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      • 서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1994)

        김재홍,안진균,정성재,김영태,김중환,김시영,이석종,이홍렬,서호석,김경훈,권혁진,정우권,고우석,이용석,안필수,오준규,오용섭 대한화학요법학회 1996 대한화학요법학회지 Vol.14 No.1

        Background : In recent years gonorrhoea has been panendemic and remains one of the most common Sexually Transmitted Diseases in the world, especially in developing countries. Objective & Method : For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria Gonorrhoeae(PPNG), Ive have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1994, 168 strains of N. gonorrhoeae were isolated, among which 109 (64,9% ) were PPNG. Conclustion : Our results suggests that the prevalence of PPNG in Seoul is still increasing.

      • KCI등재후보

        조혈모세포이식 환자에서 침습성 진균 감염에 대한 Micafungin의 예방 효과 및 안전성

        김시현,이동건,최수미,권재철,박선희,최정현,유진홍,이성은,조병식,김유진,이석,김희제,민창기,조석구,김동욱,이종욱,민우성,박종원 대한감염학회 2010 감염과 화학요법 Vol.42 No.3

        Background: Micafungin, a potent inhibitor of 1,3-β-D-glucan synthase, is a novel antifungal agent of the echinocandin class. In vitro study showed that micafungin was effective against Aspergillus species as well as Candida species, but clinical data on the prophylactic efficacy against invasive fungal infections (IFIs) other than candidiasis are still lacking. Materials and Methods: We identified 60 consecutive adult hematopoietic stem cell transplantation (HSCT) recipients who received at least 3 doses of micafungin during neutropenic period. Micafungin was started as an alternative in patients who were intolerant or had adverse events (AEs) to primary prophylactic antifungal agents. We retrospectively reviewed the medical records and analyzed the efficacy and safety of micafungin for prophylaxis against IFIs. Results: The patients either had autologous (n=9) or allogeneic (n=51: 1 syngeneic, 24 sibling, 26 unrelated donor) HSCT. Itraconazole oral solution (n=58) was the most frequently used first line antifungal agent for prophylaxis and was administered for median 11 days. The most frequent cause of switch to micafungin was vomiting (n=42). The duration of neutropenia and micafungin administration was median 13 and 12 days, respectively. A successful outcome was achieved in 45 (75%) patients. Empirical antifungal therapy was initiated in 13 (22%) patients. There were 2 cases (3.3%) of breakthrough fungal infections which comprised a probable invasive pulmonary aspergillosis and a possible invasive fungal sinusitis. There was no case of invasive candidiasis. A total of 53 (88%) patients experienced at least one AE regardless of causality during micafungin administration. The most frequent AEs were hypokalemia, vomiting, diarrhea, and elevated serum aspartate aminotransferase or alanine aminotransferase. Among the aforementioned AEs, only 1 case of diarrhea could be classified as a probable relation with micafungin when causality was assessed. There was no AEs that caused discontinuation of micafungin. Conclusions: Micafungin seems to be a safe and effective agent for prophylaxis of IFIs including aspergillosis as well as candidiasis in HSCT recipients. However, further large, prospective, and randomized comparative studies are warranted for aspergillosis.

      • KCI등재

        A Study on Improvement and Degradation of Si/SiO2 Interface Property for Gate Oxide with TiN Metal Gate

        이병현,Yong-Il Kim,Bong-Soo Kim,Dong-Soo Woo,Yong-Jik Park,Dong-Gun Park,Si-Hyung Lee,Yonghan Rho 한국전기전자재료학회 2008 Transactions on Electrical and Electronic Material Vol.9 No.1

        In this study, we investigated effects of hydrogen annealing (HA) and plasma nitridation (PN) applied in order to improve Si/SiO₂ interface characteristics of TiN metal gate. In result, HA and PN showed a positive effect decreasing number of interface state (Nit) respectively. After FN stress for verifying reliability, however, we identified rapid increase of Nit for TiN gate with HA, which is attributed to hydrogen related to a change of Si/SiO₂ interface characteristic. In contrast to HA, PN showed an improved Nit and gate oxide leakage characteristic due to several possible effects, such as blocking of Chlorine (Cl) diffusion and prevention of thermal reaction between TiN and SiO₂.

      • SCOPUSKCI등재

        A Study on Improvement and Degradation of Si/SiO<sub>2</sub> Interface Property for Gate Oxide with TiN Metal Gate

        Lee, Byung-Hyun,Kim, Yong-Il,Kim, Bong-Soo,Woo, Dong-Soo,Park, Yong-Jik,Park, Dong-Gun,Lee, Si-Hyung,Rho, Yong-Han The Korean Institute of Electrical and Electronic 2008 Transactions on Electrical and Electronic Material Vol.9 No.1

        In this study, we investigated effects of hydrogen annealing (HA) and plasma nitridation (PN) applied in order to improve $Si/SiO_2$ interface characteristics of TiN metal gate. In result, HA and PN showed a positive effect decreasing number of interface state $(N_{it})$ respectively. After FN stress for verifying reliability, however, we identified rapid increase of $N_{it}$ for TiN gate with HA, which is attributed to hydrogen related to a change of $Si/SiO_2$ interface characteristic. In contrast to HA, PN showed an improved Nit and gate oxide leakage characteristic due to several possible effects, such as blocking of Chlorine (Cl) diffusion and prevention of thermal reaction between TiN and $SiO_2$.

      • KCI등재후보

        조혈모세포이식 환자에서 발생한 Cytomegalovirus 질환의 특징 : 일개 대학변원에서 최근 10년간의 경험

        최수미,이동건,박선희,김시현,김유진,민창기,김희제,이석,최정현,유진홍,김동욱,이종욱,민우성,신완식,김춘추 대한감염학회 2009 감염과 화학요법 Vol.41 No.1

        Background : Studies on cytomegalovirus (CMV) diseases in Korean hematopoietic stem cell transplant (HSCT) recipients are lacking and do not reflect the recent trends of advances and changes. Therefore, we tried to analyze the clinical features of CMV diseases in HSCT recipients over the past 10 years at a tertiary university hospital in Korea. Methods : Retrospective review of medical records was done for all adult HSCT patients who received transplant at the Catholic HSCT Center from January 1998 to January 2008. Results : Forty-four cases (2.2%) of CMV diseases were identified. CMV pneumonia was diagnosed in 17 patients, retinitis in 16 patients, enterocolitis in 7 patients, esophagitis 1 patient, gastritis in 1 patient, duodenitis in 1 patient, and hepatitis in 1 patient. The median onset of symptom was 90 days after transplantation. Late CMV diseases accounted for 47.7%. CMV related death varied from 0 to 58.8% according to the involved organ. CMV retinitis was diagnosed relatively later in the course of transplantation mostly in patients who had chronic graft versus host disease (GVHD). On the contrary, CMV enterocolitis mainly occurred in patients who suffered from acute GVHD. The overall concurrent CMV reactivation was documented to be 63.6%: the concurrent CMV reactivation was observed only in 37.5% of patients with retinitis. Conclusions : We observed some differences in the pattern of CMV disease manifestation according to the involved organ and reconfirmed the fact that CMV pneumonia is the most common and fatal disease in HSCT recipients. Additionally, CMV retinitis was not uncommon in HSCT recipients. Since specific marker does not exist in predicting retinitis, regular ocular examination should be done thoroughly, especially in patients with chronic GVHD.

      • KCI등재

        광양만에서 춘계와 하계 영양염류 첨가가 식물플랑크톤군집의 성장에 미치는 영향

        배시우,김동선,최현우,김영옥,문창호,백승호,Bae, Si Woo,Kim, Dongseon,choi, Hyun-Woo,Kim, Young Ok,Moon, Chang Ho,Baek, Seung Ho 한국해양학회 2014 바다 Vol.19 No.1

        춘계와 하계 광양만에서 식물플랑크톤 군집구조와 그들의 성장에 영향을 미치는 영양염제한 특성을 파악하기 위해서 만내외측의 20개 정점에서 생물학적 요인과 무생물학적 요인을 조사했다. 또한 식물플랑크톤 군집에 대한 영양염 첨가 효과를 알아보기 위해서 실험실에서 현장 20개 정점의 표층수를 이용하여 생물검정실험을 수행하였다. 전체 식물플랑크톤 군집의 90%이상을 규조류가 차지하였다. 이들 규조류중 Eucampia zodiacus와 Skeletonema costatum-like 종이 춘계와 하계에 각각 우점하였다. E. zodiacus와 S. costatum-like 규조류의 개체군 밀도가 춘계와 하계에 높은 밀도를 유지하게 된 이유를 간단히 설명하면, E. zodiacus 의 성장은 춘계 투명도가 높게 나타나 유광층내 광량의 증가가 원인으로 생각된다. 즉 유광층내 광량의 증가는 E. zodiacus의 개체수를 폭발적으로 증가시킬 수 있는 방아쇠 역할을 한 것으로 판단된다. 하계에 S. costatum-like이 전해역에서 우점한 이유는, 섬진강 담수 유입에 의한 낮은 염분과 함께 공급된 다량의 영양염은 그들 생물의 증식에 중요한 bottom-up 효과를 보였다고 판단된다. 실험실의 생물검정실험에서는 비록 내만(정점 8)과 외해(정점 20)에서 식물플랑크톤 군집의 최대 성장율은 유사하였지만, 인산염에 대한 반포화계수($K_s$)는 내만정점보다 약간 낮았다. 상대적으로 낮은 영양염농도에 적응한 세포는 낮은 인산염농도에서 충분히 성장할 수 있고, 다른 미세조류에 비하여 낮은 영양염농도의 조건에서 경쟁의 우위를 차지 할 것이다. 특히, 하계의 N영양염 첨가군의 효율은 대조군과 P영양염 첨가군에 비해서 높았다. 이는 광양만에서 하계에 N영양염의 공급이 섬진강을 통하여 계속적으로 유입되지만, 빠른 식물플랑크톤의 증식으로 인하여 N영양염 제한이 일어날 수 있다는 것을 시사할 수 있다. 반면, 규산염은 식물플랑크톤의 성장에 영향을 미치는 제한인자로 나타나지 않았고, 규조류의 분해로 인하여 Si의 재순환과 담수로부터 공급된 높은 규산염농도는 광양만에서 규조류 생태계를 유지할수 있는 유리한 조건이라 생각된다. In order to estimate the effect of nutrients addition for phytoplankton growth and community compositons in spring and summer season, we investigated the abiotic and biotic factors of surface and bottom waters at 20 stations of inner and offshore areas in Gwangyang Bay, Korea. Nutrient additional experiments were also conducted to identify any additional nutrient effects on phytoplankton assemblage using the surface water for the assay. Bacillariophyceae occupied more than 90% of total phytoplankton assembleges. Of these, diatom Eucampia zodiacus and Skeletonema costatum-like species was mainly dominated in spring and summer, respectively. Here, we can offer the season why the two diatom population densities were maintained at high levels in both seasons. First, light transparency of spring season in the euphotic zone was greatly improved in the bay. This improvement is one of important factor as tigger of increase in E. zodiacus population. Second, low salinity and high nutrient sources supplied by Seomjin River discharge are a main cue for strong bottom-up effects on S. costatum-like species during the summer rainy season. Based on the algal bio-assays, although maximum growth rate of phytoplankton communities at inner bay (St.8) were similar to those of outer bay (St.20), half-saturation constant ($K_s$) for phosphate at outer bay was slightly lower than those of inner bay. This implied that adapted cells in low nutrient condition of outer bay may have enough grown even the low phosphate and they also have a competitive advantage against other algal species under low nutrient condition. In particular, efficiency of N (+) addition in summer season was higher compared to control and P added experiments. In the bay, silicon was not a major limiting factor for phytoplankton growth, whereas nitrogen (N) was considered as a limiting factor during spring and summer. Therefore, a sufficient silicate supply form water mixing Si recycled from diatom decomposition and river water is favorable form maintaining diatom ecosystems in Gwangyang Bay.

      • SCOPUSKCI등재
      • 관상동맥 질환에서 SDF-1α의 농도

        김보영,박용규,박형서,노상필,정승현,이유선,이정우,이재환,최시완,정진옥,성인환 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

        Atherosclerosis is now viewed as an inflammatory disease of the vascular system. Expression of several chemokines, including monocyte chemoattractant protein(MCP)-1, MCP-4, RANTES(regulated on activation normal T-cell expressed and secreted), and interleukin-8(IL-8) are increased in human atherosclerotic plaques compared with normal vessels. They are involved in the pathogenesis of atherosclerosis and plaque rupture by activating and directing leukocytes into the atherosclerotic lesions. However, some are involved in homeostatic functions such as normal leukocyte traffic and growth regulation. SDF-la is a multi-functional cytokine that is involved in myelogenesis, hematopoiesis, angiogenesis and injured gastric mucosal regeneration in the gastric ulcer patient. SDF-la is recently shown to be highly expressed in atherosclerotic plaques and a potent platelet agonist. At least in high concentrations, SDF-la may mediate antiinflammatory and matrix stabilizing effects in unstable angina. Many studies are going on to know the function of SDF-la in coronary artery diseases. I investigated the difference of the plasma level of SDF-la between control group and coronary artery disease group. Total 75 subjects were enrolled. The diagnosis of coronary artery disease was confirmed in all patients by coronary angiography. Control subjects in this study were confirmed normal by coronary angiography. Clinical profile and risk factors were also reviewed. Control subjects in this study were 27 (M=10, F=17). Plasma for the study was collected before the angiography and centrifuged. SDF-la analysis was performed by ELISA. Plasma level of SDF-la is significantly increased in patients with stable angina(n=20) and unstable angina group(n=28) compared with healthy control group(n=27). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases. In this study, plasma level of SDF-la is increased in patients with stable angina and unstable angina groups compared with healthy control group(P<0.05). the risk factors do not influence the plasma level of SDF-la in coronary artery diseases.

      • 수포성 유천포창 자가항체 IgG의 항원 특이성에 관한 연구

        김시영,전재홍,이창우 한양대학교 의과대학 1997 한양의대 학술지 Vol.17 No.2

        Bullous pemphigoid is a rare autoimmune dermatosis characterized by subepidermal bullae. The sera of these patients mostly contains detectable autoantibodies of IgG which bind to the hemidesmosome of the cutaneous basement membrane. It is well known that there are two bullous pemphigoid antigen molecules, 230 kD and 180 kD proteins. Serum studies in Caucasian patients show that 50-90% of the patients recognize 230 kD antigen while 20-30% recognize 180 kD antigen. The purpose of this study is to exammine the antigenic specificity of the autoantibodies in molecular level with 7 Korean patients with this disease by immunoblot analysis, and to compare this with the data obtained from Western countries. In the immunoblot studies 5 sera among the 7 patients (71%) reacted 230 kD antigen, 3 cases among those patients (43%) recognize 180 kD antigen, and in 1 cases (14%) the serum was found to recognize both antigens;a similar proportional rate with that of Western data. The results suggest that there may not be a racial difference in the antigen molecule-related antibody specificity in bullous pemphigoid.

      • 전산의 사용에 따른 업무능률성 분석 : 경상북도 구미시청의 사례 The Case of Gu Mi City Hall, Kyong Sang Book Do

        김시영,정우열 영남대학교 지역발전연구소 1998 새마을지역개발연구 Vol.23 No.-

        Nowadays, the Local government have become extensive users of computing. The increase in computing use has been based on the assumption is a tool which enables agencies to increase their business efficiency. According to the analysis of the data collected from the Gu-Mi city local government, analysis in efficiency attributable to the use of computing are perceived by local government employees in term of work speed, accuracy, cost saving, service improvement, and sense of accomplishment. However, much uncertainty exists regarding the utilization of time freed, coordination of service delivery by the use of computing.

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