중증 재생불량성빈혈에서 타인 혹은 HLA 불일치 혈연간 골수이식을 위한 cyclophosphamide와 antithymocyte globulin전처치 요법

이정희,이제환,김신,설미이,이정신,김우건,김상희,지현숙,박찬정,이규형 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.1

배경: Cyclophosphamide와 ATG의 전처치 요법은 HLA가 일치하는 형제간 골수이식에서는 매우 효과적인 것으로 알려져 있으나, 타인 혹은 HLA 불일치 혈연간 골수이식에서는 전처치 요법으로서 불충분한 것으로 보고되었는데, 주요 문제는 착상 부전이었다. 우리나라를 포함하는 극동아시아 지역의 국가들에서 발표되는 보고에 의하면 타인이식을 포함하여 골수이식 후 착상 부전과 이식편대숙주질환의 발생이 서구 국가들로부터의 보고에서보다 적은 것으로 알려져 있다. 저자 등은 6예의 중증 재생불량성빈혈 환자들에서 질병 초기에 Cyclophosphamide와 ATG만을 이용하여 전처치를 한 후에 타인 혹은 HLA 불일치 혈연간 골수이식을 시행하였다. 방법: 1999년 5월부터 2000년 4월까지 서울중앙병원에서 타인 혹은 HLA 불일치 혈연간 골수이식을 시행 받은 성인 중증 재생불량성빈혈 환자들을 대상으로 하였다. 골수이식을 위한 전처치 요법으로 cyclophosphamide (50 mg/kg/d x 4)와 ATG (30 mg/kg/d x 3)를 투여하였는데, 골수이식 전에 ATG에 대하여 과민 반응을 보였던 한 예 (UPN 120)에서는 ATG 대신에 fludarabine (30 mg/m2/d x 3)을 투여하였다. 이식편대숙주질환의 예방을 위하여 cyclosporine과 methotrexate를 투여하였다. 결과: 연구 기간 중에 모두 6예가 타인 혹은 HLA 불일치 혈연간 골수이식을 시행 받았는데, 5예는 타인으로부터 골수를 공여 받았으며, 1예는 HLA의 표현형이 하나의 유전자좌에서 일치하지 않는 형제로부터 골수를 공여 받았다. 타인 골수이식을 받은 5예 중에서 3예의 공여자는 HLA의 표현형이 일치하였으며, 1예는 하나의 유전자좌가 major mismatch였고, 1예는 하나의 유전자좌가 minor mismatch였다. 추적기간의 중앙값은 406일 (범위, 328-643일)인데, 6예 모두에서 착상된 상태를 유지하면서 생존해있다. 2예에서 3도의 급성 이식편대숙주질환과 전신성 만성 이식편대숙주질환이 발생하였다. 결론: Cyclophosphamide와 ATG의 전처치 요법은 재생불량성빈혈의 초기에 타인 혹은 HLA 불일치 혈연간 골수이식을 시행 받은 한국인 환자들에서 충분히 착상을 가져올 수 있는 요법으로 생각된다. 비록 본 연구의 대상 환자 수가 적지만 결과는 매우 고무적이다. HLA가 일치하는 형제가 없는 중증 재생불량성빈혈 환자의 경우에 타인 골수 공여자에 대한 검색을 조기에 시행해야 하며, 타인 혹은 HLA 불일치 혈연간 골수이식을 질병 초기에 적극적으로 고려해야 할 것으로 생각된다. Background: Cyclophosphamide (CY) and ATG regimen was reported to be insufficient for alternative donor BMT in SAA patients due to high incidence of graft rejection. The rates of graft rejection and GVHD after allogeneic BMT including unrelated donor transplants seemed to be lower in reports from Asian countries of Far East. We applied CY/ATG regimen to six patients with early stage of SAA transplanted with marrow from alternative donors other than HLA-identical siblings. Methods: Three patients were transplanted from HLA-phenotypically identical unrelated donors, two from one-locus mismatched unrelated donors, and one from an one-locus mismatched sibling donor. Four patients received no previous therapy for SAA, and two received one course of immunosuppressive therapy with ATG. Preparative regimen was CY (200 mg/kg) plus ATG (90 mg/kg) in all patients except one who had had an anaphylactic reaction to ATG prior to BMT and received fludarabine (90 mg/m2) in place of ATG. Cyclosporine plus methotrexate were given for GVHD prophylaxis. Results: All six patients engrafted and all are alive with durable engraftment at a median follow-up of 406 days (range, 328 to 643). Two patients developed grade III acute GVHD and extensive chronic GVHD. Conclusions: CY/ATG regimen may be sufficient in Korean patients with early stage of SAA transplanted with marrow from alternative donors. Although the number of patients in present study is small, results are encouraging. Stem cell transplantation using alternative donors may be considered at early stage of aplastic anemia.

The Safety and Efficacy of Daclatasvir and Asunaprevir with Chronic HCV Genotype 1 Infection and Hemodialysis

( Myeong Jun Song ),( Jung Hyun Kwon ),( Soon Woo Nam ),( Tae Hee Lee ),( Young Woo Kang ),( Ji Woong Jang ),( Seok Hyun Kim ),( Byung Seok Lee5 ),( Sea Hwan Lee ),( Hong Soo Kim ),( Ji Hoon Kim ),( S 대한간학회 2017 춘·추계 학술대회 (KASL) Vol.2017 No.1

Aims: We aimed to evaluate the efficacy and safety of Daclatasvir (DAV) and Asunaprevir (ASV) in patients with chronic hepatitis C virus (HCV) and chronic renal failure (CRF). Methods: 22 chronic hemodialysis patients with HCV infection at 12 medical centers have prospectively enrolled from Feb, 2016 to Feb, 2017 (NCT02580474). Of those, 9 patients who were followed 12 weeks after treatment ended were included. We evaluated the virological responses at each week 4, 12, 24 and the 12-week sustained virologic response (SVR12). The tolerability and safety of patients were also evaluated. Results: Of these 20 patients, there had no resistance-associated variant of NS5A (NS5A RAVs) and 2 patients showed indeterminate NS5A RAVs. 12 patients (54.5%) completed the 24 weeks treatment of DAV and ASV. 6 patients (27.2%) have continued, but 4 patients discontinued study prior to 12 weeks. Overall, all patients (n=9) achieved SVR12. Virologic response at week 4, 12 and 24 showed 94.4% (17/18), 93.3% (14/15), and 100% (12/12) respectively. DCV and ASV were well tolerated among the majority of patients and discontinuation of the treatment due to adverse events (hypertension, bradycardia, leukemia) was occurred in 3 patients. In two patients with indeterminate NS5A RAVs, one achieved SVR12 but the other showed viral breakthrough and discontinued treatment. Conclusions: In this study, DAV and ASV combination therapy for chronic hemodialysis patients with HCV infection achieved high sustained virological response with few adverse events. Close monitoring of safety and tolerability may be necessary when treating chronic hepatitis C patients with CRF receiving DCV and ASV.

An Investigation on the Life of Master Won Guk Lee, the Creator of Chung-Do-Kwan

( Seon Young Jung ),( Jun Ho Lee ),( Seung Woo Shin ),( Chun Hwan Cho ),( Seung Hyun Jang ),( Won Shin ) 경남대학교 기초과학연구소 2014 기초과학지 Vol.31 No.-

The purpose of this study is to review (or, investigate) the life of Won Guk Lee. He is the creator of Chung-Do-Kwan, which is one of the five original Taekwondo kwans. Data was gathered from advanced research, newspapers, documentaries, the Internet, magazines, and journals etc. Thus, we were able to create a sequence of events based on the research data. First, we can say that in Won Guk Lee``s career, he created Chung-Do-Kwan and brought Dangsoodo to Korea. These events have had a significant development on Taekwondo. Second, Taekwondo curriculum, which was published by Won Guk Lee, established the foundation of Taekwondo poomsae, as well as giving us the pure spirit of Korean martial arts.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we 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 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

항생제 다제내성균 Staphylococcus aureus SA2로부터 분리한 테트라사이클린 내성 플라스미드 pKH6의 염기서열

이대운,윤성준,김우구,신철교,임성환,이백락,문경호 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

한국에서 임산균주로부터 분리한 테트라사이클린(Tc) 내성 플라스미드 pKH6의 전체 염기서열을 결정하여 가장 대표적인 Tc 내성 플라스미드인 pT181과 비교하였다. pKH6의 전체 길이는 4439bp로 pT181과 동일하게 나타났으며 염기서열은 7개의 염기에서 차이를 보였다. 전부 다 염기쌍이 치환된 형태로 나타났으며 그 중 3개는 coding 부위에서 일어났다. coding 부위에서 일어난 경우에도 1개는 동일한 아미노산을 coding 하였기 때문에 pT181과 차이가 없었으며 RepC와 Pre 단백질에 있어 각각 1개의 아미노산에서 차이를 나타내었다. The complete nucleotide sequence of pKH6, a tetracycline-resistance (Tc^r) plasmid isolated from multi-drug resistant Staphlococcus aureus SA2, has been determined and compared with that of the staphylococcal Tc^r plasmid pT181. The nucleotide sequences of the two plasmids are in agreement except for 7 nucleotides. All differences are caused by base pair substitutions. Among 6 substitutions, 3 occurred in coding regions. However, only tow base substitutions in coding regions resulted in changes of amino acid sequences in two different ORFs of repC and Pre proteins.

EU의 Biomass를 이용한 에너지 생산

이종식,고문환,박우균,안종웅 한국국제농업개발학회 2003 韓國國際農業開發學會誌 Vol.15 No.3

EU 국가들의 1993년부터 1999년까지의 6년간 재생에너지 사용량 변화를 살펴보기 위하여 절대량 증가와 증가율을 조사하였다. 많은 나라들이 높은 사용량 증가 또는 증가율을 나타내었다. 초기에 재생에너지 사용이 적었던 나라들은 1999년에도 실질적인 생산량은 적지만 기간 중 높은 증가율을 보였다. 반면에 1993년에 이미 사용량이 높았던 나라들은 낮은 증가율을 보였으나 전체사용량은 높은 수준이었다. 재생 에너지 사용의 성공 여부는 보급 확대를 위해 많은 장해물들을 극복한 후에 성취될 수 있다. 보급 확대를 위한 요인들로는 정치적, 제도적, 재정적, 행정적인 지원과 기술개발, 홍보, 교육 및 훈련 등이 있다. Biomass를 이용한 에너지 생산 및 보급에 성공한 덴마크, 핀란드, 독일, 스페인 및 스웨덴의 송공 요인들을 소개하였다. In order to identify those Member State/technology combinations where there has been most success in achieving renewable energy penetration over the six-year period 1993-1999, the two selection criteria such as absolute increase and percentage of increase have been applied. Many Member States show either a large absolute increase in renewable energy output, or a large percentage of increase. Member States with only very low initial levels of renewable energy use may demonstrate rapid growth rates even though the actual quantity of output is still only small. Conversely, Member State with levels of renewable energy use that were already relatively high in 1993 show a less rapid percentage growth rate, but these Member States may still Have added significant quantities to the overall output. Successful penetration of renewable energy can only be achieved after overcoming many varied obstacles to an increase in their exploitation. Factors, which can influence the successful implementation of renewable energy projects, include political, legislative, financial administration, technological development, information, education and training. Examples of successful penetration of biomass power were shown for Denmark, Finland, Germany, Spain and Sweden.

U형 프리캐스트 프리스트레스트 콘크리트 거더를 이용한 2경간 연속 교량구조의 개발을 위한 기초연구

이환우,김명식,김광양 釜慶大學校 1997 釜慶大學校 論文集 Vol.2 No.2

The current syudy is a part of esries of research about the development of new superstructure system to overcome the engineering problems in the design of bridges of 30m to 45m in span length using the existing bridge systems. The basic concept of new system in the continuation of adjacent two simple spans composed of the precast prestressed concrete U-type sections. The partial post tensioning method is applied to create the contimuity. In this stdy, the new technique was introduced and applied with an example design of two span of 40m in span lemgth to find the possibility for pratival applicatio as a feasibility syudy. The obtained results show that the new splicing method is expected to offer significant economical and serviceability advantages.

t-Butylhydroperoxide의 肝毒性에 대한 加味行滯湯 合 六味地黃湯의 效果

李樹行,金宇煥 동의대학교 한의학연구소 1997 동의한의연구 Vol.1 No.-

This study was carried out to determine whether Kamihaengche-tang plus Ydkmijihwang-tang(KCYH) exerts the protective effect against oxidant-induced liver cell injury. Cell injury was estimated by measuring lactate dehydrogenase (LDH) and alanine aminotransferase (ALT) release, and lipid peroxidation was estimated by measurimg malondialdehyde, a product of lipid peroxidation, in rabbit liver slices. tBHP increased the release of LDH and ALT enzymes in dose-dependent manner over the range of 0.2-2 mM concentrations. Similarly, tBHP also increased lipid peroxidation, indicating that tBHP-induced liver cell injury was attributed to lipid peroxidation. When 1% KCYH was added to incubation solution, the cell injury and lipid peroxidation induced by tBHP were markedly prevented. The protective effect of KCYH against the cell injury and lipid peroxidation induced by tBHP was dose-dependent in the range of 0.05-1% concentrations. These results indicate that KCYH exerts the protective effect against oxidant-induced liver cell injury, and this effect is attributed to prevention of lipid peroxidation, However, the precise mechanisms of antioxidant effect of KCYH remain to be defined.

胸腹部癒合重複畸型兒의 1例

李起煥,柳友國,權善鎬,盧興泰 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.1

Conjoined twins are known to be very rare. A case of thoracoventropagus, aborted on the 20^th weeks gestation, is reported with brief review of the related literatures

얼굴 지각 및 얼굴 감정 인식의 신경생물학

이승환,임우영,김진환 대한신경정신의학회 2008 신경정신의학 Vol.47 No.2

Recognition of face is an essential cognitive processing to communicate information directly each other. The eiectrophysiological data have demonstrated that the negative event-related potential (ERP) recorded at occipitotemporal leads, the N170 potential, is a very sensitive neural correlate for faces. The fusiform gyrus, located on the ventromedial surface of temporal and occipital lobes, has been demonstrated to be a key brain region for face perception. Because the face contains the emotional informations, study about face recognition includes emotional processing as well as structural processing of face. So as a essential part of social cognition, the face recognition and facial affects preception have been paid attentions by many researchers. In this article, we reviewed some important research data about face recognition and face affect perception.