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      • SCOPUSKCI등재

        패혈증의 경과에 따른 혈중 스테로이드와 Nitric Oxide의 연관성

        이규성 ( Keu Sung Lee ),김영선 ( Young Sun Kim ),이형노 ( Hyoung No Lee ),박주헌 ( Joo Hun Park ),오윤정 ( Yoon Jung Oh ),신승수 ( Seung Soo Sheen ),최영화 ( Young Hwa Choi ),박광주 ( Kwang Joo Park ),황성철 ( Sung Chul Hwang ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.4

        연구배경: 패혈증에서 Nitric oxide 스테로이드 호르몬은 혈역학적 변화와 염증반응에 관여하는데 이 두 인자는 서로 상관성이 있는 것으로 알려지고 있다. 하지만 실제 환자에서 서로의 상관성이나 임상적 의의는 연구가 부족한 실정이다. 방법: 패혈증 환자 26예와 대조군 14예를 대상으로 혈중 총 NO와 혈중 코티졸 농도를 측정하였고 이어서 제 3, 5, 7병일에도 연속적으로 측정을 하였다. 결과: 패혈증 환자군에서 초기 혈중 코티졸 및 총 NO 농도는 대조군에 비하여 유의하게 증가하였고 경증 패혈증에 비하여 중증 패혈증 환자군에서 유의하게 높았다. 초기 혈중 총 NO의 농도는 APACHE II 점수, 정맥혈 lactate 농도와 상관성이 있었다. 패혈증의 시간의 경과에 따라 혈중 NO 농도는 제 1병일, 제 5병일, 제 7병일에 혈중 코티졸의 농도와 유의한 상관성이 있었다. 결론: 패혈증 환자들에서 혈중 NO와 코티졸 농도는 증가되어 있었으며, 경과에 따라 서로 유의한 상관성이 지속되었다. 상호작용기전에 대하여는 추가적인 연구가 필요할 것이다. Background: The nitric oxide (NO) released by inducible NO synthase (iNOS) plays an important role in the pathophysiology of sepsis. Corticosteroids also play a role in the hemodynamic and inflammatory reactions in sepsis. Both have been shown to have a relationship theoretically, but their correlation and clinical impacts have rarely been evaluated. Methods: 26 patients with sepsis and 14 healthy controls were enrolled in this study. The initial random plasma total NO and the serum cortisol levels were measured. The same measurements were serially carried out on the 3rd, 5th, and 7th days. Results: The initial total plasma levels of NO and cortisol were higher in the patients with sepsis than in the healthy controls. The total NO levels were higher in patients with severe sepsis than in the those with mild sepsis. There was a correlation between the total NO and cortisol level throughout the study. Conclusion: In patients with sepsis, the levels of plasma NO and cortisol were well correlated during the first week of sepsis, which suggests an interrelationship. However, the clinical and pathogenetic implications await further evaluation. (Tuberc Respir Dis 2007; 62: 308-313)

      • PT조건하 V_2O_5에 의한 Alcohol의 산화

        강선희,김미련,김선자,김현옥,노복자,이기화,이정숙 曉星女子大學校 藥學大學 學生會 1988 曉星藥誌 Vol.4 No.-

        2, 3; 5,6-di-O-isopropylidene-α-D -mannofuranose(ManA) were oxidized to their cor-responding 2, 3;5,6-di-O-isoprolylidene-α-D-manno-1.4-lactone(ManB) using calcium chlorite as oxidant in a phase transfer catalysis system. But identified results were not obvious. V_2O_5 catalzed oxidation of primary and secondary alcohols to aldehydes and ketones respectively at alkali conditions under Solod-Liquid phase transfer conditions. This reaction affords good overall yields of products without formation of undersirable.

      • KCI우수등재

        공동주택 바닥충격음 적정 평가어휘 조사에 관한 연구

        송민정,송혁,이태강,기노갑,박현구,김선우 대한건축학회 2004 대한건축학회논문집 Vol.20 No.5

        The "Sound Classification System on Floor Impact Sound Insulation Performance" is being studied in Korea. For that study, vocabularies appropriate for evaluation and reporting are needed. In this study, adequate words for evaluating floor impact sound have been extracted by reviewing the existing vocabularies and augmenting this with the results of a questionnaire prepared especially for apartment dwellers. As a result of this study, followings are suggested. 1) The heavy impact sound sources are more highly ranked than light impact ones. And the louder sound sources are the more accumulated points. 2) Highly ranked vocabularies are different for each source. 3) Floor impact sound evaluating words such as ‘Annoying’, ‘Disagreeable’, ‘Strident’, ‘Disturbed’, and ‘Dissonant’ are highly ranked. ‘Annoying’ is the word most accurately expressing the subjects' unpleasant feeling of domestic floor impact noise. 4)‘Unpleasant’, ‘Noisy’, ‘Irritating’, ‘Annoying’ are main unpleasant factors to floor impact sounds occurring in our domestic apartment houses.

      • KCI등재

        보조생식술(ART)치료를 받은 환자들에서 자궁근종이 임신에 미치는 영향

        이우식,이정노,박찬,이숙환,박원식,남윤성,최동희,정미경,조용선,이학천,윤내영,곽인평,한세열,윤태기,차광열 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.12

        목적 : 본 연구는 장막하근종, 근육층내의 근종, 또는 점막하 근종등의 출현이 보조생식술후 임신율과 착상율에 어떠한 영향을 미치는가를 보기 위해 시행되었다. 연구방법 : 1998년 1월 1일 부터 1998년 11월 30일 까지 본원에서 보조생식술(ART)을 시행받은 불임환자들 중 양극단의 연령을 제외한 26-45세 사이의 환자들을 대상으로 하였으며, 자궁근종이 진단된 환자들의 278예와 근종이 없는 환자들의 1180예를 비교하였다. 결과 : 이 연령범위내 전체적인 비교에서는 대조군(비근종군)과 근종군에서의 임신율이 각각 41.78%, 31.65%, 그리고 착상율은 각각 15.7%, 11.48%로 통계적으로 유의하게 근종군에서 낮았다. 그러나 평균연령이 대조군(33.1세)에서 보다 근종군(35.5세)에서 유의하게 높음을 알게 되었고, 이에 따라서 연령군들(26-30, 31-35, 36-4, 41-45)에 따른 근종군과 대조군을 각각 비교하였다. 그 결과 동일 연령군에서 근종군(장막하 근종SS, 근육층내 근종IM)과 대조군, 그리고 근종의 그룹들(SS, IM)간의 임신율과 착상율의 비교에서는 서로간에 유의한 차이를 볼 수 없었다. 그리고 점막하 근종그룹의 경우는 통계적 비교를 하기에는 그 예와 수가 너무 적어 결과를 알 수 없었다. 결론 : 일반적으로 근종군에서 상대적으로 낮은 임신율을 보고한 여러 논문에서와 달리, 본 연구에서는 동일한 각각의 연령군에서의 근종군과 대조군간의 임신율과 착상율의 차이가 없었다. 또한 근종의 위치에 따른 그룹별 임신율 및 착상율의 비교에서도 유의한 차이가 없음을 보였는데 이것은 근종이 근육층을 어느정도의 기준치 이상으로 침범했을 때에만 IM으로 분류한 국외의 일부 보고와 달리 근육층을 조금이라도 침범하면 IM군으로 분류한 본 연구에서의 차이 때문일 것으로 생각되며, 장막하 근종그룹과 근육층내 근종그룹의 분류 기준을 달리한다면 다른 결과를 보일 수도 있으리라 여겨진다. 또한, 근종이 임신에 미치는 영향이 다양함을 고려할 때, 근종의 크기 및 위치에 따른 SS군과 IM군 등의 체계적 분류 후 이에 따르는 전향적 연구가 진행된다면 임신에 대한 근종의 영향평가에 많은 도움이 될 것으로 본다. Objective : The purpose of this study was to examine whether the uterine leiomyomas [subserosal(SS), intramural(IM), submucosal(SM)] influence on the pregnancy rate(PR) and implantation rate(IR) of ART program. Methods : This study was done by the review of medical records of 1458 ART cycles from Jan. 1 of 1998 to Nov. 30 of 1998 at Infertility Medical Center, CHA General Hospital. We compared the PR and IR between 278 cycles of myoma group and 1180 cycles of control(non-myoma) group. Results : The mean age of patients with myomas was significantly higher than that of control group. Accordingly, we set the age range(24 - 46yrs) and divided it into four parts(26-30, 31-35, 36-40, 41-45) that did not show the significant difference in PR and IR. As a result, there were no significant differences of PR and IR among control, SS and IM within same age range. (We didn't know the result in SM myoma group because the number of SM myoma cases were very small.) Conclusion : To the contrary of our expectation, there was no significant difference in PR and IR between control and myoma groups. On the other hand, the result of no significant difference in PR and IR between myoma groups may will show different result if we apply different classification in categorizing SS and IM myomas.

      • SCISCIESCOPUS

        Biomimetic Hydrocarbon Oxidation Catalyzed by Nonheme Iron(III) Complexes with Peracids: Evidence for an Fe<sup>V</sup>&n.dbond;O Species

        Lee, Sun Hwa,Han, Jung Hee,Kwak, Han,Lee, Sung Jea,Lee, Eun Yong,Kim, Hee Jin,Lee, Jung Hwan,Bae, Cheolbeom,Lee, Soo No,Kim, Youngmee,Kim, Cheal WILEY-VCH Verlag 2007 Chemistry Vol.13 No.33

        <P>Mononuclear nonheme iron(III) complexes of tetradentate ligands containing two deprotonated amide moieties, [Fe(Me<SUB>2</SUB>bpb)Cl(H<SUB>2</SUB>O)] (3 a) and [Fe(bpc)Cl(H<SUB>2</SUB>O)] (4 a), were prepared by substitution reactions involving the previously synthesized iron(III) complexes [Et<SUB>3</SUB>NH][Fe(Me<SUB>2</SUB>bpb)Cl<SUB>2</SUB>] (3) and [Et<SUB>3</SUB>NH][Fe(bpc)Cl<SUB>2</SUB>] (4). Complexes 3 a and 4 a were characterized by IR and elemental analysis, and complex 3 a also by X-ray crystallography. Nonheme iron(III) complexes 3, 3 a, 4, and 4 a catalyze olefin epoxidation and alcohol oxidation on treatment with m-chloroperbenzoic acid. Pairwise comparisons of the reactivity of these complexes revealed that the nature of the axial ligand (Cl<SUP>−</SUP> versus H<SUB>2</SUB>O) influences the yield of oxidation products, whereas an electronic change in the supporting chelate ligand has little effect. Hydrocarbon oxidation by these catalysts was proposed to involve an iron(V) oxo species which is formed on heterolytic O&n.bond;O bond cleavage of an iron acylperoxo intermediate (FeOOC(O)R). Evidence for this iron(V) oxo species was derived from KIE (k<SUB>H</SUB>/k<SUB>D</SUB>) values, H<SUB>2</SUB><SUP>18</SUP>O exchange experiments, and the use of peroxyphenylacetic acid (PPAA) as the peracid. Our results suggest that an Fe<SUP>V</SUP>&n.dbond;O moiety can form in a system wherein the supporting chelate ligand comprises a mixture of neutral and anionic nitrogen donors. This work is relevant to the chemistry of mononuclear nonheme iron enzymes that are proposed to oxidize organic substrates via reaction pathways involving high-valent iron oxo species.</P> <B>Graphic Abstract</B> <P>High-valent iron–oxo species Fe<SUP>V</SUP>&n.dbond;O, generated by reaction of mononuclear nonheme iron(III) complexes with peracids, are capable of performing olefin epoxidation and alcohol oxidation (see scheme, Sub=olefin or alcohol substrate). The nature of the high-valent species was evidenced by means of mechanistic probes. These results suggest that Fe<SUP>V</SUP>&n.dbond;O species could be generated in many mononuclear nonheme iron enzymes. <img src='wiley_img/09476539-2007-13-33-CHEM200700513-content.gif' alt='wiley_img/09476539-2007-13-33-CHEM200700513-content'> </P>

      • SCOPUSKCI등재
      • SCOPUSKCI등재

        Prostatic Cancer Presenting as an Isolated Large Lung Mass

        No, Hee-Sun,Lee, Jong-Hwan,Ahn, Young,Na, Im-Il,Kim, Hye-Ryoun,Kim, Cheol-Hyeon,Koh, Jae-Soo,Lee, Jae-Cheol The Korean Academy of Tuberculosis and Respiratory 2010 Tuberculosis and Respiratory Diseases Vol.68 No.5

        A hidden primary tumor presenting as an isolated lung mass is a diagnostic challenge to physicians because the diagnosis of lung cancer is likely to be made if the histologic findings are not inconsistent with lung cancer. A large lung mass was found incidentally in a 59-year-old man. Although adenocarcinoma was diagnosed by percutaneous needle biopsy, thyroid transcription factor-1 (TTF-1) immunostaining was negative, raising suspicion that there was another primary site. There was no abnormal finding except for the lung mass on a $^{18}FDG$-PET/CT scan and the patient did not complain of any discomfort. Finally, prostatic cancer was confirmed through the study of tumor markers and prostate-specific antigen (PSA) immunostaining. Because of the rare presentation of a single lung mass in malignancies that have another primary site, physicians should carefully review all data before making a final diagnosis of lung cancer.

      • KCI등재

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