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      • 골격근 근형질세망의 ATPase활성도에 대한 Vanillylnonanamide의 영향

        박경섭,홍장희,류영수,성지연,허강민,임종호,이재흔,석정호 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.2

        To investigate the effect of vanillylnonanamide(VN) on the ATPase activity of the sarcoplasmic reticulum(SR) of the skeletal muscle, we prepared the SR vesicles from the back muscle of the rabbit, and measured ATPase activity. The results as follows: Ca-ATPase activity was about 50% in the total ATPase activity of skeletal muscular SR. In the reaction mixture with calcium, 100μM VN increased ATPase activity to 20%, and 100 nM and 10 μM thapsigargin(THP) inhibited the ATPase activity to 50% and 60%, respectively. And 100 μM VN plus 100 nM or 10 μM THP more inhibited ATPase activity than THP alone did it. However, without calcium, 100μM VN did not affect ATPase activity, and 10 μM THP inhibited it to 41%, but VN plus THP inhibited it to 31%. The above results show that VN in the reaction mixture with or without calcium has the different action to ATPase activity when it is used alone or together with Ca-ATPase inhibitor THP. This suggests that VN might increase or decrease the skeletal SR Ca-ATPase activity through affecting the lipid membrane around the Ca-ATPase.

      • KCI등재후보

        건강보험에서 5인 미만 사업장의 직장보험 편입 효과 평가와 정책 방향

        송명섭,김창보,고수경,임정수,박지연 한국사회보장학회 2002 사회보장연구 Vol.18 No.2

        본 논문은 건강보험공단이 2001년 「월 이후 추진하고 있는 5인 미만 사려장의 직장보험 편입을 평가하고 향후 정책방향을 제시하는데 목적을 두고 있다. 5인 미만 사업장의 직장보험 편입은 보험 가입자의 보험료 부과의 형평성을 제고하고, 영세사업장 노동자들의 보험료 부담을 경감시키며 건강보험재정 안정 효과를 위한 것이다. 2001년 7월 이후 12월 31일까지 직장보험으로 신규편입한 대상자는 모두 약 64만명이었으나 편입이전지역보험 대상자는 약 53만명, 직장보험 대상자는 약 10만명이었다. 또한 동일 기간동안 직장보험으로 편입된 사업장은 모두 88,751개였다. 편입 전후 개인별 보험료 수준 변화를 살펴보면 보험료 부과대상 중 77.6%는 본인이 부담해야 할 보험료가 감소하였다. 대신 사업주의 보험료 부담은 상대적으로 늘어났다. 한편 2001년 7월 이후 12월까지 직장보험 편입으로 건강보험의 재정은 약 19,530백만원의 재정절감효과가 있었다. 직장보험은 7,331백만원의 보험료 수입 증가가 발생하였으며, 지역보험은 12,199백만원의 재정절감 효과가 있었다. 향후 5인 미만 사업장의 직장보험 편입이 원만히 추진되기 위해서는 피부양자 인정기준의 개선과 영세사업장 사업주의 보험료 부담을 경감시켜주기 위한 방안을 강구해야 하며, 사회적으로는 비정규직 노동자에 대한 사회보장 적용 확대를 위한 노력이 동시에 추구되어야 할 것이다. This study was conducted for the purpose of evaluating coverage of small companies with less than 5 persons by Corporate Insurance since July 2001 and of suggesting policy implication. This coverage expansion by Corporate Insurance was intended for improving equity level of contribution imposition, alleviating financial burden of employees and achieving financial stability of health insurance. While, from July 2001 to December, the number of newly covered beneficiaries was about 642 thousand persons, the number of Regional beneficiaries before the new coverage expansion by Corporate Insurance was 533 thousand persons. And the number of Corporate Insurance beneficiaries before the coverage expansion was 101 thousand persons. For the same period, the number of companies by the new coverage expansion of Corporate Insurance was 88,751. Before and after the expansion, taking into account changes of individual contribution levels, payment share levels of contribution were reduced to the 77.6% of the beneficiaries newly covered by Corporate Insurance. Instead, payment share level of contribution of employers was increased more than before. And 19,530 million won was increased in National Health Insurance Expenditure. 7,331million won was increased in Corporate Insurance revenue. Expenditure reduction effect of 12,199 million won was able to be obtained in Regional Insurance. In order to implement successfully the coverage expansion by Corporate Insurance in times ahead, employers' contribution share should be reduced, when considering low profitability levels of small companies.

      • KCI등재

        국가직업능력표준 실용화를 위한 제도화 방안

        나승일,김주섭,김주일,정연앙,구자길,김강호,문세연 한국농업교육학회 2007 농업교육과 인적자원개발 Vol.39 No.1

        이 연구의 목적은 일-교육훈련-자격이 연계될 수 있도록 노동부의 국가직업능력표준을 국가차원에서 개발·운영·관리될 수 있는 제도화 방안을 마련하는데 있었다. 연구목적 달성을 위해 문헌고찰 및 내용분석, 포커스그룹인터뷰를 실시하였고, 연구결과의 타당성 확보를 위해 전문가협의회 및 공청회를 실시하였다. 국가직업능력표준 제도화는 표준의 실용화를 제고할 수 있도록 관련용어 정의, 총괄기구, 표준개발 및 승인, 표준 활용에 관한 인프라 구축에 필요한 사항이 규정되도록 관계 법령을 정비하는 것이다. 표준 제도화를 위해 다음과 같은 사항이 관계 법령에 명시되도록 해야 한다. ① 표준 제도화를 위해 직업, 직업능력, 직무, 표준 등을 관련법에 정의해야 한다. ② 국가직업능력표준 관련 부처 및 다양한 이해당사자의 참여를 기반으로 한 국가직업능력표준 사업 전담 조직을 설치하고, 표준사업에 대한 자문과 심의를 담당할 수 있는 위원회를 구축한다. ③ 다양한 산업분야 단체가 표준개발의 주체가 될 수 있도록 지원하고, 표준의 수준 설정을 통해 직종 내 수직적 경력개발을 촉진하며, 개발된 표준에 대한 지속적인 관리와 현장적합성을 승인하는 체제를 구축해야 한다. ④ 국가직업능력표준은 산업현장에서는 인력을 채용하고 관리하는 기준으로, 교육훈련에서는 교육과정을 개발하고 교과목 및 교재를 개발하며 현 교육과정을 평가하는 기준으로, 자격체계와는 표준의 자격화, 새로운 자격설계, 자격의 출제기준으로 활용될 수 있도록 지원해야 한다. 이를 위해 국가기술자격법, 근로자직업능력개발법, 산업인력공단법 등 관계 법령을 개정하거나 국가직업능력표준에 관한 특별법을 제정할 필요가 있다. 한편, 국가직업능력표준 제도화 단계에 따른 구체적인 추진과제와 이를 실현하기 위한 정책적 제언을 제시하였다. The purpose of this study was to develop the institutionalization that NOS(National Occupational Standard) was developed, operated and managed for linking with work, training and qualification. To achieve the purpose, literature reviews, contents analysis and focus group interview were conducted, and experts council and a public hearing were executed. The institutionalization is the legislation consolidation to regulate details related infra construction as follows for improving utilization of NOS. ① It should be defined occupation, occupational competency, job, standards and so forth on the related laws. ② A organization which take exclusive charge with and a council which consult and deliberate on NOS projects should be established through the cooperation between stakeholder and government organization. ③ It should be supported that various industrial parties including SHRDC are the main body for development of NOS, promoted vertical career development by occupation through establishing level of NOS, and established system that manage continually and approve practical application of NOS. ④ It should be supported that NOS is used as a criterion for recruiting and managing workforce, a criterion for developing and evaluating curriculum and educational materials in training, having qualification for itself, designing for new qualification, and a criterion for setting questions for a qualifying examination. To improve utilization of NOS, It need to be consolidated the related laws including National Technical Qualifications Act and Workers' Vocational Competency Development Act or to be enacted a special law on NOS. Moreover, this study suggested action plan according to the stages of institutionalization, and political proposal for effective actualization of action plan.

      • SCOPUSKCI등재

        CASE REPORT : Successful Treatment of Postoperative Fistula with Infliximab in a Patient with Crohn`s Disease

        ( Seong Yeon Jeong ),( Jeong Seop Moon ),( Kyu Joo Park ),( You Sun Kim ) 대한장연구학회 2014 Intestinal Research Vol.12 No.1

        Nearly 80% of patients with Crohn`s disease (CD) require surgical treatment for complications or failure of medical management. We managed a 31-year-old man with CD who presented with a post-operative fistula. The patient had undergone surgery due to multiple strictures and a fistula. However, a new fistula developed that connected to the intraperitoneal abscess. Intravenous antibiotics were started and multiple percutaneous drainage tubes were inserted to treat the abdominal abscess. However, the amount of drainage was consistently high, even one month after the operation. To treat the postoperative fistula, 5 mg/kg of infliximab was started, and the amount of drainage decreased dramatically to less than 10 cc a day. Some studies have reported that infliximab decreases the recurrence of CD after surgery. The effect of infliximab on post-operative fistulas in patients with CD has not been sufficiently studied. Our results indicated that the use of infliximab to treat post-operative fistula should be explored further in future clinical studies. (Intest Res 2014;12:74-77)

      • KCI등재

        HIPS 복합재의 전기적 및 마모 특성에 미치는 다중벽 탄소나노튜브의 영향

        정연우(Yeon-Woo Jeong),김경식(Kyung-Shik Kim),이현우(Hyun-Woo Lee),정만우(Man-Woo Jeong),이재혁(Jae-Hyeok Lee),김재현(Jae-Hyun Kim),이학주(Hak-Joo Lee),김광섭(Kwang-Seop Kim) 한국트라이볼로지학회 2015 한국윤활학회지(윤활학회지) Vol.31 No.3

        Carbon nanotubes (CNTs) are widely used in polymer composites as filler materials to enhance various characteristics of the composites because of their remarkable mechanical, electrical, and thermal properties. In this study, we investigate the effects of MWCNTs on the electrical and wear characteristics of high-impact polystyrene (HIPS) composites, and compare the results with the effects of carbon black (CB). The HIPS composites are classified as Bare-HIPS, MWCNT-HIPS composites containing 2, 3, 4, and 5 wt% MWCNTs, and CB-HIPS containing 17 wt% CB. Electrical characteristics are evaluated by measuring the surface resistance using a 4-point probe. Wear characteristics are evaluated using the reciprocating wear test, and a chrome steel ball with a curvature of 6.3 mm is used as the counterpart. The results show that the addition of MWCNTs or CB can improve the electrical and wear characteristics of HIPS composites. In the case of MWCNT-HIPS composites, surface resistance, friction coefficient, and specific wear rate decrease as the concentrations of MWCNTs increase. Moreover, the addition of MWCNTs is more effective in improving the electrical and wear characteristics of HIPS composites compared to the addition of CB. To fabricate the HIPS composite with appropriate electrical and wear characteristics, more than 4 wt% MWCNTs is added to HIPS.

      • A Case of Benign Stricture and Extraperitoneal Fistula Presenting in Ulcerative Colitis

        ( Seong Yeon Jeong ),( You Sun Kim ),( Sun Ok Kwon ),( Jeong Seop Moon ),( Jin Nam Kim ),( Yun Kyung Kang ),( Seong Woo Hong ),( Hyun Gul Jung ),( Su Min Hong ) 대한내과학회 2011 대한내과학회 추계학술대회 Vol.2011 No.1

        Ulcerative colitis (UC) is a chronic disease characterized by diffuse mucosal inflammation limited to the colon. UC complications are bleeding, Toxic colitis and colon cancer. UC patient rarely presented with stenosis or fistula. Strictures develop in 5 to 10 percent of patients with UC. We report a rare case of an unusual complication with UC benign stricture and fistula. Case: 49-year-old female who is Jehovah`s Witness presented with left flank pain and fever that had begun two weeks ago. She had been diagnosed with UC 20 years ago. However she arbitrarily had stopped visiting hospital and relied on home remedies. When she visited the hospital, blood pressure was 130/80 mmHg, heart rate was 110/min, and temperature was 38.1℃. Physical examination showed that tender mass accompanied by heating sense, redness was touched in her left flank. Laboratory records showed reduced hemoglobin and leucocytosis as hemoglobin 5.0 g/dL WBC 16100/mm3 ESR 70 mm/hr, CRP 6.7 mg/dl. Abdominopelvic computed tomography scan revealed haustral marking loss in T-colon, luminal narrowing and, extraperitoneal fistula formation in descending colon. She was started on intravenous antibiotics and the abscess was drained percutaneously. She was treated transverse colostomy because of severe stricture. 6 month later, colonoscopy showed shortening of the colon and severe stricture. Reconstructive surgery seemed impossible. She was treated with total colectomy with ileal pouch-anal anastomosis 13 month after she had been treated colostomy. Pathological finding showed that there was no malignant cell and no granuloma lesion. It seemed typical ulcerative colitis. In conclusion, untreated UC patient presented with severe stricture, fistula and abscess. We treated with antibiotics and total colectomy and ileal pouch-anal anastomosis.

      • SCOPUSKCI등재

        CASE REPORT : A Case of Ulcerative Colitis Patient with Colonic Stenosis and Enterocutaneous Fistula

        ( Seong Yeon Jeong ),( You Sun Kim ),( Kyeong Sam Ok ),( Sun Ok Kwon ),( Jin Nam Kim ),( Jeong Seop Moon ),( Yun Kyung Kang ),( Seong Woo Hong ) 대한장연구학회 2012 Intestinal Research Vol.10 No.4

        Ulcerative colitis (UC) is one of the chronic inflammatory bowel diseases (IBD), characterized by a diffuse mucosal inflammation limited to the colon. Complications of UC include stricture, colorectal cancer, and toxic colitis. UC patients rarely present with a stenosis or fistula, and strictures develop in less than 5% of patients with UC. We present a patient with UC, accompanied by unusual complications that involved not only a stricture but also a fistula and abscess. A 49-year-old female was presented with a left flank pain and fever that had begun two weeks before admission. She had received a diagnosis of UC 20 years ago and had it treated for 2 years in a local hospital. However, she arbitrarily stopped visiting the hospital and relied on home remedies. An abdominopelvic CT scan revealed luminal narrowing and extra-peritoneal fistula formation in the descending colon. Fistula was connected with a subcutaneous abscess in the left flank. She had undergone total colectomy and ileo-anal anastomosis. On the pathologic exam, the long standing UC with severe stenosis was observed without malignant change. It cannot be emphasized enough that a correct therapeutic approach and an appropriate follow-up schedule are very important for patients with UC. (Intest Res 2012;10:388-391)

      • KCI등재후보

        정상 성인 호흡기능에 대한 들숨 근 강화훈련과 날숨 근 강화 훈련의 효과 비교

        이연섭 ( Yeon Seop Lee ),오민영 ( Min Yeong Oh ),박주연 ( Ju Yeon Park ),이대희 ( Dae Hui Lee ),이예진 ( Ye Jin Lee ),정다혜 ( Da Hye Jeong ),홍지연 ( Ji Yeon Hong ),홍하연 ( Ha Yeon Hong ),김현수(교신저자) ( Hyeon Su Kim ) 대한통합의학회 2016 대한통합의학회지 Vol.4 No.1

        Purpose : The purpose of this study was to examine the Compare the effects of inspiratory muscle strengthening training and expiratory muscle strengthening training of normal adult respiratory function. Method : In this study, we want to compare the effect of inspiratory muscle strengthening training(n=8) and expiratory muscle strengthening training(n=8) to target the normal adult 16 people. expiratory muscle strengthening training, was 25 minutes of training on the basis of the breathing image program that has been pre-recorded. inspiratory muscle strengthening training, use the power-breathe plus on the measured resistance value, was carried out for 25 minutes. Using the spirometer in order to examine the ability to breathe, FVC, FEV1, FEV1 / FVC, MVV was measured. Result : The results showd that in the breath muscle strengthening training FVC, FEV1, MVV increased statistically significantly. The inspiration muscle strength training FVC, FEV1, MVV was a statistically significant increase, FEV1/FVC decreased. There was no statistically significant difference between. Conclusion : In conclusion, both methods give the result of increasing the effective respiratory function. Inspiratory muscle strengthening training, the function of the lung is very limited to be used when and by us effectively and expiratory muscle strengthening training to increase the capacity of the lung is an effective way that will increase the volume.

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