미세침 흡인 세포진단 검사상 불명확한 소견을 보이는 갑상선 결절의 병리학적 진단

이석인(Seok In Lee),김민선(Min Seon Kim),김현규(Hyun Kyu Kim),김원배(Won Bae Kim),박경수(Kyong Soo Park),김성연(Seong Yeon Kim),조보연(Bo Youn Cho),이홍규(Hong Kyu Lee),고창순(Chang Soon Koh),고경수(Kyung Soo Ko) 대한내과학회 1995 대한내과학회지 Vol.48 No.4

N/A Objectives: Thyroid nodule is a common clinical problem but there is a few cases of malignant lesions requiring surgery. So it is a critical issue to distinguish benign from malignant nodules and to select a patient for surgery. Although there are some variations in the accuracy of the diagnosis, fine needle aspiration biopsy of thyroid nodule has been accepted as a accurate diagnostic procedure in the management of nodular thyroid disease. So it was desirable to verify the usefulness of the fine needle aspiration (FNA) cytology in differentiating from malignant lesions and to clarify the problematic issues concerning the cytopathologic features of indeterminate cytology, which is equivocal to describe benign or malignant lesion, Methods: We examined the medical records retrospectively of all patients who wore engaged in fine needle aspiration cytology or thyroidectomy due to thyroid nodules from 1988 to 1992. Results: 1) Eighty hundreds fifty nine cases of FNA cytology was done in 1992 and 659 cases(75.9%) were adequate for cytopathologic diagnosis. And the diagnoses showed 558 cases of benign, 37 cases of malignant and 57 cases of indeterminate features. 2) The sensitivity of benign nodules were 91.2% and that of malignant lesion were 85.7%, respectivety. The overall accuracy of fine needle aspiration cytology of the thyroid nodule was 88.4%. 3) From 1988 to 1992, the medical records of 140 patients showing indeterminate cytology of thyroid nodules by FNA were reviewed. Among them, 67 patients were operated for the thyroid nodule till June 1993 and pathologic diagnoses were confirmed, The pathologic diagnoses were consisted of 27 cases(40.3 %) of benign lesions and 40 cases(59.7%)of malignant lesions. Conclusion: FNA cytology of the thyroid nodule was useful in distinguishing benign from malignant nodules and surgical excision of the cases showing in- determinate cytopathologic features seems reasonable.

수열특성 및 기계적 안정성의 개선으로 슬러리상 CSTR에 적합한 P 첨가 알루미나 기반의 Fischer-Tropsch 합성용 코발트 촉매

정규인 ( Gyu In Jung ),하경수 ( Kyoung Su Ha ),박선주 ( Seon Ju Park ),김두일 ( Du Eil Kim ),우민희 ( Min Hee Woo ),전기원 ( Ki Won Jun ),배종욱 ( Jong Wook Bae ),강용 ( Yong Kang ) 한국화학공학회 2012 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.50 No.2

Phosphorus was incorporated into Co/Al2O3 catalyst for FTS by impregnating an acidic precursor, phosphoric acid, in γ-Al2O3 support to improve the mechanical strength, the hydrothermal stability of the catalyst particle, and the catalytic performance as well. Surface characterization techniques such as FT-IR revealed that AlPO4 phase was generated on the surface of the P-modified catalyst. The addition of phosphorus was found to alleviate the interaction between cobalt and alumina surface, and to increase reducibility of catalyst. The catalytic activity such as C5+ productivity and turnover frequency (TOF) was calculated to evaluate catalytic performance. The influence of calcination temperature of the Al2O3 containing 2 wt% P on the catalytic performance was also investigated. Through hydrothermal stability test and XRD analysis, the P-modified catalyst had strong resistant to the pressurized and hot H2O. The mechanical strength of the P-modified catalyst was also examined through an in-house fluidized-bed vessel, and it was found that the catalyst fragmentation could be successfully suppressed with P. Taken as a whole, the best performance was shown to be at 1~2 wt.% P in alumina and at the calcination temperature of 500˚C.

A Korean case of neurofibromatosis type 1 with an exonic splicing enhancer site mutation

Sang wook Park,Young Bae Sohn,In Soon Chung,Ji Hee Hong,Eun Jung Jung,Seon Yong Jeong,Hyun Seok Jin 대한의학유전학회 2014 대한의학유전학회지 Vol.11 No.1

Neurofibromatosis type 1 (NF1) is an autosomal dominant disease characterized by neurological, cutaneous, and ophthalmological manifestations. A 33-year-old woman with typical symptoms of NF1 visited Ajou University Hospital. Screening of the whole-messenger RNA region of NF1 at the complementary DNA level by polymerase chain reaction-direct sequencing confirmed the presence of an NF1 mutation at the genomic level. The mutation analysis revealed an in-frame skipping of exon 46 (c.6757_6858del) caused by a point mutation (c. 6792C>A) in exon 46. In this report, we have described the first Korean case of a proband with NF1 that carries an allele with an exon 46 deletion caused by an exonic splicing enhancer site mutation, leading to the skipping of the whole of exon 46 (c.6757_6858del).

A Korean case of neurofibromatosis type 1 with an exonic splicing enhancer site mutation

Park, Sangwook,Sohn, Young Bae,Chung, In-Soon,Hong, Ji-Hee,Jung, Eun-Jung,Jeong, Seon-Yong,Jin, Hyun-Seok Korean Society of Medical Genetics and Genomics 2014 대한의학유전학회지 Vol.11 No.1

Neurofibromatosis type 1 (NF1) is an autosomal dominant disease characterized by neurological, cutaneous, and ophthalmological manifestations. A 33-year-old woman with typical symptoms of NF1 visited Ajou University Hospital. Screening of the whole-messenger RNA region of NF1 at the complementary DNA level by polymerase chain reaction-direct sequencing confirmed the presence of an NF1 mutation at the genomic level. The mutation analysis revealed an in-frame skipping of exon 46 (c.6757_6858del) caused by a point mutation (c. 6792C>A) in exon 46. In this report, we have described the first Korean case of a proband with NF1 that carries an allele with an exon 46 deletion caused by an exonic splicing enhancer site mutation, leading to the skipping of the whole of exon 46 (c.6757_6858del).

한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

Comparative analysis of chloroplast genomes and 45S nuclear ribosomal DNAs within 9 perilla species

Seon-Hwa Bae,In-Seon Jeong,Ye-Ji Lee,Myoung-Hee Lee,Jeong-Hee Lee,Ung-Han Yoon,Jang-Ho Hahn,Tae-Ho Kim 한국육종학회 2015 한국육종학회 심포지엄 Vol.2015 No.07

Perilla is a annual herb plant of the mint family, Laminaceae and mainly cultivated in eastern Asia, i.e. Korea, China and Japan. In response to an increased interest for healthy supplement food from the public, people are focusing on the properties of perilla. The applicable parts of perilla plants are the leaves and seeds. Perilla has been cultivated as a source of unsaturated fatty acid oil. But in spite of advantage of the important nutritional traits the genome or molecular studies on perilla remains largely unknown. Sequence comparisons of chloroplast (cp) genomes or nuclear ribosomal DNA (nrDNA) are of great important to provide a evidence for taxonomic studies or species identification or understanding mechanisms that underlie the evolution of perilla species. So, we tried to study a structural analysis of perilla genome and 45s nrDNA using 9 species (3 Diploid; Perilla B-17, P. hirtella, P. setoyensis / 6 Tetraploid; YCPL 285, YCPL 170, YCPL 205-1, YCPL 181-1, YCPL 177-1, YCPL 207-1). The complete cp genome and nrDNA of 9 perilla species were determined using Illumina sequencing technology and analyzed on the variance in base level between perilla B-17 and salvia miltiorrhiza. Total chloroplast genome size of perilla B-17 as a reference was 152,589 bp in length. We also identified an slightly overlapped intergenic regions between salvia miltiorrhiza and B-17. The results above will contribute to growing of molecular or genome structure and functional genomics of perilla available in studying perilla biology. For further study, we will look for genetic diversity of perilla species.

In Vitro Suppression of Natural Killer Cell Cytolytic Activities by Prednisolone in Patients with History of Unexplained Recurrent Spontaneous Abortion and Elevated Peripheral Blood NK Cell Fraction

( Hyun Suk Ahn ),( Sun Hwa Cha ),( Hwa Seon Koo ),( Ju Youn Bae ),( Ji Hee Yoo ),( In Ok Song ),( Hyun Kyoung Ahn ),( Su Jin Hwang ),( Dong Wook Park ),( Kwang Moon Yang ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.7

We aimed to evaluate the effect of prednisolone (PDS) on natural killer cell (NK cell) cytolytic activity in vitro. Methods Blood samples from 74 patients with history of unexplained recurrent spontaneous abortion who elevated peripheral blood NK cell fraction were collected prospectively. Peripheral blood monocytes which containing NK cells were isolated and separated to three different tubes which containing target (K562) cells by the 50:1 effector to target (E:T) ratio. PDS or intravenous immunoglobulin (IVIG) was additionally added to 2 tubes for evaluate their suppressive effect. The percentage killing of target cells was recorded numerically by using flow cytometer and the values between groups were statistically analyzed. Results The mean target cell killing percentage was 40.5% in co-culture tube which was not added PDS or IVIG. In culture experiments which was added IVIG, the killing percentage is reduced to 37.7% which showed no significant differences compared to that of co-cultured tube which was not added PDS or IVIG. But, in experiments with added PDS, the killing percent was reduced to 19.5% and the difference was statistically significant ( P<0.001) compared to that of co-cultured tube which was not added PDS or IVIG. On comparing the reduction in killing percentage of target cells by PDS and IVIG, statistically significant reduction in the PDS coculture was noted ( P<0.005). Conclusion NK cell cytolytic activity is effectively down-regulated by using PDS in vitro. Moreover, the effect of PDS in down-regulation of NK cell cytolytic activity is seems to superior than that of IVIG. But, large scaled in vivo study is needed.

Characteristics in Pediatric Patients with Coronavirus Disease 2019 in Korea

Seon Jeong-Yeon,Jeon Woo-Hwi,Bae Sang-Cheol,Eun Baik-Lin,Choung Ji-Tae,Oh In-Hwan 대한의학회 2021 Journal of Korean medical science Vol.36 No.20

Background: Based on the reports of low prevalence and severity of pediatric severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, the Korean government has released new SARS-CoV-2 infection response and treatment guidelines for children under the age of 12 years. The government has further directed school reopening under strict preventive measures. However, there is still considerable concern on the impact of school reopening on community transmission of Coronavirus disease 2019 (COVID-19). In the present study, we aimed to evaluate the appropriateness of these directives and the severity of SARS-CoV-2 infections in children as compared to adults using sufficient national sample data. Methods: In the present study, we evaluated the severity of SARS-CoV-2 infection in pediatric patients as compared to adults by analyzing the length of hospital stays (LOS), medical expenses, and hospital and intensive care unit (ICU) admission rates. A multivariate linear regression analysis was carried out to examine the effects of COVID-19 patients that the characteristics on the LOS and medical expenses, and multivariate logistic regression analysis were performed to identify COVID-19 characteristics that affect hospital and ICU admission rates and to prove the low SARS-CoV-2 infection severity in pediatric patients. Results: The hospitalization period for children aged 0–9 was 37% shorter and that of patients aged 10–19 years was 31% shorter than those of older age groups (P < 0.001). The analysis of the medical expenses by age showed that on average, medical expenses for children were approximately 4,900 USD lower for children than for patients over 80 years of age. The linear regression analysis also showed that patients who were 0–9 years old spent 87% and those aged 10–19 118% less on medical expenses than those aged 70 and over, even after the correction of other variables (P < 0.001). The probability of hospitalization was the lowest at 10–19 years old (odds ratio [OR], 0.05; 95% confidence interval [CI], 0.03–0.09), and their ICU admission rate was also the lowest at 0.14 (OR, 0.14; 95% CI, 0.08–0.24). On the other hand, the likelihood of hospitalization and ICU admission was the highest in children aged 0–9 years, and among patients under the age of 50 years in general. Conclusion: This study demonstrated the low severity of SARS-CoV-2 infection in younger patients (0–19 years) by analyzing the LOS, medical expenses, hospital, and intensive care unit admission rates as outcome variables. As the possibility to develop severe infection of coronavirus at the age of 10–19 was the lowest, a mitigation policy is also required for middle and high school students. In addition, children with underlying diseases need to be protected from high-risk infection environments.

Altered microRNA expression profiles are involved in resistance to low-dose ionizing radiation in the absence of BMI1 in human dermal fibroblasts.

Bae, Seunghee,Kim, Karam,Cha, Hwa Jun,Choi, Yeongmin,Shin, Shang Hun,An, In-Sook,Lee, Jae Ho,Song, Jie-Young,Yang, Kwang Hee,Nam, Seon Young,An, Sungkwan Lychnia 2014 International journal of oncology Vol.45 No.4

<P>The polycomb group RING finger protein, B-cell?specific moloney murine leukemia virus integration site?1 (BMI1), has emerged as a key regulator of cell proliferation, cell cycle, cell immortalization, chemoresistance and radioresistance. Although the radioresistant effect of BMI1 has been thoroughly investigated, the effectiveness of this factor on low-dose radiation (LDR) resistance has not been explored. Here, we demonstrate that BMI1 is not critical for altering cell viability or cell growth in response to LDR, but BMI1 changes cellular gene expression profiles in response to LDR. Normal human dermal fibroblasts (NHDFs) stably expressing BMI1 short hairpin RNA (shRNA) did not exhibit changes in cell viability or cell cycle distribution assays following exposure to 0.1?Gy of γ-radiation. However, microRNA (miRNA) microarrays revealed that a lack of BMI1 leads to changes in miRNA expression in response to LDR. Bioinformatics analyses demonstrated that predicted target genes of the altered miRNAs are functionally involved in both negative and positive regulation of cell growth, cell proliferation, cell cycle and apoptosis. Therefore, these results indicate that low radiosensitivity even in the absence of the radioresistant factor BMI1 is related with the altered miRNA expression profiles in NHDF.</P>

Expression and Secretion of an Atrial Natriuretic Peptide in Beige-Like 3T3-L1 Adipocytes

Bae, In-Seon,Kim, Sang Hoon MDPI AG 2019 INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES Vol.20 No.24

<P>The browning of white adipose tissue (beige adipocytes) stimulates energy expenditure. Omega-3 fatty acids have been shown to induce thermogenic action in adipocytes via G-protein coupled receptor 120 (GPR120). Atrial natriuretic peptide (ANP) is a peptide hormone that plays the role of maintaining normal blood pressure in kidneys to inhibit Na+ reuptake. Recently, ANP was found to induce adipocyte browning by binding to NPR1, an ANP receptor. However, the expression of ANP in adipocytes has not yet been studied. Therefore, in this study, we investigate the expression of ANP in beige-like adipocytes induced by docosahexaenoic acids (DHA), T3, or a PPAR agonist, rosiglitazone. First, we found that brown adipocyte-specific genes were upregulated in beige-like adipocytes. DHA promoted ANP expression in beige-like cells, whereas DHA-induced ANP expression was abolished by GPR120 knockout. ANP secretion of beige-like adipocytes was increased via PKC/ERK1/2 signaling in the GPR120 pathway. Furthermore, ANP secreted from beige-like adipocytes acted on HEK-293 cells, the recipient cells, leading to increased cGMP activity. After the NPR1 knockdown of HEK-293 cells, cGMP activity was not changed. Taken together, our findings indicate that beige-like adipocytes induce ANP secretion, which may contribute to improving obesity-associated metabolic disease.</P>