Two-Track Medical Treatment Strategy According to the Clinical Scoring System for Chronic Rhinosinusitis

Kim, Dong-Kyu,Kang, Seong Il,Kong, Il Gyu,Cho, Young Hoon,Song, Seul Ki,Hyun, Se Jin,Cho, Sung Dong,Han, Sang-Yoon,Cho, Seong-Ho,Kim, Dae Woo The Korean Academy of Asthma, Allergy and Clinical 2018 Allergy, Asthma & Immunology Research Vol.10 No.5

<P><B>Purpose</B></P><P>The previously reported Japanese clinical scoring study (JESREC) suggests that chronic rhinosinusitis (CRS) can be divided into 4 subtypes according to the degree of eosinophilic CRS (ECRS) and offers the information regarding the prognosis of CRS to clinicians. However, this scoring system has not yet been validated by an immunological study and needs to provide treatment guidelines based on underlying immunologic profiles. We investigated the immunologic profile of each CRS subgroup according to the JESREC classification and suggest its clinical application.</P><P><B>Methods</B></P><P>A total of 140 CRS patients and 20 control subjects were enrolled. All patients were classified into 4 groups according to the JESREC (non-, mild, moderate and severe ECRS). Nasal tissues were analyzed for mRNA expression of major cytokines (IL-5, IL-10, IL-13, IL-17A, IL-22, IL-23p19, IFN-γ, periostin, thymic stromal lymphopoietin [TSLP] and ST2), major chemokines (CCL11, CCL24, CXCL1 and CXCL2), transcription factors (T-bet, GATA3, RORC and FOXP3) and COL1A1 for type I collagen. Protein levels of 3 major cytokines (IL-5, IL-17A and IFN-γ) were also measured by multiplex immunoassay. Principal component analysis (PCA) was conducted to investigate the overall profile of multiple mediators.</P><P><B>Results</B></P><P>The moderate/severe ECRS showed up-regulation of type 2-related mediators (IL-5, IL-13, periostin, TSLP and ST-2), whereas INF-γ (type 1 cytokine) and CXCL1 (neutrophil chemokine) expressions were increased in non-/mild ECRS compared with moderate/severe ECRS. The JESREC classification reflected an immunological endotype. In PCA data, PCA1 indicates a relative type 2 profile, whereas PCA2 represents a type 1/type 17-related profile. In this analysis, mild ECRS was indistinguishable from non-ECRS, whereas moderate to severe ECRS showed a distinct distribution compared with non-ECRS. The JESREC classification could be divided into 2 categories, non-/mild vs. moderate/severe ECRS based on underlying immunological analyses.</P><P><B>Conclusions</B></P><P>The CRS clinical scoring system from the JESREC study reflects an inflammatory endotype. However, the immunologic profile of mild ECRS was similar to that of non-ECRS. Therefore, we propose type 2-targeted medical treatment for moderate to severe ECRS and type 1/type 17-targeted for non-ECRS and mild ECRS as the first treatment option.</P>

The effect of Korean red ginseng on allergic inflammation in a murine model of allergic rhinitis

Jung, Joo Hyun,Kang, Il Gyu,Kim, Dae Young,Hwang, You Jin,Kim, Seon Tae The Korean Society of Ginseng 2013 Journal of Ginseng Research Vol.37 No.2

Korean red ginseng (KRG) is reported to have anti-allergic properties, including beneficial effects on asthma and atopic dermatitis. However, its effect on allergic rhinitis has not been studied extensively. This study examined how KRG affected allergic inflammation of the nasal cavity in an allergic mouse model. A total of 40 Balb/c female mice were divided into four experimental groups according to treatment and allergic state: group 1 (G1), saline only; group 2 (G2), ovalbumin (OVA); group 3 (G3), OVA+KRG; and group 4 (G4), OVA+dexamethasone. Serum IgE levels were significantly lower in the KRG treatment group (G3) than in the allergic group (G2). However, serum IgG1 levels did not differ between G2 and G3. In the nasal lavage fluid, IL-4 and IL-5 levels were significantly lower in G3 than in G2 (p<0.05). H&E and Luna staining revealed that the eosinophil count was lower in G3 and G4 than in G2 (p<0.05). Immunohistochemical staining revealed that there were fewer IL-4-, IL-5-, and MUC5AC-positive cells in G3 and G4 than in G2 (p<0.05). These results indicate that KRG reduces the nasal allergic inflammatory reaction in an allergic murine model by reducing Th2 cytokines.

The effect of Korean red ginseng on allergic inflammation in a murine model of allergic rhinitis

Joo Hyun Jung,Il Gyu Kang,Dae Young Kim,You Jin Hwang,Seon Tae Kim 고려인삼학회 2013 Journal of Ginseng Research Vol.37 No.2

Korean red ginseng (KRG) is reported to have anti-allergic properties, including beneficial effects on asthma and atopic dermatitis. However, its effect on allergic rhinitis has not been studied extensively. This study examined how KRG affected allergic inflammation of the nasal cavity in an allergic mouse model. A total of 40 Balb/c female mice were divided into four experimental groups according to treatment and allergic state: group 1 (G1), saline only; group 2 (G2), ovalbumin (OVA); group 3 (G3), OVA+KRG; and group 4 (G4), OVA+dexamethasone. Serum IgE levels were significantly lower in the KRG treatment group (G3) than in the allergic group (G2). However, serum IgG1 levels did not differ between G2 and G3. In the nasal lavage fluid, IL-4 and IL-5 levels were significantly lower in G3 than in G2 (p<0.05). H&E and Luna staining revealed that the eosinophil count was lower in G3 and G4 than in G2 (p<0.05). Immunohistochemical staining revealed that there were fewer IL-4-, IL-5-, and MUC5AC-positive cells in G3 and G4 than in G2 (p<0.05). These results indicate that KRG reduces the nasal allergic inflammatory reaction in an allergic murine model by reducing Th2 cytokines.

중국의 실업문제와 정부의 역할

강일규,송봉규 한국직업능력개발원 2001 직업능력개발연구 Vol.4 No.1

This study is intended to give a view of Chinese government's efforts in unemployment issue. The government in China has been continued significant role in the economic reforms by adopting"market economy with socialist characteristics". Unemployment in China has been rising and become serious burden to its government. We study what has brought widespread unemployment and its characteristics. We also observe social problems caused by widespread unemployment and Chinese government's efforts to cope with the mass unemployment. After Deng Xio Ping implemented reform and opening policy in 1978, China has been rapidly changed. This reform and opening policy has been the driving force for economic growth. And the economic growth made China one of the fast developing nations in the world. But Chinese economic reforms also brought some dark sides of the market mechanism. One of them is the unemployment issue. China faces mass unemployment owing to the surplus labor forced by layoffs at the state-owned enterprises, economic restructuring and rapid urbanization across the nation. The mass unemployment is contributing to a very real and serious social crisis. The government made plans to fight against unemployment, which threats economic and social securities, Including : (1) the Policy for job creating and reemployment and (2) the unemployment insurance and (3) the social insurance for the elderly and (4) emphasizing the vocational education and training and (5) Providing start-up businesses with good education and (6) exporting its labor forces aborad. In addition, we argue that it is necessary to continue the study about market economy-oriented Chinese government's efforts for unemployment in preparation for unification with socialist North Korea.

플루옥세틴 캅셀제의 지원자에 대한 생체이용율 및 대사율 비교

강원구,박용순,조규행,최준식,권광일 충남대학교 약학대학 의약품개발연구소 1998 藥學論文集 Vol.14 No.-

Fluoxetine is a nontricyclic antidepressant which blocks serotonin reuptake selectively. Its N-demethyl metabolite, norfluoxetine is also selective inhibitor of serotonin uptake. This study was carried out to compare the bioavailability of Myung-in fluoxetine (20 ㎎/cap with that of Prozac?. The bioavailability was conducted on 24 healthy volunteers who received a single dose (80 ㎎) of each drug in the fasting state, in a randomized balanced 2-way crossover design. After dosing, serial blood samples were collected for a period of 48 hours. plasma was analyzed for fluoxetine and norfluoxetine by a sensitive and validated HPLC assay. The major pharmacokinetic parameters (AUC_0-48hr, Cmax, Tmax. AUC_inf.. MRT. T_1/2. Vd and Cl) were clculated from the plasma fluoxetine concentration-time data of each volunteer. The microcomputer program. "WinNonlin' was used for compartmental analysis. A two-compartment model with first-order inpot, first-order output and no lag time was chosen as the most appropriate phamacokinetic model. The data were best described by using a weighting factor of 1/y^2. Though the plasma fluoxetine concentrations of Myung-in fluoxetine were higher than those of Prozac® at all observed time from 7.9% to 16.9% (P<0.05 at 6, 7 and 10 hr), the bioavailability of Myung-in fluoxetine appeared to be bioequivalent with that of Prozac®. There were no statistical significant differences between the two drugs in al pharmacokinetic parameters including AUC_0-48hr of norfluoxetine.

일반시스템이론에 근거한 인적자원개발 정책수립 모형 개발

강일규 한국직업능력개발원 2002 직업능력개발연구 Vol.5 No.2

This study reviews the Emerging System Theory and focuses on General Systems Theory(GST) for Human Resource Development (HRD). The study also examines the General Systems Theory and its application in providing policy formation guidance as related to HRD. The study begins with the retrieval of the existing literature on the GST and a look into the policy making for the development of the human resources. The retrieval shows that GST works to be an effective method for social science research. In addition, the facts reveal that the effectiveness of the GST and it influences related to scientific policy making in social science fields. Particularly, GST is used as a scientific approach for successful policy making in various situations that are related to HRD. The policy for HRD can achieve its goals when it fully encompasses critical elements, including the demands and supports and performance of HRD. The study perceives the elements are changed, according to their own systems and how they interact in policy making. So the study finds that the GST could play a large role in monitoring, analyzing and diagnosing each system and their related functions. These systematic approaches in policy making can promote effective policy making for human resources development. However, this study also admits that the GST has excessive generality, so many that it has limitations in the ability to explain and describe specific situations. Finally, this study suggests that the enduring patterns of GST can help support and overcome its perceived limitations.

中國 特色의 社會保障체제 改革에 관한 考察

강일규,송봉규 한국직업능력개발원 2001 직업능력개발연구 Vol.4 No.2

This study examines changes in social security and welfare system since the implementation of the reform and open-up policy in China. The Chinese government has pushed reforms in social security and welfare aspects. Its efforts has brought considerable successes. First of all, one of them is the strong consciousness in social security reform. The Chinese society reached consensus on that there has been deficiency and defect in traditional social security system provided by the government, state-owned enterprises and rural communities. And they also realized that the reforms in social security should be taken urgently. China has been successfully upheld policy for reforms in social security systems with Chinese characteristics. Is doesn't reach its goal yet. But It has sustained reforms maintaining Chinese cultural and traditional characteristics. In the past, equity was the top priority in Chinese social security. Now new reform policy aims at efficiency as well as equity. Adapting efficiency principle is considered as a kind of measure to keep up with the open market economy and social developments. China has been made efforts to legislate reform initiatives for systematic control in social security. Those efforts give the expectations of profound reforms in social security in the future. But there are important principles that Chinese government should consider in implementing reforms. Those are the basic functions of the social security system. First, it is the security. Society should provide benefits that cover those who are in strained circumstances. Second, it is the universality. Society offer social benefits every individual in need regardless of region, occupation and other differences. Third, it is the equity. Social security is a mechanism of equal allocation. So society should give its members equal opportunities and rights to access social security system. When these principles are maintained, social security reform could success.

중국의 사회변동에 따른 직업기술교육의 발전에 관한 고찰

강일규 한국직업능력개발원 1998 직업능력개발연구 Vol.1 No.1

ABSTRACTThe purpose of this study is, to understand the vocational and technical education(VTE) of China which has not been well known in Korea by analyzing the developing process of VTE and, to draw some implications for Korean VTE. Literature review, legal-institutional analysis, and historical approach were utilized as the methodology for this study.The system of VTE in China is composed of elementary, secondary, and higher stage. The VTE in China has been developed flexibly along with the social change while keeping the main philosophy of Chinese socialism. Specifically, after the reform-open policy, China government has supported and invested the VTE. The main factors to bring about the change of VTE in China is, political and philosophical, economical, socio-cultural, and technological change.It is possible to summarize the characteristics of VTE of socialist country, China, as follows;1. Chinese government has contributed to improving the perspective of the public toward VTE and enhancement of adaptability of VTE to social change by valuing vocational education and general education equally. 2. For vocational education schools and institutes, the elements of the liberal education has also been emphasized. 3. Divers VTE by taking account into the characteristics of geographical region has been developed. 4. The openness and diversity of VTE has been emphasized. 5. Work-place learning has been implemented by establishing both a school and a training factory.

NOD/SCID 마우스 모델을 이용한 인간 제대혈 혼합이식에서의 생착 양상 분석

정양조,김동욱,조빈,강영주,박보배,김혜정,김태규,오일환 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.2

연구배경: 제대혈은 골수에 비해 많은 장점을 가지고 있음에도, 이식 후 성적에 있어 총세포수에 의해 좌우되며, 한 개의 태반으로부터 얻을 수 있는 총세포수의 한계가 있어 주로 소아에 국한되고 있다. 따라서 제대혈 응용의 확대를 위해 생착량을 늘이기 위한 방법으로 다중공여자에 의한 제대혈 혼합이식을 늘일 수 있는지 연구하기 위하여, 본 연구에서는 주조직적합성 형별로 조합된 제대혈을 NOD/ SCID 생쥐에 이식하는 방법으로, 혼합생착의 가능성을 연구하였다. 방법: 조합된 2개 공여자로부터 얻어진 제대혈들을 단일이식 및 혼합이식하여, 혼합이식된 숙주에 생착된 세포를 PCR-SSOP 방법을 사용하여 공여자 별로 추적하였다. 또한 각 공여자세포의 상대적 생착비율을 대조군인 단일제대혈 이식에서 얻어진 생착량과 비교하는 정량적 비교도 함께 하였다. 결과: 총단핵구를 혼합이식한 실험군에서는 주조직적합성의 일치도에 관계없이 한쪽공여자의 세포가 다른쪽에 비해 우세한 편향생착을 보였다. 그러나 임파구를 비롯한 Lineage 양성세포를 제거한 실험군에서는 주조직적합성의 불일치에도 불구하고 뚜렸한 생착의 공존이 관찰되었다. 결론: 본 연구는 제대혈의 생착량을 증가를 목적으로 총단핵구를 혼합이식할 경우 한쪽공여자의 세포에 의해 편중되며, 이것을 이식 후 생착과정에서의 두 종류의 세포의 경쟁에 의해 초래된다는 것을 보이고 있다. 또한 이러한 경쟁은 제대혈에 포함되어 있던 임파구들에 의한 것이며, 생착공존을 위하여는 공여자간 주조직적합성의 일치도 보다, 임파구의 제거가 더 중요하다는 것을 보여주고 있다. Background: Although umbilical cord blood (UCB) has been an attractive alternatives for bone marrow cells, application is limited to pediatric case due to limitation in total number of nucleated cells, that is a single most important factor for outcomes of UCB transplantation. Therefore, increasing overall engraftment by mixed transplantation of UCB derived from multiple donor should comprise one strategy to circumvent the posed limitation of UCB transplantation. In order to investigate the feasibility of establishing co-engraftment by multi-donor UCB cells, we carried out a xenotransaplantation study using NOD/SCID mice for systemic analysis of results on the input-based control of single unit transplantation. Methods: UCB units with various extent of HLA-matchings were co-transplanted into NOD/SCID mice along with single unit transplantation control. The relative contributions of engraftment by cells from each donor-derived were analyzed by HLA polymorphism using PCR-SSOP. Results: In all HLA-based mixed transplantation of total nucleated UCB cells, engraftment of one donor predominated over the other despite that equivalent amount of engraftments were achieved by single donor transplantation. When lineage depleted UCB units were co-transplanted, significant degree of co-engraftments were observed regardless of HLA disparity. Conclusion: Our result show that one donor cells dominate over the other in mixed UCB transplantation and that it is due to competition between donor cells during post-transplantation process. Our results suggest that immune cells contained in UCB unit mediate such competitioin and that 6 locus HLA matching would not be sufficient to prevent the competition.

청각장애자 운동지도를 위한 프로그램 고찰

김정수,박정래,노일환,원충희,김흥식,강신일,박찬홍,김달영,이철원,이찬규 公州大學校스포츠科學硏究所 1987 스포츠科學硏究所論文集 Vol.- No.1

Hearing impairement in varying degrees constitutes one of the most common disabilites affecting school aged children. Eight out of every 1,000 students under the age of twenty have significant hearing loss. Hearing disabilities range from slight to total loss of sound perception. Statistics indicate that only one out of every ten hearing impaired children will become deaf. Most motor activities can be included students may possess low levels of static and/ or dynamic balance, but the greatest majority possess normal motor and physical capabilities. All the hearing impaired youngsters should be properly assessed and given the identical testing batteries as normal children. Hearing impaired students have, essentialy, a communication handicap and suffer from inability to understand verbal instructions. All physical educators should be able to use minimal finger spelling and signing for hearing impaired students.