알쯔하이머형 치매와 혈관성 치매환자에서의 ALDH2와 APOE 유전자의 다형성에 관한 연구

김동홍,김영돈,이창화,엄기춘,김은식,윤경식,김동희 대한생물치료정신의학회 2002 생물치료정신의학 Vol.8 No.2

연구목적: 본 연구는 국내 치매환자들을 대상으로 치매발병의 위험요소가 될 수있는 ALDH2와 APOE 유전자형이 어떤 양상으로 나타나는지 알아보기 위하여 시행되었다. 방 법: 충남 부여군에 위치한 부여노인병원에 입원중인 65세 이상의 알쯔하이머형 치매와 혈관성 또는 혼재성 치매환자 59명(남:19, 녀:40)을 대상으로 ALDH2와 APOE 유전자형을 제한효소법에 의하여 조사하였고 치매유형에 따른 유전자형과 대립유전자의 빈도를 비교하였다. 결 과: 1) 알쯔하이머형 치매환자군에서 혈관성 또는 혼재성 치매환자군보다 ALDH2*(-/2)유전자형의 빈도가 높았으나 통계학적으로 의미있는 차이는 없었다. 2) 알쯔하이머형 치매화자군에서 혈관성 또는 혼재성 치매환자군보다 APOE*(-/ε4) 유전자형의 빈도가 높았으나 통계학적으로 의미있는 차이는 없었다. 3) APOE*ε4와 ALDH2*2를 알쯔하이머병의 균등한 위험대립유전자로 가정하고 각 유전자형의 대립유전자의 수를 점수화하여 각 치매환자군의 위험유전자 전체점수를 비교한 결과 알쯔하이머형 치매환자군에서 점수가 더 높게 나왔으나 통계학적으로 의미있는 차이는 없었다. 결 론: 알쯔하이머형 치매환자군에서 혈관성 또는 혼재성치매치매환자군보다 ALDH2*2와 APOE*ε4 대립유전자의 빈도가 높게 나왔으나 통계학적으로 의미있는 차이는 없었다. A study on gene polymorphism of ALDH2 and APOE in patients with alzheimer's disease and vascular or mixed dementia. Objective : This study was designed to investigate gene polymorphism of ALDH2 and APOE, reported the risk factor of Alzheimer's disease, in korean dementia patients. Method : 59 Patients(male:19, female:40) with dementia, aged 65 and older in Buyeo geriatric hospital located in Buyeo-gun, chungnam, were finally included in this study. gene polymorphism of ALDH2 and APOE was typed with polymerase chain reaction in patients with Alzheimer's desease and vascular or mixed dementia. Results : 1) There was no difference in allelic frequency of ALDH2 gene polymorphism between patients with Alzheimer's disease and vascular or mixed dementia. 2) There was no difference in allelic frequency of APOE gene polymorphism between patients with Alzheimer's disease and vascular or mixed dementia. 3) Supposing APOE*ε4 and ALDH2*2 were equal risk allele of Alzheimer's disease, the sum of score by counting each risk allele was higher in patients with Alzheimer's disease than vascular mixed dementia, however there was no significant difference. Conclusion : The genotype frequency of ALDH2*(-/2) and APOE*(-/ε4) was higher in patients with Alsheimer's disease than vascular or mixed dementia, however there was no significant difference in allelic frequency of gene polymorphism of ALDH2 and APOE between patients with Alzheimer's disease and vascular or mixed dementia.

용치놀래기, Halicoeres poesilopterus(Temmink et Schlegel) 生殖生態

李榮敦,李澤烈,盧洪吉 濟州大學校海洋硏究所 1991 해양과환경연구소 연구논문집 Vol.15 No.-

1990년 10월부터 1991년 9월까지 제주도 북방함덕연안에서 채집된 용치놀래기, Halicoeres poecilopterus를 대상으로 生殖生態를 파악하기 위하여 生殖巢熟度指數(GSI)와 生殖巢의 組織學的 방법에 의한 生殖週期와 性轉換 과정 등을 조사한 결과는 다음과 같다. 1. 生殖巢熟度指數(GSI)는 암 수 다같이 6월에 급겨히 상승하여 7월에 최대치를 나타내고 있으며, 8월에 접어들면서 하강하기 시작하여 9월부터 낮은 값을 나타내고 있다. GSI최대값은 암컷 6.35 수컷 1.01을 나타냈다. 2. 生殖週期는 성장기(5∼6월), 성숙기(6∼7월), 완숙 및 산란기(7∼8), 회복 및 휴지기(8∼4월)등의 연속적인 주기를 나타냈다. 3. 체장 13.0∼15.0㎝되는 개체들에서 雌性에서 雄性으로 性轉換現像이나타났다. 4. 본종은 一次精巢와 二次精巢가 혼합되어 나타나는 複雄性(diandry)의 雌性先熟魚에 속하는 것으로 나타났다. 5. 암컷에서 수컷으로 性轉換함에 따라 적색에서 청색으로 채색변화가 나타나고 있다. Reproductive ecology of the Wrasse, Halicoeres poecilopterus was investigated histologically on the gonadal development, sex reversal and studied by gonadosomatic index(GSI), color patterns. Samples were collected at the costal area of Ham duck, Cheju-do, Korea from October, 1990 to September, 1991. In male and female, GSI began to increase from june when the water temperature began to increase and the reached maximum value in July, respectively. It began to decrease from August. Thereafter, maintained relatively low value until May of next year. The annual reproductive cycle of this species could be classified into four sucessive developmental stage : growing stage(May), mature stage(June-july), ripe and spent stage(July-August), degenerative and resting stage(August-April). In H.poecilopterus, individuals with hermaphroditic gonad were observed in 13.0-15.0㎝ in standard length. sex reversal of this species could be oceured from 13.0㎝ to 15.0㎝ in standard length. A(red) and B(blue) types of color patterns were observes in this species. The individuals in plain A type coloration are mainly females and hermaphroditic individuals, but few primary and secondary males are included. The individuals in gaudy B type coloration are mostly secondary and primary males.

치매 환자에서 행동·정신 증상에 대한 Risperidone의 치료 효과

김영돈,김동홍,이창화,김동희 대한노인병학회 2001 대한노인병학회지 Vol.5 No.3

용치 놀래기, Halicoeres poesilopterus(Temmink et Schlegel) 생식생태

이영돈,노홍길,이택열 제주대학교 해양연구소 1991 해양자원연구소연구보고 Vol.15 No.-

발기부전증 환자의 MMPI 평가 분석

김헌수,김영돈,이재우,나철,이길홍,민병근,김세철 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.1

The present study was intended to examine the relationship of the MMPI mean scales in the Korean impotent and Beutler's decision rules to acertain the empirical utility of the MMPI in discriminating between organic and psychogenic erectile dysfunction. Subjects served for this study consisted of 451 patients visited to department of neuropsychiatry and urology, Chung-Ang University Medical Center from May 1, 1985 to July 31, 1987. Their age range was between 22 and 84. The actual number of cases put into the analyses was 97 including 53 psychogenic impotents and 43 organic impotents. Statistical methods employed were χ² and T score. Results of the study were presented as follows: 1) The mean overall 4-3/3-4 MMPI profile(17.7%) revealed somatic complaints, depression, conflict with spouse and emotionally unstable personality trait. However, there were no significant relationship of mean T score between psychogenic and organic impotents. 2) Applying the Beutler's rule decision, we found that our hit rate of rule I or rule Ⅱ were 12.3% and 47.2%, respectively. Applying the two rules to 97 cases, the hit rate was 60.4% with nonsignificant Chi square of 0.017. These results revealed no significant differences between psychogenic and organic subjects. Finally, we failed to examine the validity of Beutler's decision rules adapted to our 97 subjects.

마우스의 BCG감염이 R.tsutsugamushi의 증식에 미치는 영향

김인재,전창덕,홍영권,정현택,이복수,장우현,김익상,박석돈 대한감염학회 1993 감염 Vol.25 No.2

It has recently been reported that gamma-inteferon(INF-r) and tumor necrosis factor(TNF) or lipopplysaccharide(LPS) activate macrophages to kill intracellular parasites by means of nitrc oxide (NO). It is now generally accepted that NO is the endothelium-derived relaxing factor, and that it also paticipates in the regulation of the nervous and immune systems. Activated macrophages form NO?? and NO?? from the terminal guanidino nitrogen atoms of L-arginine by the process now known to proceed via the formation of NO. This pathway is inhibited by the L-arginine analog(N?? monomethyl-L-arginine; N??MMA), forms L-citrulline as a co-product and is responsible for the cytotoxic action of macrophages. In this study, the authors found that INF-r and/or LPS induced murine macrophages to kill Rickettsiae tsutsugamushi in vitro and macrophages from BCG-infected mice got the host resistance against R.tsutsugamushi in vitro as well as in vivo. The rickettsicidal effect induced by the combination of INF-r and/or LPS induced mice got the host resistance against R.tsutsugamushi in vitro as well as in vivo. The rickettsicidal effect induced by the combination of INF-r and/or LPS can also be completely inhibited by N??MMA, leading to a dose-dependent inhibition of NO production. These datademonstrate that INF-r and/or LPS as well as BCG-activated macrophages mediate host resistance aganist R.tsutsugamushi infection through NO, which is necessary for the intracellular parasite.

학생청소년의 불안성향과 문제행동 유형간의 상관분석

김헌수,이재우,나철,김영돈,김민호,김은희,권지란,박광식,이길홍,민병근 중앙대학교 의과대학 의과학연구소 1987 中央醫大誌 Vol.12 No.4

The purpose of the present study was to examine the relationship between their problem behavioral pattern and anxious trends among Korean student adolescent. Zung's measurement of anxiety level undergone through used of the self-rating anxiety scale. the data were collected through the questionaire survey which was conducted on Dec.1, 1983. Subjects served for this atudy consisted of 1,404 syudents in Korea, randomly sampled from Korean student population by means of census method. The data were analysed by CDC-174 computer of KAIST, using SPSS pogram. Statistical methods empoyed were χ^2 test and Eta measures. the results of this study were as follows. 1. It showed that students psychological anxious trends had greatest significant correlation with adolescent student's problem brhavioral pattern, but the cardiovascular, respiratory, gastrointestional and genitourinary anxious trends has not significantly related with student's problem behavioral pattern. 2. Students group with undersocialized aggressive, undersocialized nonaggressive,undersocialized school-norm avoidant, or socialized nonaggressive behavioral patterns were less anxious, whereas those with socialized latent aggressive, socialized sexual, or socialized modellong behavioral patterns were higher anxious.

광범위 베타 락탐계 항생제 분해 효소를 생성하는 폐렴간균에 의한 균혈증이 발생한 환자에서 감영의 위험 인자 및 치료 결과

강철인,김성한,방지환,김홍빈,박상원,최영주,오명돈,김의종,최강원 대한감염학회 2003 감염과 화학요법 Vol.35 No.2

목적 : 본 연구는 ESBL을 생성하는 K. pneumoniae에 의한 균혈증 환자에서 감염의 위험 인자 및 치료 결과를 알아보고자 시행하였다. 방법 : 1998년 1월부터 2002년 4월까지 혈액 배양 검사에서 동정된 K. pneumoniae를 대상으로 NCCLS guidelines과 이중 디스크 확산법(double-disk diffusion test)을 이용하여 ESBL 생성 여부를 확인하였다. ESBL 생성 균주에 의한 균혈증 환자 60명(환자군)에 대해 ESBL을 생성하지 않는 균주에 의한 균혈증 환자들(대조군)을 연령, 성별, 균혈증 발생 시점을 고려하여 1:2 또는 1:3으로 배정하였다. 총 159명의 대조군을 선정하였고 후향적인 환자-대조군 연구를 시행하였다. 결과 : 환자군과 대조군 사이에 연령, 성별, APACHE Ⅱ score, 주된 감염 부위의 유의한 차이는 없었다. ESBL을 생성하는 K. pneumoniae에 의한 균혈증이 발생할 독립적인 위험 인자에는 요관 삽입, 균혈증 발생 이전 72시간 동안 침습적인 시술을 받은 경우, 균혈증 발생 이전 30일 동안 투여받은 항생제 개수가 있었다. 초기 항생제 치료 72시간 후의 반응을 평가하였을 때, 완전 반응(complete response)은 대조군에서 더 많았고(13.3% vs. 40.3%, P<0.001), 치료 실패(treatment failure)는 환자군에서 더 많았다(33.3% vs. 11.9%, P<0.001). 7일 사망률은 환자군에서 20% (12/60), 대조군에서 15.6% (25/159)이었고(P=0.451), 30일 사망률은 환자군에서 30% (18/60), 대조군에서 24.5% (39/159)이었다(P=0.410). ESBL 생성 균주에 의한 균혈증이 있는 환자들에서 최종 항생제 치료가 부적절했던 환자들을 제외하고 30일 사망률을 분석하였을 때 효과적인 항생제 치료의 지연은 사망률을 높이지 않았다(11.1% vs. 9.1%, P=1.000). 결론 : ESBL을 생성하는 K. pneumoniae에 의한 균혈증이 있는 환자에서 초기 항균제 치료 72시간 후의 치료 반응률은 낮지만 사망률은 유의하게 증가하지 않았다. 원인균이 동정된 후 최종 치료 항생제의 선정이 적절하다면 초기에 효과적인 항생제 투여의 지연은 사망률을 유의하게 증가시키지는 않았다. Background : This study was conducted to evaluate risk factors for infection and treatment outcome of bloodstream infection due to extended spectrum β-lactamases(ESBL)-producing K. pneumoniae. Methods: ESBL production was evaluated by NCCLS guidelines and/or double-disk synergy test in K. pneumoniae blood isolates stored from January, 1998 to April, 2002. Sixty patients with bloodstream infection due to ESBL-producing K. pneumoniae (case patients) were compared with 159 matched control patients with bloodstream infection of non-ESBL-producing K. pneumoniae. Retrospective case-control study was performed. Results : There were no significant differences in age, sex, APACHE Ⅱ score, and the primary site of infection between the case and control groups. In multivariate analysis, significant independent risk factors associated with bloodstream infection due to ESBL-producing K. pneumoniae were urinary catheterization, invasive procedure within previous 72 hours, and the number of antibiotics administered within previous 30 days. In clinical response at 72 hours after initial antibiotic treatment, complete response rate was higher in the controls (13.3% vs. 40.3%, respectively, P<0.001), however, treatment failure rate was higher in the cases (33.3% vs. 11.9%, respectively, P<0.001). Overall 7-day mortality rates in the cases and the controls were was 20% (12/60) and 15.7% (25/159) (P=0.451), respectively, and overall 30-day mortality rates were 30% (18/60) and 24.5% (39/159), respectively (P=0.410). When the patients with bloodstream infection of ESBL-producing organism were evaluated and the patients who received inadequate definitive antibiotic treatment were excluded, delayed effective antibiotic treatment was found to be not associated with higher mortality. Conclusion : In patients infected with ESBL-producing K. pneumoniae bacteremia, clinical response rate at 72 hours after antimicrobial therapy was lower, but the increase of mortality rate was not significant. Delayed effective antibiotic treatment was not associated with higher mortality, when definitive appropriate antibiotic treatment was prescribed.

황색포도구균의 균혈증에서 초기 항생제 치료가 예후에 미치는 영향

김성한,박완범,이기덕,강철인,최영주,김홍빈,박상원,김의석,오명돈,김의종,최강원 대한감염학회 2002 감염 Vol.34 No.5

대학부속병원 응급실에 내원한 청소년 정신장애 환자의 특성

나철,김헌수,민병근,김영돈,이재우,박재선,김민호,이길홍 중앙대학교 의과대학 의과학연구소 1987 中央醫大誌 Vol.12 No.4

The authors respectively reviewed their records from 100 visits by adolescents and 100 visits by adults chosen by random sampling from all adolescent and adult patients seen during July 1984 and July 1987 in the emergency room of Chung-Ang University, Young-San Hospital.Chi-square statistics were calculated with Yates' correction. The results were as follows: 1. Adolescent patients were tended to be more likely than adults to have been referred by friends. 2. Adolescent patients were more likely than adults to have visited emergency room promptly after symptom oneset, and less likely to have insight about one's mental illness.Adolescent were less likely to receive neuropsychiatric out-patient treatment plan, in spite of psychiatrist's recommendation, because of low insight level. 3. With regard to their symptoms and chief complaints, adolescent patients more pften reported anger, aggressive behavior and sucide attempts, while adults were more likely to have been sucide idea. 4. The precipitant for the current visit was more likely to have been extra-familial difficulties inculding academic problem and bad relationdhip with peer groups for adolescents and intrafamiliai problems such as loss of loved person and primary interpersonal relation difficulties for adults. 5. Both gruops were more likely to be diagnosed as suffering from somatization disorder. Adult patients were mpro likely than adolescents to be diagnosed as affective disorder, especially atypical depression. 6. Both groups frequently abused some substances, with adolescents tending to use dyuga and adults tending to use alcohol. In conclusion frequently patients coming to the emergency room had acute and serious pathology, because anger, aggressive brhavir, self0destructive behavior and sucide attempts were expressed vividly and explosively.