직장 카르시노이드 종양에서 Ki-67 발현의 예후적 중요성

홍수민 ( Su Min Hong ),김유선 ( You Sun Kim ),문정섭 ( Jung Seop Moon ),김진남 ( Jin Nam Kim ),오명기 ( Myoung Ki Oh ),권선옥 ( Sun Ok Kwon ),정성연 ( Seong Yeon Jeong ),홍성우 ( Seong Woo Hong ),강윤경 ( Yun Kyung Kang ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2

Background/Aims: Rectal carcinoid tumors can be resected with endoscopy, and it is important to assess their prognostic factors. We evaluated the potential of Ki-67 expression as a prognostic factor in rectal carcinoid tumors. Methods: We retrospectively reviewed the medical records of 37 patients with rectal carcinoid tumors who got endoscopic resection from January 2001 to January 2011 at Inje University Seoul Paik Hospital. We analyzed their endoscopic and histologic findings, Ki-67 expression, clinical outcome, and prognosis. Results: The mean age (±SD) of the patients was 56.3±10.7 years, and the male : female ratio was 3.6:1. The mean tumor size was 0.5±0.4 cm, 33 patients showed grade 1 tumors (89.2%) and the average Ki-67 expression was 0.7±1.2%. Thirty five patients underwent endoscopic mucosal resection, and two required endoscopic submucosal dissection. Eight patients had positive margins after resection, but no cases of lymphovascular invasion were identified. The median follow-up duration was 21.4±25.4 months, and no recurrences were observed. Conclusions: In low grade rectal carcinoid tumors which are lack of central depression on colonoscopy, the expression of a molecular marker of malignant potential, Ki-67, was low. Therefore, endoscopic resection seemed to be a safe and effective treatment for these tumors.

식도의 원주상피 피복 점막에서 점액유전자 발현 및 세포증식능에 대한 연구

최석채 ( Suck Chei Choi ),김용성 ( Yong Sung Kim ),김기훈 ( Ki Hoon Kim ),김헌수 ( Hun Soo Kim ),조향정 ( Hyang Jeong Jo ),윤기중 ( Ki Jung Yun ) 대한소화기기능성질환·운동학회 2007 Journal of Neurogastroenterology and Motility (JNM Vol.13 No.1

목적 : 바렛식도는 지속적인 위식도역류 등으로 원위부 식도에 정상적으로 존재하는 편평상피세포 대신에 배상세포를 포함하는 장형 원주세포로 식도 점막이 피복되는 것을 말한다. 그리고 이형성을 거쳐 선암종으로 진행할 수 있기 때문에 이형성 이전 단계인 바렛식도의 발암과정에 대한 연구가 필요하다. 이에 바렛식도와 배상세포를 포함하지 않은 원주세포만 있는 식도를 대조군으로 하여 점액유전자 및 세포증식능에 대해 비교 연구하였다. 대상 및 방법 : 임상 및 내시경적으로 바렛식도가 의심되어 원위부 식도에서 생검한 환자들 중에서 배상세포가 있어 조직학적으로 바렛식도로 증명된 25명의 환자와 배상세포가 없었던 환자들 중에서 무작위로 선택한 30예를 대조군으로 하였다. 생검 당시의 나이와 성별 그리고 MUC1, MUC2, Ki-67에 대한 면역조직화학적 염색을 시행하였다. 결과 : 바렛식도의 평균 나이 및 남자 비율은 각각 65.3±10.1세, 76.0%이였고, 대조군의 평균 나이 및 남자 비율은 각각 53.0±14.8세, 60.0%로 바렛식도의 나이가 대조군식도보다 의의있게 높았다. MUC1은 바렛식도 및 대조군 모두에서 100% 발현되었고, MUC2 발현율은 바렛식도 및 대조군에서 각각 92%, 20%이었다. Ki-67 발현율은 바렛식도 및 대조군에서 각각 80.0%, 70.0%이였고, Ki-67 발현 강도의 평균은 바렛식도 1.20±0.76, 대조군 0.77±0.57로 발현 강도에서 바렛식도가 의의있게 높았다. 결론 : 바렛식도는 원주세포만 있는 식도에서 보다 좀더 지속적인 위식도역류 등의 자극으로 생긴다. 그리고 MUC2는 주로 바렛식도에서 발현되고 세포증식능은 바렛식도에서 좀더 높으며 이는 MUC2 발현과 관련될 수 있다고 생각된다. Background/Aims: Barrett`s esophagus is characterized by the presence of metaplastic columnar epithelium with goblet cells in the distal esophagus. Barrett`s esophagus progresses through low grade dysplasia and high grade dysplasia to adenocarcinoma. We studied the patient age, the mucin gene and the proliferation activity of biopsy-proven Barrett`s esophagus and simple columnar epithelium-lined esophagus. Methods: To evaluate the mucin gene expression and proliferation activity, twenty five cases of Barrett`s esophagus and thirty cases of control esophagus were examined immunohistochemically with using the monoclonal antibodies to MUC1, MUC2 and Ki-67. Results: The Barrett`s esophagus patients were older (mean: 65.3±10.1 years) than the control patients (mean: 53.0±14.8 years). The MUC1 expression was 100% in both Barrett`s esophagus and the control esophagus. An MUC2 expression was observed in 92.0% of the Barrett`s esophagus and 20.0% of the control esophagus. The rate and intensity of the Ki-67 expression was higher in the Barrett`s esophagus (80.0%, 1.20±0.76) than that in the control esophagus (70.0%, 0.77±0.57). Conclusions: Barrett`s esophagus is a metaplastic lesion due to the more long-standing gastroesophageal reflux than that in a simple columnar epithelium-lined esophagus. The cause of increased proliferation activity in Barrett`s esophagus may be related to the MUC2 expression. (Kor J Neurogastroenterol Motil 2007;13:21-25)

비강 및 비인두에 발생한 도립유두종과 편평상피암종의 p53단백 및 세포증식능에 관한 연구

한주호,윤기중,이재규,신대균,박근호,조향정,문형배 圓光大學校 醫科學硏究所 1996 圓光醫科學 Vol.12 No.2

The inverted papilloma and squamous cell carcinoma are common neoplasia in the sinonasal cavity and nasopharynx, but the incidence of these tumors are very low and the study on the oncogenesis or biological activity of the tumor cells are not well known. This study was designed to evaluate the oncogenic roles of the p53 gene and the proliferative activity of the tumor cells in the inflammatory polyp, inverted papilloma and squamous cell carcinoma. The experiment was carried by the immunohistochemical stains about the p53 protein, PCNA and Ki-67, histochemical stain about the AgNORs. and flow cytometric analysis about the DNA ploidy using the formalin fixed paraffin embedded tissues. The frequency of the expression of p53 protein was 0%(0/16 cases) in the inflammatory polyps, 18.8% (3/16 cases) in the inverted papillomas, and 87.5%(14/16 cases) in the squamous cell carcinomas. The labelling index(%) of the PCNA and Ki-67 was 5.3% and 3.3% in the inflammatoy polyps, 29.6% and 25.2% in the inverted papillomas, and 51.9% and 36.8% in the squamous cell carcinoma. The expression of the PCNA and Ki-67 was distributed in the periphery of the tumor islands of the inverted papilloma and was distributed in the both of center and periphery of the tumor islands of the squamous cell carcinoma. The number of nuclear AgNORs was increased in the order of inflammatory polyps (0.96), inverted papillomas(1.34) and squamous cell carcinoma(2.09). The frequency of the DNA aneuploidy was 0%(0/16 cases) in the inflammatory polyps, 18.8%(3/16 cases) in the inverted papillomas. and 12.5%(2/16 cases) in the squamous cell carcinomas. Above results indicates that the changes of the p53 gene and proliferative activity of the tumor cells are involved on the oncogenesis and the biological activity of the inverted papilloma or squamous cell carcinoma in the nasopharynx and sinonasa cavity.

VES-LMC 덧씌우기를 이용한 콘크리트 포장 보수

정원경,김용곤,김기헌,윤경구 강원대학교 산업기술연구소 2005 産業技術硏究 Vol.25 No.B

Since in 1970, the length of concrete pavements(JCP, JRCP and CRCP) are growing rapidly at both of main highways and local roads. Many of them are deteriorated and old enough to be repaired or replaced. The pavement is more important than the other infrastructures and it is very difficult to go around or block the traffic during the rehabilitation. The very-early strength latex-modified concrete(VES-LMC)may offer the advantages of high-early-strength, higher flexural strength, higher bond strength, and improved durability. The VES-LMC could be used at a kind of fast track ofr early opening to the traffic after 3 hours of concrete placement. The installation of VES-LMC overlay at Jung-Boo highway was successfully done from April 28 to 29, 2005. The traffic was closed at 07:00 PM and opened to traffic at 08:30 AM. The compressive and flexural strength of VES-MC were more than 28MPa, 6.2MPa after 4 hours, respectively.

제7차 교육과정의 과학교과서 지질단원에 대한 연계성 분석

윤성효,박기현,고정선 부산대학교 사범대학 과학교육연구소 2005 科學敎育硏究報 Vol.32 No.-

Using the task analysis technique, this study analyzes the contents of study and inquiry activities of geo-science units in twelve textbooks in total, which include eight elementary level textbooks from the third to sixth grades, three middle school level textbooks, one high school level science book. After choosing several main concepts, this paper analyzes the connection and hierarchy among them and presents the hierarchical structure as a diagram. The conclusions drawn from this study are as follows: First, from the analysis of studying content on geo-science unit, in the science education content from e third to tenth grades, the articulation of the major concepts, such as the inner part of the earth, rocks, plate tectonics, volcanic activities and earthquakes, layers and fossils, and gen-structure, are well associated with one another; on the other hand, unnecessary repetition and discontinuation appear in the mineral and gen-history sections. Overall, from simpler subjects, such as those related to the daily life, to the more complex scientific ones, the connection of contents is well maintained, which corresponds to the principle of organizing contents in the 7th curriculum. Second, the proportion of inquiry activities from analyzing inquiry content relating geo-science, is as follows: at the elementary school level, a total of thirty-one inquiry activities composed of observation (51.6%) and experiment (19.4%); at the middle school level, a total of twenty-seven inquiry activities consisted of data analysis (47.1%), experiment (25.9%) and observation (18.5%); at the high school level, these comprised data analysis (47.1%), discussion(17.6%), and follow-up (11.8%). Such findings show that while elementary schools focus on the observation of geological phenomena around us, middle schools on the data analysis, experiment, and observation, and high schools on particularly on the data analysis. Third, one of the important principles of the seventh curriculum is to compile textbooks in order to maintain the articulation between contents accordingly from the third grade to the tenth grade. The seventh curriculum emphasizes teaching and learning according to this code, and this paper presents the hierarchical structure as a diagram showing the flow among main learning points, It would contribute to improve instruction of science teachers in elementary, middle and high schools by helping to fully understand the hierarchical structure of the geo-science unit. therefore It will facilitates the application and settlement of the seventh curriculum.

랫드에서 단일시험법을 이용한 반하 물추출물의 생식독성시험

이기남,유욱준,백인정,연정민,남상섭,이범준,남상윤,김윤배,강현규,안병우,김대중,황방연,노재섭,홍정섭,성하정,김순선,조대현,윤영원 충북대학교 동물의학연구소 2006 Journal of Biomedical and Translational Research Vol.7 No.1

본문참조

제2형 당뇨병 환자에서 Voglibose와 Acarbose의 비교임상연구

정인경,정재훈,민용기,이명식,이문규,김광원,정윤이,박중열,홍성관,이기업 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.26 No.2

연구배경:아카보스와 보글리보스는 ­glucosidase inhibitors로써 비록 약리학적 작용이나 부작용에 있어서 두 약물간에 차이가 있다는 것은 잘 알려져 있으나 당뇨병 환자를 대상으로 아직 이에 대한 두 약물간에 직접적인 비교에 대해 연구된 바는 없었다. 이에 저자등은 국내 2형 당뇨병 환자에 대해 유효성과 부작용 발현에 대해 두 약제를 비교하고자 무작위법에 의한 위약 대조군의 이중 맹검법 연구를 시행하였다. 방법:시험 약제 투여 4주간의 관찰기를 설정하여 공복혈당의 변화가 30㎎/dL 이하이고, 식후 혈당이 200㎎/dL 이상인 환자로 기타 제외 기준에 해당하지 않은 환자 53명을 대상으로 하여 보글리보스 군(24명)과 아카보스 군(29명)으로 무작위로 나누었다. 치료기간은 총 8주로 하였으며, 4주간 간격으로 혈청학적 검사와 부작용을 분석하여 치료 효과가 부작용을 평가하였다. 결과:1)혈당 변화:보글리보스군은 식후 1시간 혈당이 치료 후 4주, 8주째 의미 있게 감소하였도, 아카보스군은 식후 1시간과 2시간 혈당이 치료 후 4주, 8주째 의미있게 감소하였다. 또한 관찰기 혈당에 대한 치료 4주째 감소량은 아카보스군에서 더 큰 경향을 보였으나, 치료 8주째에는 두 군 간의 강하정도에 의미있는 차이가 없었다(p=0.569). 2)인슐린 치의 변화:보글리스 군은 식후 1시간 인슐린 치가 치료 전에 비해 치료 4주, 8주째 감소하는 경향을 보였고, 공복 인슐린이나 식후 2시간 인슐린치는 치료전 후에 의미 있는 차이가 없었다. 아카보스군에서는 치료 전후로 공복 인슐린, 식후 1시간과 2시간 인슐린치에 의미 있는 차이를 보이지 않았다. 두약제 간에 치료 전과 치료 8주사이의 식후 2시간 인슐린의 감소량이 보글리보스 군에서 의미있게 높았다(p=0.040). 3)당화혈색소:보글리보스 군은 치료 전에 비해 치료후 당화혈색소가 감소하는 경향을 보였고, 아카보스군은 치료 전에 비해 의미있게 감소하였다. 당화혈색소 변화량은 두 군간에 의미 있는 차이는 없었다(p=0.412). 4)지질대사의 변화:중성지방, 콜레스테롤, 고밀도 진단백 콜레스테롤에 대해 두 군간에 의미 있는 차이는 없었다. 5)부작용:소화기계 부작용의 빈도는 치료 4주째 보글리보스 군에서 의미 있게 낮았으나(p=0.028), 치료 8주째 부작용의 빈도는 두 군간에 의미 있는 차이가 없었다(p=0.215). 결론:2형 당뇨병 환자에서 보글리보스와 아카보스의 두 약제의 임상적 유효성과 부작용발현에 대해 비교한 결과 치료 후 8 주 후 혈당강화효과는 두 약제간에 유사한 효과를 보였으나 보글리보스군에서 4주째의 초기 위장관 부작용이 적었다. Background : Acarbose and voglibose are alpha-glucosidase inhibitors. Although different pharmacological effects and adverse abdominal events associated with the two drugs have been reported, no study directly compared acarbose and voglibose in diabetes has been undertaken. To compare the pharmacological effects and gastrointestinal adverse events between two drugs, a randomized, placebo-controlled, double-bind study was performed in type 2 diabetes patients. Methods : The period of study was 12 weeks(observation period: 4 weeks; treatment period: 8 weeks). Fifty-three patients were randomized into two groups(the acarbose group: 24 patients; the voglibose group: 29 patients). The serum glucose, insulin, fructosamine, HbA_1c, cholesterol, triglyceride and the incidence of adverse events were measured. Results : 1) The reduction of glucose from before treatment to 4 weeks after treatment was significantly higher in the acarbose group, but the change before treatment and 8 weeks after treatment in the two groups was similar(p=0.569). 2) The insulin significantly decreased after voglibose treatment(p=0.040). 3) HbAa_1c level tended to decrease in voglibose group, and there was a significant decrease after acarbose treatment. However, the change in HbA_1c level before and after treatment was similar between the two groups(p=0.412). 4) The two drugs did not cause any other changes in the total, HDL-cholesterol and triglyceride. 5) The number of patients with gastrointestinal adverse events was significantly low 4 weeks after voglibose treatment (p=0.049), but the incidence in the two groups was similar after 8 weeks(p=0.215). Conclusions : Acarbose and voglibose significantly improved postprandial hyperglycemia in diabetes. The incidence of gastrointestinal adverse events was low 4 weeks after voglibose treatment(J Kor Diabetes 26:134~145, 2002).

초등사회과 환경교육 연계성 분석 : 환경오염, 환경보전과 대책 영역을 중심으로 Focused on The Environmental Pollution and The Environmental Preservation & Alternative

이기복,정지윤 부산교육대학교 교육대학원 2004 논문집 Vol.6 No.-

The Purpose of This study was to prepare the basic materials which are necessary for both the direction of construction of future environmental education and desirable Teaching-Learning Process. In this paper, the contents of environmental pollution and environmental preservation & alternative were analyzed through 8 Social Studies textbooks and 8 guide book of Teachers from the 3rd grade to the 6th grade of the 7th national curriculum. The result of analysis, the Contents of Environmental Education in Elementary School Social Studies Curriculum is that not only the continuity of construction but the sequence were lacked between from the 3rd grade to the 6th grade in Elementary School. Therefore, It is necessary that the environmental education in Social Studies curriculum can more effectively be practiced and need to emphasize the environmental pollution environmental preservation & alternative and it is desirable to consider both the harmony and systematic distribution from 3rd grade to 6th grade in Elementary School Social Studies Curriculum for it. Also, the constituent of the curriculum should understand the aim of the establishment of environmental contents well enough and it is necessary for teacher to have expert knowledge that is able to understand and translate them through the study and analysis of Social Studies curriculum and textbook.

화재시 제연 및 피난을 위한 기능성 차압 조절장치 개발에 관한 연구

정기창,김정훈,이정윤 한국안전학회 2004 한국안전학회지 Vol.19 No.1

The smoke and toxic gases generated fi-om the building fires are proved to cause human death. Therefore, the necessity and significance of smoke control have been emphasized, and lots of studies for developing improved smoke management system have been carried out. In this study, the experiments were conducted to evaluate a function and performance in newly developed smoke management system using mechanical pressurization. As a result of this experiment, the differential pressure was 4OPa--60Pa and the air velocity through the door was 0.7m/s between safety zone and fire zone. The functional pressure control equipment which could make proper pressure and maintain differential pressure between safety zone and fire zone was developed And it will give a lot of helps to evacuation activity for peoples in building and fire fighting.

PES를 이용한 Mg/Si(111)계의 초기 성장모드 연구

안기석,박래준,김정선,박종윤 성균관대학교 기초과학연구소 1993 論文集 Vol.44 No.2

LEED와 PES를 이용하여 Si(111)7×7 표면위에 흡착된 Mg의 초기 성장모드를 연구하였다. 상온∼200℃의 기판온도에서 흡착초기에서부터 Mg silicide의 형성을 관측할 수 있었고 이 구조는 최종적으로 2/3√3×2/3√3 R30° 구조의 LEED pattern을 가진 epitaxial silicide로 완성되었다. 계속된 Mg의 흡착은 이 silicide 위로 Mg bulk가 무질서하게 성장됨을 보여준다. 또한 300, 450℃의 기판온도에서는 각각 1×1 그리고 3×1 구조가 관측되었다. The initial growing mode of Mg adsorbed on Si(111)7×7 surface has been studied by low energy electron diffraction (LEED) and photoelectron spectroscopy(PES). With increasing deposition time, the LEED pattern was changed to diffuse 7×7, diffuse 1×1 and 2/3√3×2/3√3 R30° structures at room temperature, successively. Also, we observed the 1×1 and 3×1 patterns at 300 and 450℃, respectively. From the Leed and PES results, it has been found that a Mg silicide is formed at the initial adsorption stage and that the 2/3√3×2/3√3 R30° structure is responsible for the thin epitaxial Mg silicide at RT∼200℃.