녹동균 세포외막 단백질 백신 CFC-1-101의 안정성 및 면역원성 검토 : 임상 제 Ⅰ/Ⅱa상 시험

장인진,김익상,유경상,임동석,김형기,신상구,장우현,박완제,이나경,정상보,안동호,조양제,안보영,이윤하,김영지,남성우,김현수 대한감염학회 1998 감염 Vol.30 No.3

목적 : 제일제당에서는 녹농균의 세포외막 단밸질을 유효성분으로 하는 백신인 CFC-101을 개발하였으며, 동물시험에서 이 백신의 안전성과 유효성을 입증하였다. 본 연구에서는 이 녹농균 백신의 인체에 대한 안전성과 면역원성을 평가하는 동시에 인체 접종시의 최적 투여 용량을 결정하기 위하여 제 I/Ⅱa상 임상시험을 수행하였다. 방법 : 건강한 성인 남자를 피험자로 선별하여 각 용량군에 백신투여자 6명, 위약투여자 2명을 배정하였다. 백신 투여군은 0.25mg, 0.5mg 또는 1.0mg 용량의 녹농균 백신을 7일 간격으로 3회에 걸쳐 근육주사 하였으며, 위약 투여군에게는 세포외막 단백질을 제외한 동일한 성분을 투여하였다. 백신접종 후 국소적 또는 전신적인 반응의 발생여부를 관찰하고, 혈액시료를 체취하여 백신의 역가와 유효성을 검정하였다. 결과 : 녹농균 백신 CFC-101은 모든 접종자에서 양호한 내약성을 보였다. 또한 0.5mg 과 1.0mg 백신 투여군에서는 100%의 항체양전율을 나타내었다. 생성된 항체는 녹농균 세포외막단백질에 특이성을 보였고, 녹농균 감염에 대해 방어효능이 있었다. 결론 : 이와같은 결과로부터 이 녹농균 백신은 인체에 안전하게 투여할 수 있으며, 높은 항체 생성능으로 감염방어 효능을 보이고 0.5mg과 1.0mg이 최적용량인 것으로 판단되었다. Background : We developed a Pseudomonas aeruginosa outer membrane protein(OMP) vaccine CFC-101, and the prophylactic efficacy of which has been demonstrated in animal models. In order to evaluate the safety and immunogenicity of the P. aeruginosa vaccine, we carried out a phase I/Ⅱa clinical trial in healthy male volunteers. Methods : Groups of eight volunteers, including two placebo subjects, were vaccinated intramuscularly with three doses of 0.25, 0.5 or 1.0 mg of the vaccine at one week intervals. Sings of systemic and local reactions observed after vaccination were recorded for each vaccinee for 5 days. Physical examinations were performed on days 0, 1, 7, 8, 14, 15, 21, and 42, and clinical laboratory tests were done on days 0, 3, and 21. Blood samples for assay of serum antibody levels were obtained up to 42 days after the first vaccination. Results : The vaccine was generally well tolerated by all vaccinees, showing no significant side effects. In the three dosage groups, all vaccinees, except one receiving the 0.25 mg dose, showed significant elevation in serum IgG antibody titers against the vaccine proteins, indicating 100% seroconversion in 0.5 and 1.0 mg groups. The human antibodies induced by the vaccine were specific for P. aeruginosa OMPs, as confirmed by western blot analysis and immunoprecipitation assays. The capacity of the human antisera to enhance opsonophagocytic killing activity by polymorphonuclear leukocytes and to confer protection against P. aeruginosa infections indicates that the antibodies elicited by the vaccine have protective efficacy. Conclusion : We conclude that the P. aeruginosa OMP vaccine is safe and effective for human use and its optimal dose to be 0.5 or 1.0 mg.

성인에서 발생한 발진성 가성 혈관종증

서상희 ( Sang Hee Seo ),장호선 ( Ho Sun Jang ),목혜수 ( Hye Soo Mok ),김성준 ( Sung Jun Kim ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),오창근 ( Chang Keun Oh ),권경술 ( Kyung Sool Kwon ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.8

Background: Eruptive pseudoangiomatosis (EPA) is a rare, benign, spontaneously regressing childhood exanthem. It is characterized by the sudden onset of several bright red angioma-like papules surrounded by pale halos with a distinct histopathology from true angiomas. Objective: This study was performed to evaluate the clinical and histopathologic characteristics of EPA occuring in adults. Methods: Ten adult patients who visited Pusan National University Hospital and Mok Hye-SooㆍJang Ho-Sun Dermatology Clinic from March 2005 to September 2006 were evaluated. We prospectively evaluated the sex, age, onset season, past medical history including immunosuppressive abnormalities, systemic disorders and other diseases including allergies. We also investigated the relations of mosquito biting, patients` occupations and outdoor activities to occurrence of EPA. In addition, simultaneous occurrence in family members, the clinical, histopathologic, laboratory findings, disease courses and responses to treatment were evaluated. Based on medical records, photographs and pathologic slides, we retrospectively diagnosed another 20 EPA patients suspected as insect bite from October 2003 to March 2005. The same questions were inquired as for the 10 patients who prospectively underwent evaluation. Results: In the study, female predominance (76.7%) was observed and the average age of onset was 54.2 years. Interestingly, there was no child patient during the period of study. Multiple, 2∼5 mm sized, red angiomatous papules surrounded by pale halos occurred on exposed areas such as the arms (86.7%), legs (50%), and face (46.7%), although it could also occur to a non-exposed area. EPA occuring in adults usually appeared in summer (80%). The mean disease duration was 3.4 weeks. Although EPA spontaneously regressed, it had the potential of recurrence (46.7%). Histopathologic findings showed dilated dermal blood vessels without the evidence of increase in numbers, and perivascular lymphocytes infiltration. Inside the lumen of dermal blood vessels, plump endothelial cells were found. Conclusion: EPA occuring in adults usually happened to exposed sites in summer, so it can be misdiagnosed as insect bite. We suggest that dermatologists should be concerned about EPA in adults and conduct further investigation to have a better understanding of the disease. (Korean J Dermatol 2007;45(8):797∼803)

키토산 구슬을 이용한 가토 연골세포의배양

장의찬,김경환,저호중,이기현,정상인,손태일 대한정형외과연구학회 2003 대한정형외과연구학회지 Vol.6 No.2

鹽-觸媒와 Phenyl Glycidyl Ether에 依한 絹纖維의 改質에 관한 硏究

張炳浩,李相洛 成均館大學校 科學技術硏究所 1988 論文集 Vol.39 No.2

The silk was padded with NaSCN containing to an approximate 100% pick up and then treated with solution PGE in various solvents at 75℃ for 6 hours. The conclusions were as follows; 1) PGE add-on reached maximum when 1N NaSCN, 1.5M PGE and 100% moisture regain were used in ethanol. 2) The dry wrinkle recovery angle, chemical resistance is ere increased continuously with the increase of PGE add-on. 3) Amount of amino acid in silk was decreased as PGE add-on increased. Especially, tyrosine was decreased remarkably. 4) The effect of K/S and PGE add-on were the most outstanding when n-Hexane was used in the various solvents.

천연가스 사용 난방 및 산업보일러의 NOx와 CO 배출계수 산정 연구

장영기,최상진,김관,송기봉,김호정,정봉진 한국대기환경학회 2004 한국대기환경학회지 Vol.20 No.5

This study was conducted for developing the emission factors of nitrogen oxide(NOx) and carbon monoxide (CO) from the combustion boilers burning liquefied natural gas (LNG). These emission factors were compared with those of U.S. EPA and European Environment Agency (EEA). NOx and CO concentration in the flow gas were measured using Kane-May, KM9106 and Thermo Environmental Instruments Inc., 42C-HL. Measurement were conducted at thirty industrial and commercial LNG boilers. Emission factors were calculated on the basis of fuel consumption (kg-pollutant/㎥-fuel burned). NOx concentration at industrial boiler was 14~125 ppm and it was measured as 35~125 ppm at commercial boiler. NOx emission factors of industrial boiler and commercial boiler were 1.84kg/㎥ and 2.09kg/㎥, respectively. NOx emission factor of commercial boiler was higher than that of industrial boiler. The NOx emission factors estimated in this study were lower than those of U.S. EPA and higher than those of EEA. Average CO emission factor of industrial boiler was 0.65 kg/㎥ and at commercial boiler it was 0.70kg/㎥, CO emission factor at industrial boiler was lower than that at commercial boiler.

제주지역 관광수입 통계에 관한 조사연구 : 여행경비기준산출을 중심으로 The Cheju Island Case

장성수,송재호 한국관광정책학회 2000 觀光政策學硏究 Vol.6 No.1

To make the efficient tourism policy and manage the tourism business is it necessary that the tourism statistics should precisely be drawn up, and the tourist and tourism receipts, the fundamental items of tourism statistics, be estimated precisely and periodically. This survey, which is based on the above recognition calculates the criteria of the per capita tourism expenditures for the purpose of precisely measuring the tourism receipts in cheju island. In addition, the criteria of tourism expenditure and tourism receipts officially published by the Cheju Provincial Government and Cheju Travel Association is compared and analysed. According to the integration of the survey analysis executed four times, per capita tourism expenditure except the round air fare is surveyed 261,175won for the group tourist, 137,544won for the school excursion, 580,204won for the honeymoon, 293,418won for the family tourist, 235,007won for the individual tourist, 2,165,561won for Japanese, 473,007won for Chinese, and 440,683won for the English-Speaking tourist. This results indicates that all travel patterns except the school excursion is higher than the official criteria of Cheju Province Office. Estimating the tourism receipts of Cheju island in 1999 based on the criteria of tourism expenditures suggested by this survey is estimated 1,745,200,000,000 won including the one-way air fare, which is more than 700,000,000,000 won compared to 1,295,000,000,000 won which is the criteria of Cheju Provincial Government. The contents of this study are as follows : I. Purpose of this study, Ⅱ. Conceptual system of the tourism receipts and expenditures, Ⅲ. Analysis of the tourism statistics in Cheju Island, Ⅳ. Survey Design : modelling and sampling, Ⅴ. Results and Implications, Ⅵ. Concluding remarks.

Clozapine 투여후 발생한 급성 간염

장순주,이호택,백주희,이상연 대한신경정신의학회 1999 신경정신의학 Vol.38 No.1

Clozapine 투여 후에 급성 간염이 발생했던 두 명의 환자에 대한 증례로, 두 명 모두 이전에 약물에 이한 간염이 발생한 과거력이 있었던 환자로서 무증사의 급성 간염이 발생한 후에 보존적 치료 후에 호전 되었다. 간염이 발생한 후에 간효소수치에 대해 정기적으로 검사를 하면서, 사용하고 있던 clozapine의 용량을 낮춘 후 간장제를 투여함으로써 간효소수치는 정상화되었다. Clozapine과 비교하면 clozapine은 간세포의 cytochrome P450에 영향을 미치는 것으로 생각되고 있고 chlorpromazine은 간내 담즙저류에 영향을 미치는 것으로 생각된다. 과거 약물에 의한 간염을 경험한 환자는 clozapine에 의해 유도된 감염에 보다 취약성을 보일 가능성이 있으며, 이런 관점에서 이전의 간 기능 이상을 경험했거나 물질 사용 장애 등의 병발이 있을 경우 정기적인 간기능 평가가 임상적으로 중요할 것으로 판단된다. The authors report two cases of clzapine-induced acute hepatitis. Two patients developed asymptomatic hepatitis and got better with conservative care. We decreased the dosage of clozapine and added hepatic protections, resulting in normalized laboratory findings. The authors also reviewed side effects of clozapine in this report. We reviewed the suggested mechanism of either clozapine or chlorpromazine-induced hepatitis. clozapine influences the liver cell via cytochrome P 450 and chlorpromazine does so via mild cholestasis. There may be a possibility that a patient who has experienced drug-induced hepatitis is vulnerable to clozapine-induced acute hepatitis. In this respect, those who have experienced drug-induced hepatitis must be observed more closely.

지식 기반 교육컨테츠 저작시스템

장재경,김호성 한국컴퓨터교육학회 2004 컴퓨터교육학회 논문지 Vol.7 No.2

e-Learning에서 교수-학습자들 간에 형성되는 지식들을 체계적으로 관리하여 효과적인 교수-학습을 수행할 목적으로 교수자들이 교수 설계 이론에 따른 다양한 강의들에 교육 컨텐츠를 보다 쉽게 저작할 수 있는 시스템을 개발하였다. SCORM 표준에 따라 학습객체 간 관계를 설정하여 저작된 컨텐츠는 학습자가 학습내용을 개념화하는데 도움을 줄 것이다. 시맨틱 웹의 RDF를 적용하여 학습객체 간의 관계를 설정함으로써 지식맵을 구성하였고, 교수자가 해당 분야에서 사용되는 단어를 등록하여 일종의 어휘사전을 만들 수 있는 온톨로지를 도입하였다. 학습자의 이해도와 성취도를 고려한 개별학습을 제공하기 위하여 도입된 상호작용점을 따라 학습자마다 개별적인 학습맵이 구성되어 학생 개인의 학습활동과 이해도를 평가할 수 있다. For the purpose of an effective instruction-learning process by systematic management of knowledge between instructor and learner in e-Learning, we have developed the authoring system in which the instructor is able to author easily on various lecture frames according to the instructional design theory. The authored contents with the relations among the learning objects based on SCORM standard would help learner to conceptualize the contents. A knowledge map is constructed on the relations among the learning objects using RDF of the semantic web. We introduce the ontology in which the instructor can make a dictionary of terminology by registering the words of the teaching area. The learning activity and comprehension of students can be assessed using each student's learning map along the interaction points which are introduced to present the individual learning by considering each student's capacity of understanding and achievement.

편심 압축력을 받는 스테인리스 각형강관 기둥의 곡률형상에 따른 좌굴내력에 관한 실험적 연구

장호주,서성연,양영성 대한건축학회 2005 大韓建築學會論文集 : 構造系 Vol.21 No.2

This study is a series of experimental investigation on the buckling strengths of eccentrically compressed cold-formed stainless steel square hollow section columns. The principal parameters in this study are slenderness ratios(λ=30, 50, 70) and magnitude of eccentricity e(0, 2.5, 5.0, 7.5. 10cm) on the direction of end-moment. The direction of end-moment means 3 different bending moment distributions. Objectives of this paper are to obtain the maximum loads and moments by performing an experimental work and to compare the experimental behaviors with the design standard curves, AIK-LSD and AISC-LRFD, AIJ-LSD, SIJ-ASD curves. The ultimate buckling strengths and bending moments of square section members were evaluated by a method in accordance with design standard curves. Therefore this paper attempts design standard for the use of these stainless steel columns as structural compression members. The numerically obtained ultimate buckling strengths and bending moments design standard curves of beam-columns showed a reasonably good agreement with the available experimental results.

불소함유 접착 테이프의 상아질 지각과민증 치료효과

장향길,이난영,이상호 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.3

본 임상연구는 상아질지각과민증을 치료하기 위한 여러 가지 방법 중 효과적인 방법의 하나로 알려져 있는 불소(NaF)를 이용하여 불소테이프(SCMC-T-5)를 개발, 제조하고, 이를 이용하여 상아질 지각과민 치료 효과를 기존의 불소바니쉬(Cavity Shield™)와 비교, 평가하였다. 상아질 지각과민증이 있는 건강한 20대 남녀 22명(88개 치아)이 본 임상연구에 참가하였으며, 각각 11명씩 불소테이프를 부착시킨 실험군과 불소바니쉬를 도포한 대조군으로 분류하였다. 불소 제제는 제조사의 지시에 따라 적용되었으며, 불소 제제 도포 전, 도포 3일후, 1주일 후, 4주일 후 대상치아에 압축공기와 얼음막대를 이용하여 자극을 가한 뒤 visual analog scale(VAS)을 이용하여 통증 정도를 표시하도록 하였다. 실험군에서 VAS scores는 초기에 38.636(air), 62.273(ice), 3일 후 30.273(air), 49.545(ice), 1주일 후 28.182(air), 40.000(ice), 4주일 후 26.364(air), 37.727(ice)이었으며, 초기 VAS socres에 비해 모든 VAS scores는 통계학적으로 유의성 있게 감소되었다. 대조군에서 VAS scores는 초기에 42.274(air), 65.909(ice), 3일 후 34.091(air), 55.909(ice), 1주일 후 28.636(air), 40.909(ice), 4주일 후 27.727(air), 31.364(ice)이었으며, 3일 후에 시행된 압축공기에 의한 자극검사를 제외한 모든 VAS scores는 초기 VAS socres와 비교했을 때 통계학적으로 유의성 있게 감소되었다. 본 임상연구에 사용된 불소테이프와 불소바니쉬는 상아질 지각과민증을 효과적으로 감소시켰고, 두 약제간의 치료효과의 차이는 없었다. In this clinical research, the fluoride tape(SCMC-T-5) using fluoride(NaF) was developed and manufactured and the treatment effect of the fluoride tape in dentin hypersensitivity patients was evaluated and compared with the effect of existing fluoride varnish(CavityShield™). Twenty two healthy adult patients(88 teeth) having dentin hypersensitivity participated in this clinical research and they were divided into two groups. The fluoride product was applied according to the manufacturer's instruction and the level of pain in the tooth after giving irritation using compressed air and ice stick was measured just after the application, after 3 days, after a week and after 4 weeks each using visual analog scale(VAS). In the experimental group, compared with the early VAS scores, all other VAS scores showed the significant decreases statistically. In the control group, all VAS scores except the VAS score of 34.091(air) measured 3 days after(using the irritation examination by the compressed air) showed the significant decreases statistically when compared with the early VAS scores. The fluoride tape and fluoride varnish used in this clinical research were able to treat the dentin hypersensitivity effectively.