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Homocysteine-thiolactone 이 유발시키는 소 혈관내피세포의 손상효과
유동찬,김보은,전가영,권오형,지광환 금오공과대학교 2007 論文集 Vol.28 No.-
The homocysteine-thiolactone, a reactive metabolic compound of homocysteine has been implicated in human cardiovascular diseases. The increasing of total plasma homocysteine concentration lead to homocystinuria, which may cause to elevate the concentration of homocysteine-thiolactone in the blood serum. It might be one of the risk factor which is responsible for the development of several vascular diseases. The present study is to demonstrate the harmful effect of homocysteine-thiolactone induced on calf pulmonary artery endothelial (CPAE) cells. CPAE were cultured in RPMI1640 medium supplemented with 10% FBS. CPAE were grown in humidified atmosphere of 5% C₂ in air at 3TC. Cells cultured with homocysteine-thiolactone at concentrations ranging from 0.1mM, lmM, 5mM and l0mM (dissolved in dH₂O). After incubation, cells were stained with MTT. Cell viability was evaluated under the UV-visible absorbance at 540nm. Cells viability was significantly decreased by increasing the concentration of homocysteine-thiolactone, Our data provide the evidence to understand the effect of homocysteine-thiolactone on the cardiovascular system.
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오은숙,강무일,이원영,오기원,임동준,이소영,이정민,고승현,김성래,안유배,손현식,윤건호,차봉연,이광우,손호영,강성구 대한당뇨병학회 2000 임상당뇨병 Vol.1 No.1
연구배경: 감염질환은 혈관질환과 함께 당뇨병의 중요한 사망원인의 하나이며, 혈당조절이 불량할수록 감염 빈도가 증가됨은 잘 알려져 있다. 간농양의 발생이 있어서도 당뇨병은 중요한 기저질환 중의 하나이다. 일반적으로 간농양의 가장 흔한 원인균은 Escherichi coli라고 알려져 있으나, 최근 당뇨병을 가진 간농양 환자에서 Klesiella pneumoniae의 검출이 증가되고 있다. 또 최근 연구에 의하면 K.pneumonie가 간농양의 가장 흔한 원인균이며, K. pneumoniae에 의한 간농양은 K.pneumoniae 이외의 균주에 의한 간농양보다 당뇨병과 밀접히 관련되어 있다고 보고된 바 있다. 이에 저자들은 간농양 환자를 대상으로 당뇨병환자의 빈도를 알아보고, 그 원인균 및 특징을 비당뇨병 환자들의 경우와 비교해 보고자 하였다. 방법: 1992년 1월부터 1999년 6월까지 방사선학적 검사 혹은 수술에 의해 간농양이 확인되거나, 경피적 천자나 수술을 통한 배농액 배양, 혹은 혈액 검사에서 원인균이 증명된 182명의 환자를 대상으로 후향적 임상고찰을 실시하였다. 결과: 화농성 농양을 가진 167명의 환자(남:94명, 여:73명)중 당뇨병을 가진 환자는 54명 (남:30명, 여:24명)으로 32.3%를 차지하였다. 환자의 평균나이는 당뇨군에서 62.1 ± 13.4세, 비당뇨군에서는 55.1 ±15.5세로 당뇨군에서 높았으며(p=0.0021), 남녀간의 평균나이 비교 시 두 군 모두 여성의 나이가 의미있게 높았다. 비당뇨군에 비하여 당뇨군의 경우 저알부민혈증의 빈도와 aspartate transaminase가 증가되어있었다. 원인균주는 K. pneumoniae (당뇨군54%, 비당뇨군 39.1%), E. coli(당뇨군 17.5%, 비당뇨군 18.8%), Pseudomonas aeruginosa, Streptococcus viridans, Enterococcus 순이었으며 두 군간의 의미는 차이는 없었으나 K. pneumoniae의 경우 다른 균종에 비해 단독감염의 빈도가 높았다(82.8%). 사망률은 당뇨군에서 16.7%, 비당뇨군에서 7.1%로 당뇨군에서 의미있게 높았으며(p=0.019), 당뇨군에서의 사망환자는 모두 패혈증이 동반되어 있었다. 당뇨환자의 사망군은 생존군에 비해 당뇨병 이환기간이 길고 혼합감염의 빈도가 높았다(p=0.046). 검사실 소견에서는 총 빌리루빈 및 알카리성 포스파타제의 증가가 관찰되어 있었다. 결론: E. coli가 간농양의 주된 원인균이라는 기존 보고와는 달리 당뇨군과 비당뇨군 모두 K. pneumoniae가 간농양의 주된 원인균이었다. 또한 당뇨 유병기간이 길고 당뇨조절이 불량한 환자에서 혼합감염이며 총 빌리루빈 및 알카리성 포스파타제의 증가등과 같은 위험인자가 존재할 경우 사망률이 증가될 수 있으므로 이들 군에서는 적극적인 치료가 필요할 것으로 사료된다. Background: Liver abscesses are commonly associated with underlying disease, particularly diabete mellitus. The number of the liver abscesses caused by Klebslella pneumoniae in diabetic patient has been increased in Korea nowadays. This study was conducted to clarify the clinical presentation and prognostic factors of pyogenic liver abscesses, especially in diabetic patients and to determine the proportion of K. pneunomiae as a pathogen in liver abscess in Korea. Methods: Medical records of 167 patients treated for pyogenic liver abscess from January, 1992 through June, 1999 were reviewed retrospectively in detail. Major Pathogenic organism, clinical manifestations, prognostic factors, the importance of diabetes mellilus as an underlying disease and its effect on clinical features and prognosis were analyzed. Results: Among 167 cases of pyogenic liver abscess, underlying diabetes mellitus was present in 32.3%. The mean age of patients was 62.7 13.4 years in diabetic liver abscess group and 55.1 15.5 years in non-diabetic liver abscess group. Most liver abscesses were cryptogenic in origin or secondary to the billary tree diseases. The clinical presentations among the two groups were not significantly different. When compared to patients without diabetes, patients with diabetes had significantly higher proportions of hypoalbuminemia and elevated aspartate transaminase level. The most common organism of the pyogenic abscess was K. pneumoniae in both groups. Percutaneous drainage of the abscess with appropriate antibiotics was the most commonly used therapeutic modality in liver abscess. The mortality rate of diabetic liver abscess is 16.1 % and 7.1% in nondiabetic liver abscess. Complications, especially septicemla, were found more frequently in patients with diabetes than in patients without diabetes (64.8% vs 28.3%, septicemia : 31.5% vs 9.7%). The factors influencing mortality in the diabetic liver abscess were disease duration, mixed infection, presence of septicemia, elevated bilirubin and alkaline phosphatase. Conclusions: In contrast to prior report that the E. coli was the most common pathogen in liver abscess, we found that K. pneumoniae was the most common organism cultured in liver abscess. Diabetic patients have more complications and higher mortality than patients without diabetes. Early detection and proper treatment are needed to improve the outcome for diabetic patient with liver abscess.
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최성환,정은기,김유광 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.6
The aged population is growing rapidly in Korea. In 1989, the people aged 65 and older marked 4.7% of the population and is expected to exceed 5% in 1993. It has been considered that as the elderly grow older, their cognitive function decline. As the proportion they take in the society is becoming larger, the use of more stable and reliable examination tools become more important to deal with and prevent their cognitive dysfunction. This study looked into the characteristics of cognitive functions of the elderly living in nursing homes. Mini-mental status examination and Brief cognitive rating scale were administered to 530 eldery(mean age 76±7.5) residing in 8 nursing homes located in Kyun-Gi province, vicinity of Seoul, in 1989 and in 1991. Cognitive function correlated with educational level, but not with age. The correlation of MMSE with BCRS was high. According to the results, it was not evident that aging deteriorates cognitive function. The deterioration of cognitive function was related to educational level. MMSE and BCRS were considered appropriate instruments in brief assessment of cognitive function and its prognosis in the elderly. Lengthened follow up interval and the cognitive evaluation of more various groups are desired in the future studies.
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Kwang-Ho Yoo,Jae-Hwa Hong,So-Hee Eun,Tae-Hwa Jeong,Kwan-Young Jeong 한국유화학회 2014 한국응용과학기술학회지 Vol.31 No.3
In this study, skin permeation enhancement was confirmed by designing it to have a structure and composition similarity to the intercellular lipids that improve miscibility with skin by cross-linked lipids poloxamer. The cross-linked lipids poloxamer was synthesized and analyzed by 1H NMR that structure dose had conjugated pluronic with ceramide3. Active component is released by modification of liquid crystal structure because PPO part, large-scale molecule block of pluronic, has hydrophobic nature at skin temperature of 35℃. Conjugated pluronic with ceramide3 was synthesized using Pluronic F127 and p-NPC (4-nitrophenyl chloroformate) at room temperature yielded 89%. Pluronic(Ceramide 3-conjugated Pluronic) was synthesized by reaction of p-NP-Pluronic with Ceramide3 and DMAP. The yield was 51%. This cross-linked lipids poloxamer was blended and dissolved at isotropic state with skin surface lipids, phospholipid, ceramide, cholesterol and anhydrous additive solvent. Next step was preceded by α-Transition at low temperature for making the structure of Meso-Phase Lamella, and non-hydrous skin analogue liquid crystal using thermo-sensitivity smart sensor, lamellar liquid crystal structure through aging time. For confirmation of conjugation thermo-sensitivity smart sensor and non-hydrous skin analogue liquid crystal, structural observation and stability test were performed using XRD(Xray Diffraction), DSC(Differential Scanning Calorimetry), PM (Polarized Microscope) And C-SEM (Cryo-Scanning Electron Microscope). Thermo-sensitivity observation by Franz cell revealed that synthesized smart sensor shown skin permeation effect over 75% than normal liquid crystal. Furthermore, normal non-hydrous skin analogue liquid crystal that not applied smart sensor shown similar results below 35℃ of skin temperature, but its effects has increased more than 30% above 35℃.
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동계교양체육 참가자의 중요도와 만족도 분석에 관한 연구
유광욱(Yoo, Kwang-Wook),원유병(Won, Yoo-Byeong),김은경(King, Eun-Kyong) 한국체육과학회 2012 한국체육과학회지 Vol.21 No.2
The purpose of this study was to examine the awareness of students taking general P.E. courses in winter sports about the courses and their satisfaction level by utilizing Martilla & James(1977)"s IPA-based importance-satisfaction analysis. The subjects in this study were 449 college students. As for data analysis, descriptive statistics analysis, exploratory factor analysis, confirmatory factor analysis, paired-samples test and IPA analysis were utilized. The findings of the study were as follows: First, the students investigated placed the most significance on product?price?place?promotion?people?physical evidence?process?the professional knowledge of professors?awareness of seasonal sports?the integrity of professors?their teaching effec?improvement of practical skills?the content of lectures?easy-to-understand teaching?the effect of lectures?the type of seasonal sport, improvement of theoretical knowledge and traffic convenience among the selection attributes of general P.E. courses in winter sports, In terms of satisfaction attributes, they gave the most weight to the integrity of professors?followed by improvement of theoretical knowledge?the professional knowledge of professors?awareness of seasonal sports?the effect of lectures?the teaching effects of professors?easy-to-understand teaching?improvement of practical skills?traffic convenience and the diversity of seasonal sports. Second, in the case of sustainability attributes in the quadrant I, they placed significance on the integrity of professors, their professional knowledge, their teaching effect, the effect of lectures, easy-to-understand teaching, improvement of practical skills?improvement of theoretical knowledge?the type of seasonal sport and reasonable price. Third, they gave weight to the diversity of seasonal sports among the attributes in the quadrant Ⅱ that required improvement. Fourth, they pointed out convenience of accommodations?reasonable price?program management?publicity of program schedule?publicity of lectures" safety of facilities?satisfaction with the place and satisfaction with the equipment among the attributes in the quadrant Ⅲ that weren"t top priorities. Fifth, they placed significance only in place accessibility among the attributes in the quadrant Ⅳ that would not require excessive efforts. The findings of the study indicate that the number of general P.E. courses on winter sports will be on the rise if the courses are offered in consideration of the attributes that students have chosen in importance-satisfaction analysis.
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