한국인 소아에서 분리한 Helicobacter pylori 균주의 항균제 내성률

김유미,이연주,오석희,성흥섭,김미나,김경모,Kim, Yoo-Mi,Lee, Yeoun-Joo,Oh, Seak-Hee,Sung, Heung-Sup,Kim, Mi-Na,Kim, Kyung-Mo 대한소아소화기영양학회 2011 Pediatric gastroenterology, hepatology & nutrition Vol.14 No.1

목 적: Helicobacter pylori (H. pylori) 제균 치료의 적절한 항균제 선택의 기반이 되기 위해 소아에서 H. pylori 항균제 내성률을 알아보고자 하였다. 방 법: 2003년 7월부터 2009년 4월까지 상복부 통증으로 본원을 방문한 환자 중 위 문부 생검 조직 배양에서 H. pylori 가 동정된 균주를 대상으로 항균제 감수성 검사를 시행하였다. 감수성 검사는 clarithromycin과 amoxicillin은 디스크 확산법으로, tetracycline과 metronidazole은 E-test를 시행하였다. 치료 원칙은 감수성 결과가 확인 된 환자는 감수성 결과에 따라 항균제를 선택 하였고, BAM (bismuth subsalicylate, amoxicillin, metronidazole) 또는 OAC (omeprazole, amoxicillin, clarithromycin)를 바탕으로 한 경험적 삼제요법을 택하였다. 치료 실패 시에는 bismuth (또는 bismuth subsalicylate)를 포함한 사제요법을 선택하였다. 결 과: 33명의 환자가 배양검사 양성을 보였고 28명의 환자에서 감수성 검사를 시행하였다. 이 중 항균제 내성을 보인 환아는 9명(32.1%)으로 그 중 7명(25%)이 clarithromycin 내성 균주를 보였고 5명(17.8%)이 metronidazole 내성 균주를 보였다. 대상이 적어 통계적인 분석을 하지 못하였으나 Clarithromycin과 metronidazole의 내성률이 시기적으로 감소하는 추세를 보였다. 결 론: 본 연구는 단일 병원에서 소수의 환아를 대상으로 이루어진 연구로 한계가 있으나, 간접적으로 국내소아 환아에서 분리된 H. pylori의 균주에서도 높은 항균제 내성과 시기적으로 내성률이 변하는 것을 알 수있었다. 따라서 소아 환자에서 적절한 항균제 선택을 제시하기 위한 보다 광범위한 연구가 필요한 것으로 생각한다. Purpose: The antimicrobial resistance of Helicobacter pylori is one of the critical factors in failure of eradication therapy. The purpose of this study was to evaluate antimicrobial resistance of H. pylori in Korean children. Methods: Gastric mucosal specimens for H. pylori were obtained from children with dyspepsia who were cared for at Asan Medical Center Children's Hospital in Seoul, Korea between 2003 and 2009. Antimicrobial resistance tests were performed using the disk diffusion method for clarithromycin and amoxicillin and the E-test for metronidazole and tetracycline. Most children with H. pylori infections were treated using triple therapies. Results: Thirty-three children had positive H. pylori cultures, although a resistance test was only performed in 28 patients. Resistant strains were found in 9 children (32.1%). The resistance rates to clarithromycin and metronidazole were 25% and 17.8%, respectively. There was no resistance to amoxicillin or tetracycline. The resistance rates decreased from 44.4% (2003~2006) to 26.3% (2006~2009) during the study period. Conclusion: Korean children demonstrated relatively high antimicrobial resistance to H. pylori in this study. However, there was a temporarily decreasing trend during the study period. A larger multi-regional study may be needed to determine the optimal antimicrobial treatment for pediatric patients infected with H. pylori.

대전, 충청 지역에서 판매되는 즉석식품의 트랜스지방 및 조지방 함량 모니터링

김유미,허옥순,이기택,Kim, Yu-Mi,Heo, Oak-Sun,Lee, Ki-Taek 한국식품영양과학회 2007 한국식품영양과학회지 Vol.36 No.8

This study was designed to determine the trans fatty acid (tF A) contents of 41 take-out food items in Daejeon and Chungcheong Province. Total fatty acid composition and tFA contents of samples were determined by gas chromatography (GC) after fat extraction (Folch method). Maximum fat content among the observed samples was obtained from theater popcorn (13.74${/cdot}$38.09%) while minimum content was observed from the glutinous rice doughnut. 31${/cdot}$5.44%). The contents of tFA (g/100 g food) in toasts, glutinous rice doughnut and ggwabaegi (twisted doughnut sold in streets) ranged from 0.02 to 0.56 g while those in fried sweet potatostick (from highway resting place), fried squid and theater popcorn ranged from 0.05 to 3.08 g/100 g. As a result, most samples showed the tFA content as less than 1 g (g/100 g food) except one sample from theater popcorn which contained 3.08 g (g/100 g food) as tFA content. 대전 및 충청 지역에서 판매되고 있는 즉석식품의 조지방 및 트랜스지방산의 함량을 조사하고자 찹쌀도넛과 꽈배기 각각 6종, 고구마 스틱 2종, 토스트 9종, 그리고 멀티플렉스 극장 팝콘 11종 등 총 41종을 수거하여 분석하였다. 조지방 함량은 멀티플렉스 극장 팝콘 13.74${\sim}$38.09%로 가장 높았으며, 고구마 스틱 20.82${\sim}$20.88%, 오징어 튀긴 9.37${\sim}$25.53%등의 순이었다. 수거한 시료는 유탕처리 식품이었으며, 멀티플렉스 팝콘은 전자렌지용 팝콘과 달리 트랜스지방산 함량이 매우 적게 분석된 것으로 보아 식물성 부분 경화 유지를 상요하지 않은 것으로 보인다. 트랜스지방산 함량은 대부분 1 g(g/100 g food) 미만으로 낮았으나, 멀티플렉스 극장 팝콘 중 한 시료만이 3.08 g(g/100 g food)으로 높게 나타났다.

리뷰 텍스트 기반 감성 분석과 네트워크 분석에 관한 연구

김유미,허고은,Kim, Yumi,Heo, Go Eun 한국문헌정보학회 2021 한국문헌정보학회지 Vol.55 No.3

As review text contains the experience and opinions of the customers, analyzing review text helps to understand the subject. Existing studies either only used sentiment analysis on online restaurant reviews to identify the customers' assessment on different features of the restaurant or network analysis to figure out the customers' preference. In this study, we conducted both sentiment analysis and network analysis on the review text of the restaurants with high star ratings and those with low star ratings. We compared the review text of the two groups to distinguish the difference of the two and identify what makes great restaurants great. 리뷰 텍스트는 이용자들의 경험과 의견이 구체적으로 담겨있어 이를 분석하면 리뷰 대상에 대한 많은 내용을 파악할 수 있다. 이에 따라 리뷰 텍스트에 대해 감성 분석을 진행하여 음식점의 각 요인에 대한 이용자의 평가 등을 파악하는 연구, 네트워크 분석을 통한 이용자들의 선호를 파악하는 연구들이 진행되어왔다. 본 연구에서는 음식점 리뷰 텍스트의 별점 기반 만족도가 높은 음식점과 낮은 음식점을 분석대상으로 선정하여 감성 분석과 네트워크 분석을 통합적으로 수행하였다. 서로 다른 두 집단의 리뷰 텍스트에서 나타나는 차이로 음식점의 특성을 파악하여 좋은 음식점의 기준과 음식점 만족도에 영향을 미치는 주요인을 확인하고자 하였다.

유방에서 선근상피세포종의 유방촬영술 및 초음파 소견: 증례 보고

김유미,Kim, Yu-Mi 대한영상의학회 2003 대한영상의학회지 Vol.49 No.6

유방의 선근상피세포종은 매우 드문 질환으로 이의 희귀성 때문에 방사선학적인 소견도 잘알려져 있지 않아 진단이나 치료에 대한 정보도 드물다.저자는 유방 종괴를 주소로 내원하여 조직 검사와 면역조직화학검사에서 각각 양성과 악성 선근상피세포종으로 진단된 2예를 보고 하고자 한다. Adenomyoepithelioma is very rare. Because of its rarity, adeonomyoepithelioma may present a diagnostic challenge to the radiologists and there is a little information on the diagnosis and treatment of this condition. I report on two patients with benign and malignant adenomyoepitheliomas which represent breast masses on mammograms and ultrasonograms. The diagnosis was confirmed by immunohistochemical study of the resected specimens

침술 후 발생한 표재 비골 신경 및 심 비골 신경의 손상(1예 보고)

김유미,Kim, Yu-Mi 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.3

Acupuncture has been widely used to treat a variety of disease and symptoms. But various complications have been reported. Among them, peripheral nerve injuries have been reported less frequently than other complications. The purpose of this report is to describe what we believe to be the first case of delayed superficial and deep peroneal nerve compressive neuropathy caused by fibrotic mass formed by neglected broken acupuncture needle.

Cox 비례위험모형을 이용한 변액연금 해지율의 추정

김유미,이항석,Kim, Yumi,Lee, Hangsuck 한국데이터정보과학회 2013 한국데이터정보과학회지 Vol.24 No.4

해약율의 추정은 최근 보험제도의 변화 (국제회계기준의 도입에 따른 현금흐름방식의 가격산출체계 시행, 무해약환급금 보험상품의 판매 허용 등)에 따라 보험료의 결정과 손익분석 그리고 리스크 관리 등에 있어서 중요한 요소로 부각되고 있다. 특히, 변액연금은 최저보증옵션으로 인하여 보험계약자의 해약요소가 중요시되고 다른 보험 상품에 비해 복잡하므로 차별성 있는 통계모형의 선택과 분석이 필요하다. 기존의 해약률 연구는 실태분석 또는 회귀분석을 위주로 모형화하는 것에 초점이 맞추어져 있었으나 본 연구에서는 변액연금 계약과 관련된 여러 변수와 최저보증옵션을 반영하기 위하여 생존분석기법 중 하나인 Cox 비례위험모형을 이용하여 해지율을 추정하였다. 변액연금 해지율에 영향을 미치는 주요변수로는 납입방법, 보험료, 보험기간 대비 유지기간, 계약자적립금 대비 최소보증금, 계약자연령이 있으며 본 연구에서는 이에 관하여 분석해보았다. The importance of lapse rate is highly increasing due to the introduction of Cash Flow Pricing system, non-refund-of-reserve insurance policy, and IFRS (International Financial Reporting System) to the Korean insurance market. Researches on lapse rate have mainly focused on simple data analysis and regression analysis, etc. However, lapse rate can be analyzed by survival analysis and can be well explained in terms of several covariates with Cox proportional hazard model. Guaranteed minimum benefits embedded in variable annuities require more elegant statistical analysis of lapse rate. Hence, this paper analyzes data of policyholders with variable annuities by using Cox proportional hazard model. The key variables of policy holder that influences the lapse rate are payment method, premium, lapse insured to term insured, reserve-GMXB ratio, and age.

한국 건강불평등의 현황과 문제점

김유미,김명희,Kim, Yu-Mi,Kim, Myoung-Hee 대한예방의학회 2007 예방의학회지 Vol.40 No.6

Objectives : The aim of this study is to summarize the current conditions and implications of health inequalities in South Korea. Methods : Through a literature review of empirical studies and supplementary analysis of the data presented in the 1998, 2001, and 2005 KNHANEs, we evaluated the extent and trends of socioeconomic inequalities in both health risk factors, such as smoking, physical activity, and obesity, and outcomes, such as total mortality, subjective poor health status by self-reports and metabolic syndrome. Relative risks and odds ratios were used to measure differences across socioeconomic groups, and the relative index of inequality was used to evaluate the changes in inequalities over time. Results : We found clear inequalities to various degrees?in most health indicators. While little change was observed in mortality differences over time, the socioeconomic gaps in risk factors and morbidity have been widening, with much larger differences among the younger population. Conclusions : Socioeconomic inequalities are pervasive across various health indicators, and some of them are increasing. The trends in socioeconomic inequalities in health should be carefully monitored, and comprehensive measures to alleviate health inequalities are needed, especially for young populations.

A neonate with hyperornithinemia-hyperammonemia-homocitrullinuria syndrome from a consanguineous Pakistani family

김유미,임한혁,Mi Hyeon Gang,Yong Wook Lee,Sook Za Kim,Gu-Hwan Kim,Han-Wook Yoo,Jung-Min Ko,Meayoung Chang 대한의학유전학회 2019 대한의학유전학회지 Vol.16 No.2

Hyperornithinemia-hyperammonemia-homocitrullinuria (HHH) syndrome is a rare autosomal recessive urea cycle disorder. HHH is caused by a deficiency of the mitochondrial ornithine transporter protein, which is encoded by the solute carrier family 25, member 15 (SLC25A15) gene. Recently, government supported Korean newborn screening has been expanded to include a tandem mass spectrometry (MS/MS) measurement of ornithine level. We report a case of a neonate with HHH syn-drome showing a normal MS/MS measurement of ornithine level. A female newborn was admitted to neonatal intensive unit due to familial history of HHH syndrome. Her parents were consanguineous Parkistani couple. The subject’s older sister was diagnosed with HHH syndrome at age of 30 months based on altered mental status and liver dysfunction. Even though the subject displayed normal ammonia and ornithine levels based on MS/MS analysis, a molecular test conἀrmed the diagnosis of HHH syndrome. At 1 month of age, amino acid analysis of blood and urine showed high levels of ornithine and homoc-itrulline. After 11 months of follow up, she showed normal growth and development, whereas affected sister showed progres-sive cognitive impairment despite no further hyperammonemia after protein restriction and standard therapy. Our report is in agreement with a previous Canadian study, which showed that neonatal samples from HHH syndrome patients demonstrate normal ornithine levels despite having known mutations. Considering the delayed rise of ornithine in affected patients, ge-netic testing, and repetitive metabolic testing is needed to prevent patient loss in high risk patients.

저온 다결정 실리콘 박막 트랜지스터의 비정상적인 Hump 현상 분석

김유미,정광석,윤호진,양승동,이상율,이희덕,이가원,Kim, Yu-Mi,Jeong, Kwang-Seok,Yun, Ho-Jin,Yang, Seung-Dong,Lee, Sang-Youl,Lee, Hi-Deok,Lee, Ga-Won 한국전기전자재료학회 2011 전기전자재료학회논문지 Vol.24 No.11

In this paper, we investigated an anomalous hump phenomenon under the positive bias stress in p-type LTPS TFTs. The devices with inferior electrical performance also show larger hump phenomenon. which can be explained by the sub-channel induced from trapped electrons under thinner gate oxide region. We can confirm that the devices with larger hump have larger interface trap density ($D_{it}$) and grain boundary trap density ($N_{trap}$) extracted by low-high frequency capacitance method and Levinson-Proano method, respectively. From the C-V with I-V transfer characteristics, the trapped electrons causing hump seem to be generated particularly from the S/D and gate overlapped region. Based on these analysis, the major cause of an anomalous hump phenomenon under the positive bias stress in p-type poly-Si TFTs is explained by the GIDL occurring in the S/D and gate overlapped region and the traps existing in the channel edge region where the gate oxide becomes thinner, which can be inferred by the fact that the magnitude of the hump is dependent on the average trap densities.

열처리를 통한 Si 고용 및 석출 반응이 Al-Si 합금의 열확산도에 미치는 영향

김유미,김영찬,최세원,Kim, Yumi,Kim, Youngchan,Choi, Seweon 한국재료학회 2020 한국재료학회지 Vol.30 No.9

The effect of precipitation and dissolution of Si on the thermal diffusivity in the Al-Si alloy system is reported in this study and solution heat treatment followed by aging treatment is carried out to determine the effects of heat treatment on the thermal characteristics. The solution treatment is performed at 535 ℃ for 4 and 10 h and then the specimens are cooled by rapid quenching. The samples are aged at 300 ℃ for 4 h to precipitate Si solute. The addition of 9 wt% silicon contents makes the thermal diffusivity decrease from 78 to 74 mm/s² in the cases of solid solution treated and quenched samples. After quenching and aging, the Si solute precipitates on the Al matrix and increases the thermal diffusivity compared with that after the quenched state. In particular, the increase of the thermal diffusivity is equal to 10 mm/s² without relation to the Si contents in the Al-Si alloy, which seems to corresponded to solute amount of Si 1 wt% in the Al matrix.