급성 췌장염의 시대적 변화

김배영(Bai Young Kim),김효종(Hyo Jong Kim),정형근(Hyung Keun Chung),김영관(Young Kwan Kim),동석호(Seok Ho Dong),김병호(Byung Ho Kim),이정일(Jung Il Lee),장영운(Young Woon Chang),장린(Rin Chang) 대한내과학회 1993 대한내과학회지 Vol.45 No.5

Background: According to the rapid changes in social environment such as increasing alcohol consumption and the marked improvement in diagnostic technique, we expect that there have been major changes in various aspects of acute pancreatitis during the recent 12 years in Korea. Methods: The medical records of 317 patients with acute pancreatitis diagnosed from 1980 through 1992 were reviewed about clinical, laboratory and radiological findings in the three different time period. Results: 1) There has been an increasing incidence in male sex about three folds. 2) There has been an increasing trends in the duration of hospitalization. 3) A significant increase was observed in the proportion of patients with alcoholic pancreatitis in the three different time period; 26.9%, 45.7%, 50.7% respectively. 4) The complication rates have been slightly increased in the three different time period; 46.3%, 47.1%, 59.1% respectively. But, the type of complications has not been changed. 5) There is increasing severity in non-gallstone group, but no significant differences in gallstone group. There is a declining trends in the number of patients with muld severity index, but increasing trend in the number of patients with moderate severity index in non-gallstone group. 6) There was no significant differences in mortality rate. Conclusions: There has been major changes in the etiology ans severity of acute pancreatitis from 1980 through 1992. Especially, significant increase in the proportion of patients with alcoholic pancreatitis was observed in the three differnt time period. These results might be due to socioeconomic changes.

십이지장 결핵 2예의 내시경적 고찰

장린,박충기,민영일,장영운,우정택,방익수,최학림,장주희 대한소화기내시경학회 1985 Clinical Endoscopy Vol.5 No.1

Today, the duodenal tuberculosis is a very rare disease. Final diagnosis of duodenal tuberculosis is difficult due to inconsistent symptoms and nonspecific duodenal lesions. We found 2 cases of duodenal tuberculosis by gastrascopy. In gastroscopic findings, there were undetermined ulcers and irregular nodular mucosal changes.

속박 (束縛) 과 침수 (浸水) 로 유도된 흰쥐의 스트레스성 급성 (急性) 위점막병변 (胃粘膜病變) 발생에 있어서 위산분비의 (胃酸分泌) 역할

민영일(Young Il Min),박충기(Choong Kee Park),장린(Rin Chang),김병호(Byung Ho Kim),장영운(Young Woon Chang),이정일(Jung Il Lee),박승준(Seung Joon Park),정주호(Joo Ho chung),정지창(Jee Chang Jung) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1

N/A The possible roles of gastric acid secretion in the pathogenesis of stress ulcers induced by restraint with water-immersion for 7 hours in pylorus-ligated rats were investigated. Control rats with pylorus-ligation only did not show any gastric mucosa} lesion, and their mean gastric acid output was 449.2 ± 36.1 umol/rat. In contrast, the stressed rats, group II, showed multiple, punctate and hemorrhagic erosions in gastric mucosa, and mean gastric acid output was decreased to the level of 253.7 ± 27.3 umol/rat. Subcutaneous administration of histamine(40 mg/kg every 2.5 h for a total three times) to stressed rats augmented the lesion with severe multiple, linear and hemorrhagic erosions and mean acid output increased significantly (328.1 ± 31.5 umol/, p<0.005) compared with group II. Pretreatment with rantidine(20 mg/kg) or prostaglandin E2 (30 ug/kg) before exposure to stress reduced gastric lesion formation slightly with no significance. In ranitidine pretreated rats, mean gastric acid output was decreased significantly (120.1 ± 15.3 umol/rat, p<0.005) compared with group II. However, in prostaglandin pretreated rats, mean gastric acid output showed no significant changes. Therefore, it is suggested that increased gastric acid secretion seems to be an aggravating or a permissive factor rather than a major factor in the pathogenesis of stress-induced gastric mucosal lesions.

가교정도에 따른 고무복합체의 물리적 특성에 관한 연구

나창운(Chang Woon Nah),김현재(Hyeon Jae Kim),강신영(Shin Young Kaang) 한국고무학회 1998 엘라스토머 및 콤포지트 Vol.33 No.4

N/A Tensile properties including Young`s modulus and tear strength were measured for four different rubber compounds; natural rubber(NR), styrene-butadiene copolymer(SBR), ethylene-propylene dime monomer(EPDM), and brominated isobutylene-p-methyl-styrene copolymer(BIMS) as a function of temperature and degree of cure. To see the effect of over cure, a measurement was made of the tensile strength and swelling behavior of the over-cured rubber compounds. Young`s modulus, E, was found to have linear dependency on the degree of cure for all rubber compounds. EPDM and BIMS showed the highest and lowest slopes, respectively. The slope of NR and SBR lay between EPDM and BIMS. Tear strength, Gc, decreased in the order of NR$gt;BIMS$gt;SBR$gt;EPDM. As the cure time was extended the degree of cure of NR and SBR decreased, while that of BIMS increased. EPDM showed little change in the degree of cure.

담관암세포주에서 내인성 peroxisome proliferator-activated receptor gamma 배위자인 15-deoxy-delta(12,14)-prostaglandin J2의 항암 효과

정성훈 ( Sung Hoon Jung ),김병호 ( Byung Ho Kim ),김영일 ( Young Il Kim ),심재준 ( Jae Jun Shim ),황보영 ( Bo Young Hwang ),장재영 ( Jae Young Jang ),동석호 ( Seok Ho Dong ),김효종 ( Hyo Jong Kim ),장영운 ( Young Woon Chang ),장 대한내과학회 2010 대한내과학회지 Vol.78 No.1

Background/Aims: Peroxisome proliferator-activated receptor (PPAR)-γ ligand is known to inhibit the growth of several kinds of cancer cells, yet its effect on cholangiocarcinoma is indecisive. We investigated the effect of an endogenous ligand of PPAR-γ, 15-deoxy-δ (12,14)-prostaglandin J2 (15-deoxy-PGJ2) on cholangiocarcinoma cells that were established from intrahepatic cholangiocarcinoma tissue of Korean patients. Methods: Four cholangiocarcinoma cell lines, Cho-CK, Choi-CK, JCK and SCK, were studied. The mRNA expression of PPAR-γ, bcl-2, and bax were examined by RT-PCR. Cell viability was determined by MTT assay. The cell cycle was analyzed by flow cytometry, and apoptosis by cell death detection ELISA kit. Caspase activity was measured by colorimetric assay. The effect of caspase inhibitors on 15-deoxy-PGJ2-induced apoptosis was determined by measuring cell viability using the MTT assay. Results: PPAR-γ mRNA was expressed in all cholangiocarcinoma cells. 15-deoxy-PGJ2 inhibited proliferation of all cells in a dose- and time-dependent manner. All cells treated with 15-deoxy-PGJ2 showed increased dose-dependent apoptosis. Caspase 3 was activated in all cells and caspase 9 was activated in all but JCK cells after 15-deoxy-PGJ2 treatment. Caspase 8 activity showed no significant change. The pan-caspase inhibitor, Z-VAD-FMK, and the caspase-3 inhibitor, Z-DEVD-FMK, blocked 15-deoxy-PGJ2-induced apoptosis in all cells dose-dependently. The expression of bcl-2 was decreased in Cho-CK, Choi-CK and SCK cells, and bax expression was not changed significantly after 15-deoxy-PGJ2 treatment. Conclusions: PPAR-γ mRNA was expressed in all Korean cholangiocarcinoma cells. Our data suggest that 15-deoxy-PGJ2 exerts an antineoplastic effect against cholangiocarcinoma cells by inducing apoptosis through caspase activation. (Korean J Med 78:75-86, 2010)

SV40 T 항원의 온도조건부 변이형 유전자가 포함된 Amphotropic Retrovirus 에 의한 사람 태아 간세포의 불멸화

이정일(Joung Il Lee),동석호(Seok Ho Dong),김효종(Hyo Jong Kim),김병호(Byung Ho Kim),장영운(Young Woon Chang),장린(Rin Chang),성세라(Se Ra Seong),박재경(Jae Kyung Park),김승보(Seung Bo Kim),이상목(Sang Mok Lee) 대한내과학회 1999 대한내과학회지 Vol.57 No.1

Human cells are almost never spontaneously immortalized in vitro. We tried to immortalize human fetal hepatocytes (h-FH) and evaluate the differentiational status and its change. Methods : Hepatocytes were isolated from a liver fragment of 20 week old fetus and infected with amphotropic recombinant retrovirus containing a temperature- sensitive mutant of SV40 large T antigen and neomycin phosphotransferase gene. G418 resistant colonies were cloned and expanded. The cells which were able to divide more than 30 times were used to analyze various functions. Results : The immortalization rate was 3.3 x 10-8 and two cell lines (C11, D21) were established. C11-60, C11-80, D21-30 and D21-60 (suffix number means the cell division counts) were evaluated. D21-30 was thougt to be imcompletely immortalized because a considerable portion of cells died during culture. The morphology was similar to that of epithelial cells except for D21-30 which looked like fibroblast. The cells grew rapidly at 33oC but stopped growing at 39oC. T antigen and p53 was expressed at 33oC but disappeared at 39oC, which suggest that T antigen binds to p53. Chromosomal changes were so marked that it was impossible to discriminate exact number. Albumin was secreted as about 1/10 as that of h-FH, but alpha-fetoprotein secretion stopped after immortalization. Telomerase was activated in both cell lines except for the incompletely immortalized cells D21-30. Telomere was elongated in competely immortalized cell lines, but it was rather shortened in D21-30 compared to that of h-FH. Macroscopic colonies did not develop in soft agar assay. Conclusions : We successfully immortalized human fetal hepatocytes. Although the cells are not likely to have oncogenicity, the functions are not so good, possibly due to marked chromosomal changes which are thought to occur before telomerase is activated during immortalization step.

專攻-適性 不一致 大學生의 專攻學科 適應指導方案에 關한 硏究

張大雲,朴鎭玹,羅東晋,李永植 全北大學校 學生生活硏究所 1986 學生生活硏究 Vol.14 No.-

A large portion of college students show dissatisfaction with their majors. This study presumed that this satisfaction might be caused by discrepancy between major and aptitude and that the problems of this students might be serious. In these regards, this study was attempted to search for the causes of the problems and to develop a small group counseling program for solving them. This study is composed of two substudies. The first part of this study was to examine systematically the variables related to their dissatisfaction with their majors, on the bases of the expectancy motivation theory of organizational behavior. Subjects were 500 juniors, selected from 10 departments of Chon-buk National University. The dependent variables were measured by three. subscales taken from the Program Evaluation Survey. They included the satisfaction with intellectual level of major curriculum, the satisfaction with student-faculty relationships, and the general interests of major academics. Four independent measures were also collected, including major-related expectancy, central life interests, academic achievement, and aptitude. The results of this study were summarized as follows: 1) Consistent with the expectancy motivation model, the central life interests, major-related expectancy, and academic achievement were all a significant predictors of the subscales of satisfaction with majors, in group as well as individually, and these predictor variables also revealed differentiated effects on each of three dependent variables. 2) Contrast with the selected model, academic achievement revealed no significant relationship to the expectancy variables, except for the central life interests. The second part of this study was to develop a small group counseling program, through which students might perform successfully their own major tasks, overcoming their dissatisfaction caused by the major-aptitude discrepancy, and to examine its effectiveness in practice. Based on the conceptual nature of group counseling, group counseling theories and group career development programs, and group-establishing processes, this study developed a group counseling program for major-aptitude development. Subjects were 10 freshmen and 10 juniors, who had thought their majors were inconsistent to their central life interests. They worked through the program two hours a week six weekly long. This study has shown the following facts : 1) The program increased significantly their satisfaction with majors. This result was true equally for each subscore as well as the total score of the satisfaction scale. 2) Also, the effect of program differed significantly by sex and grade, but was not differentiated by grade alone. On the bases of these findings, finally, this study suggested some of research problems, which need to be investigated in future studies on major-adjustment programs for college students with major-aptitude discrepancy.

相談을 위한 多樣한 世界觀의 探索과 價値 自己-直面法의 適用

張大雲,朴榮宣 全北大學校 敎育大學院 1995 敎育論叢 Vol.15 No.-

The purpose of this study is as follow. First, to review various worldviews to counseling. Second, to understand worldview of the counselor and client. Third, to clarify perspective of these worldviews. Fourth, to consider device of new worldview assessment scale. Fifth, to review suggestion of current cultural value. Sixth, to consider value self-confrontation method that is useful to counselor and client-internal value research and reduction of psychological resistance.

Methotrexate-Incorporated Polymeric Micelles Composed of Methoxy Poly(ethylene glycol)-Grafted Chitosan

Jeong, Young-Il,Seo, Dong-Hyuk,Kim, Don-Gon,Choi, Chang-Yong,Jang, Mi-Kyeong,Nah, Jae-Woon,Park, Yoon-Kyung The Polymer Society of Korea 2009 Macromolecular Research Vol.17 No.7

In this study, methotrexate (MTX)-encapsulated polymeric micelles using methoxy poly(ethylene glycol) (MPEG)-grafted chitosan (ChitoPEG) copolymer were prepared. The MIX-incorporated polymeric micelles of ChitoPEG copolymer has a particle size of around 50-100 nm. In 1H nuclear magnetic resonance (NMR) study, the specific peaks of MTX disappeared in heavy water ($D_2O$) and only the specific peak of MPEG was observed, while all of the peaks were confirmed in dimethyl sulfoxide (DMSO). These results indicated that MTX was complexed with chitosan and then formed an ion complex inner-core of the polymeric micelle in an aqueous environment. The drug contents of the polymeric micelle were around $4{\sim}12%$ and the loading efficiency of MTX in the polymeric micelles was higher than 60% (w/w) for all of the formulations. The cytotoxicity of MIX and MTX-incorporated polymeric micelle against CT26 tumor cells was not significantly changed.

Anterior and Posterior Stabilization by One Stage Posterolateral Approach in the Unstable Fracture of Thoracolumbar and Lumbar Spine

Lee, Young-Min,Cho, Yang-Woon,Kim, Joon-Soo,Kim, Kyu-Hong,Lee, In-Chang,Bae, Sang-Do The Korean Neurosurgical Society 2006 Journal of Korean neurosurgical society Vol.40 No.1

Objective : The purpose of this study is to investigate the clinical results of anterior and posterior stabilization by one stage posterolateral approach for the unstable fracture of thoracolumbar and lumbar spine. Methods : By posterolateral approach with curved skin incision, unilateral facet and pedicle were removed. Through this route, corpectomy was performed, and then this space was replaced with mesh cage filled up with autologous bone graft. Both side pedicle screw fixation was followed to upper and lower levels. Results : Six of seven patients of this study showed neurological improvement. The other one patient showed no neurological change. One patient had postoperative infection, another patient had postoperative kyphosis. The other patient had epidural hematoma on operation site after surgery. And all patinets on this study made to have spinal stability except one patient happened postoperative kyphosis. Conclusion : In the unstable fracture of thoracolumbar and lumbar spine, one stage anterior and posterior stabilization and fusion by posterolateral approach seems to be an effective procedure, if we have more care and supplementation.