(Hoon Sang Chi),金秉魯(Byoung Ro Kim),朴基一(Ki Il Park),金春奎(Choon Kyu Kim) 대한외과학회 1981 Annals of Surgical Treatment and Research Vol.23 No.8

Case Report : Crohn`s Disease in a Patient Undergoing Hemodialysis Caused by IgA Nephropathy

Bi Ro Kim,Jae Won Yang,Joung Wook Choi,Young Sub Kim,Jong Myeong Yu,Seung Ok Choi,Byoung Geun Han 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5

IgA nephropathy is usually localized to the kidney, however, it can accompany systemic disease, including gastrointestinal disease, skin disease, connective tissue disease, and malignant tumor. In some patients with IgA nephropathy which manifested as an extraintestinal symptom of Crohn`s disease, recovery of renal function was achieved following treatment of Crohn`s disease. The pathophysiology of each disease remains unclear. According to some studies, however, immunological, genetic, and environmental factors may be involved in a complex manner. In patients receiving renal replacement therapy for treatment of renal dysfunction due to IgA nephropathy, occurrence of Crohn`s disease as an extrarenal symptom has not been reported. We experienced a case of Crohn`s disease which developed in a patient receiving hemodialysis for treatment of end-stage renal disease due to IgA nephropathy.

전경린의 「메리고라운드 서커스 여인」 서사 분석 -환상(fantasy)과 모사(mimesis)의 결합서사를 통한 역설적 현실인식을 중심으로

김병로 ( Byoung Ro Kim ) 한국문학이론과 비평학회 2001 한국문학이론과 비평 Vol.12 No.-

I tried to research the meaning of the text as well as the peculiar discourse as a combination narrative of fantasy and mimesis which described in “The Lady of Merry-go-round circus”. My research shows Jeon Kyoung-Lin, the novelist, upholds the traditional realism,the restoration of subjectivity - self, as a rule of discourse. However,Jeon’s text not only has something to do with the above traditional tendency in its inside but its outer related to somewhere anti-traditional realism composed of fantastic discourse factors in the opposite direction, The text of The Lady of Merry -go -round circus tells us the sporadic of post-modernism, the anonymous self’ and the loss of identi-ty scrupulously through the diff rance-situation of textual meaning.

Case Reports : Hemolytic Crisis and Acute Kidney Injury in Patient with Paroxysmal Nocturnal Hemoglobinuria in Korea -Case Report and Review of Literature

Yun Deok Kim,Jae Won Yang,Jeong Wook Choi,Bi Ro Kim,Jong Myeng Yu,Young Sub Kim,Jong In Lee,Seung Ok Choi,Byoung Geun Han 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.3

Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired clonal disorder of the hematopoietic stem cells characterized by chronic intravascular hemolysis, venous thrombosis, deficient hematopoiesis. Kidney involvement is usually benign and secondary to chronic deposition of hemosiderin. However, acute kidney injury may rarely occur in association with a hemolytic crisis or thrombotic complication. Hemolytic crisis is precipitated by nonspecific factors, such as infection, surgery and transfusion. A 35-year-old woman, who developed hemolytic crisis and acute kidney injury was admitted to our hospital presenting with acute gastroenteritis. After being treated by hemodialysis and oral low dose steroid, she was discharged with recovered renal function. Renal biopsy demonstrated acute tubular necrosis with considerable hemosiderin deposition without evidence of vascular thrombosis. A review of Korean cases showed that most of the cases featured severe renal dysfunction to such an extent to require a hemodialysis although there were no definite etiologies other than the deposition of blood iron due to massive hemolysis unlike the foreign cases. It also showed that the disease duration was longer. It can therefore be inferred that the early diagnosis and active treatment will be mandatory for the treatment of Korean patients with PNH. We reported a case of PNH with acute kidney injury and hemolytic crisis and documented by renal biopsy with review of Korean literature.

Coagulopathy in patients who experience snakebite

( Jae Seok Kim ),( Jae Won Yang ),( Min Soo Kim ),( Seung Tae Han ),( Bi Ro Kim ),( Myung Sang Shin ),( Jong In Lee ),( Byoung Geun Han ),( Seung Ok Choi ) 대한내과학회 2008 The Korean Journal of Internal Medicine Vol.23 No.2

Background/Aims: Coagulopathy is a common complication of snakebite, but there is little information on the clinical importance of coagulopathy. We analyzed the characteristics of coagulopathy after envenomation. Methods: Ninety-eight patients who experienced snakebite were enrolled in this study. We divided all the patients into three groups by the ISTH DIC scoring system: the normal, simple coagulopathy and DIC groups. The coagulopathy group included both the simple coagulopathy and DIC groups. We then conducted a case-control study. Results: There was a significant decrease in the Hct, protein, albumin, ALP and cholesterol levels in the coagulopathy group, and only the cholesterol level was deceased in the DIC group (p<0.05). Leukocytosis and rhabdomyolysis were significantly associated with coagulopathy, and hemolysis and rhabdomyolysis were associated with DIC (p<0.05). The presence of rhabdomyolysis was considered a risk factor for coagulopathy (p<0.05). These conditions continued for up to six to seven days after the snakebite. Conclusions: Evaluation of coagulopathy with using these characteristics is helpful to properly manage the patients who experience snakebite.

삼나무 열처리재의 물리 및 역학적 특성

김광모 ( Kwang Mo Kim ),박정환 ( Jung Hwan Park ),박병수 ( Byoung Soo Park ),손동원 ( Dong Won Son ),박주생 ( Joo Saeng Park ),김운섭 ( Wun Sub Kim ),김병남 ( Byoung Nam Kim ),심상로 ( Sang Ro Shim ) 韓國木材工學會 2009 목재공학 Vol.37 No.4