산소유리라디칼이 뇌조직 미크로좀분획의 Na⁺-K⁺-ATPase 활성도에 미치는 영향

오세문(Sae Moon Oh)손영숙(Young Sook Son),최길수(Kil Soo Choi),임정규(Jung Kyoo Lim),정명희(Myung Hee Chung) 대한약리학회 1982 대한약리학잡지 Vol.18 No.2

중추신경계의 혈관폐쇄 또는 충격손상에 의한 허혈병소에서 진행되는 병리적 변화에 산소유리라디칼이 중요한 역할을 할 것으로 시사되고 있다. 저자는 산소유리라디칼이 뇌조직에 미치는 영향 중 특히 신경세포 정지막전위 유지에 중요한 Na⁺-K⁺-ATPase의 활성도에 미치는 영향을 관찰하기 위하여 산틴산화효소 반응계와 뇌조직미크로좀을 이용하여 본 연구를 시행하였다. 미크로좀분획(microsomal fraction)을 산틴과 산틴산화효소와 함께 반응시켰을 때, 분획의 Na⁺-K⁺-ATPase의 활성도는 현저한 불활성화를 보인 반면, Mg⁺⁺-ATPase의 활성도는 별로 영향을 받지 않았다. 이 불활성화는 산틴과 신틴산화효소 중 어느 한 물질이라도 반응계에 존재하지 않는 경우에는 나타나지 않았고, 두 물질이 같이 반응계에 존재할 때 나타났다. 산틴과 산틴산화효소의 반응에서 생성되는 산소유리라디칼들 중, 어떤 것이 Na⁺-K⁺-ATPase불활성화에 관계하고 있는가를 알아보기 위하여, 산수유리라디칼 각각에 대하여 제독작용을 가진 효소나 화학물질을 사용하여 불활성화의 저해유무를 관찰하였다. O^-₂⋅의 제독효소인 superoxide dismutase, H₂O₂의 제독효소인 catalase와 ¹O₂의 제독물질인 1,4-diazabixyclo(2,2,2)octane을 각각 사용하였을 때, 이들 물질들이 농도에 비례하여 Na⁺-K⁺-ATPase의 불활성화가 저해되었다. 그러나 OH⋅의 제독물질인 mannitol은 뚜렷한 효과를 보이지 못했다. 이상의 결과는 산소유리라디칼들 중 O^-₂⋅, H₂O₂ 및 ¹O₂가 Na⁺-K⁺-ATPase의 불활성화에 관계하고 있고, OH⋅는 거의 관계하지 않는다는 것을 시사하여 주었다. 이로 미루어, 산소유리라디칼에 의한 뇌조직 Na⁺-K⁺-ATPase의 불활성화는 뇌 허혈병소에서 관찰되는 신경세로의 기능적 장해를 유발시키는 한 요인으로 사료되었다. The effects of xanthine-xanthine oxidase reaction on brain microsomal Na⁺-K⁺-ATPase activity were studied to see possible involvement of oxygen free radicals in pathologic change occurring in ischemic state of CNS accompanied by cerebral vascular occlusion or impact injury. When microsomal fraction was incubated with xanthine ana xanthine oxidase, Na⁺-K⁺-ATPase activity of the fraction was markedly inactivated (80% inactivation) whereas btssl Mg⁺⁺-ATPase was much less sensitive (less than 10% inactivation) compared to that of Na⁺-K⁺-ATPase. The inactivation was observed only in the presence of both xanthine and xanthine oxidase, not either of them alone, and the extent of inactivation was dependent on the concentration of xanthine. In an attempt to determine which of the oxygen species was responsible for the inactivation, the ability of various scavengers to overcome the inactivation was tested. Superoxide dismutase, catalase and 1,4-diazabicyclo(2,2,2)octane were shown to reverse the inactivation of the ATPase in dose-dependent manner. In contrast, mannitol as well as other OH⋅quenchers were ineffective in limiting oxygen radical-induced inactivation. Thus OO^-₂⋅, H₂O₂ and ¹O₂ were implicated to be mediators involved in the inactivation. Since oxygen radicals are suspected as being a cause of the peroxidative damaging process in train ischemia, the ATPase inactivation by oxygen radicals may be a possible contributing factor which gives rise to functional derangement of nerve cells observed in the pathologic process.

혼수상태의 외상환자에서 초음파를 이용한 흉부 및 복부손상의 진단

임경수,이강현,이진웅,이부수,황성오,유수영,강성준 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

The need for rapid diagnosis and treatment of life-threatening thoracic and intra-abdominal injury result in controversy over the appropriate triage of unconscious blunt trauma patients. To aid in early decisions for these patients, a prospective analysis of 98 patients with glasgow coma scale(GCS) scores≤8 was undertaken. Although intra-thoracic and intra-abdominal injuries were frequently identified based on systolic blood ressure, the use of clinical signs alone resulted in more missed injuries than did using the emergency ultrasonography. In normotensive patients(n=34), intra-thoracic injuries was identified in one patient(2.9%), and intra-abdominal injuries were in 7 patients(20.6%). In shock(systolic blood pressure<90mmHg) Pa-tients(n=64), thoracic injuries and intra-abdominal injuries were diagnosed in 8(12.5%) and 27 patients(42.3%), thoracic and abdominal combined injuries were identified in 11 patients(17.2%). The sensitivity, specificity, and accuracy of emergency ultrasonography were 96.3%, 91.7%, 94.9%. This study suggests that all unconscious trauma patients undergo immediate emergency ultrasonography to prevent missing life-threatening injuries.

사람 대장조직 DNA Topoisomerase I 에 관한 연구

오수정,권기량,임규,황병두 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

DNA topoisomerase I was prepared from normal mucosa and cancer tissue of human colon and the properties were compared. Specific activity of the enzyme from normal mucosa was 257.2 unit/mg protein/ min and that from cancer tissue was 403 unit/mg protein/min. Both enzymes showed a broad pH optimum from pH 5.8 to pH 7.4 and arc heat-labile, being completely inactivated by heat treatment at 55℃ for 5 minutes. The enzyme from normal mucosa was activated 0.2 M K^+ and 0.15 M Na^+ approximately 20 and 4 folds and that from cancer tissue was activated approximately 40 and 10 folds, respectively. Mg^2+ was the most potent activator, the enzyme from normal mucosa being 5, 20, and 60 folds activated at 2 mM, 10 mM, and 20 mM, respectively and the enzyme from cancer tissue being 2.5, 13, 26 folds activated, respectively. Both enzymes were inhibited by 2 mM ATP and 5 mM GTP in the presence of Mg^2+ and K^+ , respectively. ddATP and ddGTP were the potent inhibitors of these enzymes. The enzvate front nurmal mucosa was activated by spermine, spermidine, and histone H3 and that from cancer tissue was activated by histone H1. The enzyme from normal mucosa yeas completely inactivated by alkaline phosphatase treatment whereas the enzyme activity from cancer tissue was indifferent. The molecular weight of both enzymes were 150 KD. Camptothecin and 10-OH-camptothecin variably inhibited DNA relaxation according to tile enzyme preparation and there was no DNA fragmentation in the cleavage assay. From the above results, the possible role of phosphorylation for regulation of this enzyme and the application of camptothecin to colon cancer were discussed.

600합금의 미세조직 변화 및 SCC거동에 미치는 Ce 첨가의 영향

권오철,이용선,임연수,정만교,김정수 대한금속재료학회 2005 대한금속·재료학회지 Vol.43 No.1

High purity model alloys with major composition Ni-15Cr-9Fe-0.03C (600CEO) and Ni-15Cr-9Fe-0.03C-0.04Ce (600CE4) were produced. Using these model alloys the effect of alloying element Ce on the SCC behavior of Alloy 600 was evaluated in a caustic solution. To obtain carbides precipitated on grain boundaries, the thermal treatment was performed on both the solution annealed model alloys. Microstructural examinations using SEM and TEM EDX showed that the same structural carbides, Cr_(7)Cc₃, were precipitated on both the alloys and no significant difference in the amount of Cr depletion along grain boundaries was observed between the two model alloys. However, it was shown that the coverage of grain boundary carbides was higher in the Ce-bearing alloy (600CE4). The SCC susceptibility of the alloys was investigated in 40%NaOH solution at 315℃. Being evaluated in terms of the maximum crack depth, the SCC susceptibility of the alloy turned out to be reduced by the addition of Ce. The increased resistance to the SCC in the alloy 600CE4 was considered to be attributable to the increased coverage of grain boundary carbides. (Received September 30, 2004)

다발성 외상시 응급 초음파검사의 의의

이강현,임경수,김선만,김영식,황성오,유수영,강성준 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

The Evaluation of blunt abdominal trauma is clinically challenging. Abdominal computed to-mography(CT) and diagnostic peritoneal lavage(DPL) has become primary diagnostic modali-ty in advanced trauma life support(ATLS). But DPL is invasive study with potential for the patients. Monitoring and resuscitation are usually suboptimal during there examinations. We examined the efficacy and role of emergency ultrasonographic(US) studies in the initial abdominal evaluation of blunt trauma patients. A prospective study was carried out on 101 blunt trauma patients from 1994, June to September. 101 patients underwent real-time US ex-amination of the chest and abdomen. Indication for emergency US included the cases of shock (systolic blood pressure<90mmHg) or tachycardia (pulse rate/min.>100) in blunt trauma pa-tients. US showed a sensitivity of 96.2%, specificity 98%, accuracy 97% in regard to indica-tion for surgery in case of blunt abdominal or thoracic trauma. US saves time, and it can be performed during the emergency care in the emergency department. US showes high sensitivity and specificty, and is the method of first choice in the evaluation of blunt trauma.

都市地域住民의 生活體育 意識構造

鄭相澤,吳東燮,安禹洪,金正子,林銖遠 慶北大學校 體育科學硏究所 1991 체육과학연구지 Vol.7 No.-

This study was aimed to elucidata Taegu citizens' consciousness about Sport for All. 950 subjects responded to the researcher's questionnaires. The results are as follows; 1) 88.8% of whole subjects felt necessity of physical activity in every day life. In view of sex, 91.0% of male and 86.5% of female felt the necessity. 2) 73.4% of the subjects put weight in health improvement and 19.1% of the subjects put weight in strong mental power in relation to the value of physical activity. 3) About the local facilities of physical activity, only 8.3% of the subjects satisfied. A largy majority(65.7%) of the subjects reveated dissatisfaction. 4) Preference orders in relation to the expansion of facilities appeared as follows; tennis court(24.5%), swimming pool(14.4%), badminton court(12.5%), gymnasium(11.4%) and football field(7.0%). 5) 76.1% of the sujbjects thought that physical activity contribute to reduce demoralized life style, but 3.2% of the subjects not thought so. 6) About present participation in physical activity, 31.8% of the subjects answered being participated, but the large majority(68.2%) of the subjects answered not being participated. 7) Subjects' favorite physical activitier are tennis(18.6%), mounteering (12.9%), football(8.9%), golf(8.6%), badminton(8.3%), jogging(8.3%), gymnasics(7.3%) and swimming(7.0%) 8) The places of physical activities are private facilities(33.4%), work place(13.6%), private house(12.6%), school(10.9%) and physical education park(9.3%). 9) 73.9% of the subjects answered that they were participating in physical activity for health improvement. 10) 70.6% of the subjects felt the necessity of coach of Sport for All. 11) In case of not attendance to the physical activity, 70.6% of them answered that the main reason of not attendance was lack of leisure. 12) In case of not attendance, 33.7% of them spared time to TV watching, 28.8% of them to housework and 18.0% of them to sleeping. 13) 13.5% of subjects wanted to participate in swimming, 12.9% to tennis, 11.7% to table tennis, 10.8% to mountaineering, and 10.3% to badminton if circumstances permit.

Biofilter modeling integrated with Lim’s adsorption model

Eun Ju LEE,Wui Sook JEON,Hye Min YOON,Hye Jin SONG,Byeung Soo KIM,Hee Jeong KIM,Eun Jeong OH,Kwang-Hee LIM 한국생물공학회 2011 한국생물공학회 학술대회 Vol.2011 No.10

수압보증시험시의 음향방출에 의한 복합재 연소관의 파괴거동 예측

이상호,김호철,오치환,송성진,정현조,임수용 韓國非破壞檢査學會 1998 한국비파괴검사학회지 Vol.18 No.2

섬유강화 복합제 연고관은 복합재료의 사용, 필라멘트 와인딩 및 경화공정 등으로 인하여 제작 중 다양한 결함이 발생할 수 있으며, 또한 사용 도중에도 예기치 않은 손상을 받아 기계적 성질이 저하될 수 있다. 따라서 제작 완료된 연소관의 품질 보증을 위해 수압보증시험이 사용되고 있으나 이를 위해 가한 수압이 오히려 연소관에 예기치 않은 손상을 가하여 실제 사용시 그 성능을 저하시키는 요인으로 작용하는 경우도 있다. 이러한 문제를 해결하기 위해 본 연구에서는 수압보증시험시의 음향방축을 감지하여, 그 신호의 특성으로부터 복합제 연소관의 파손 거동을 예측하는 체계적인 기법의 개발을 시도하였다. 음향방출을 이용하여 연소관에 발생한 손상의 개략적 위치를 결정할 수 있었으며, 또한 파괴모드의 식별도 가능하였다. 다만, 시료의 부족으로 최종파열압력의 변화와 충격손상의 영향에 대한 신뢰성있는 분석은 불가능하였다. Prediction of failure behavior in filament-wound composite motor cases is one of the important issues for their reliable application. Acoustic emission during hydroproof testing of the cases is used to solve this problem. Based on the acoustic emission behavior, failure sites can be located successfully. The identification of failure modes is also possible using the distribution of acoustic emission amplitude. Due to the limitation in the number of samples, it is not possible to predict the final burst pressure of motor cases and the effect of impact damage on the final burst pressure.

Multifactorial intervention in diabetes care using real-time monitoring and tailored feedback in type 2 diabetes

Lim, Soo,Kang, Seon Mee,Kim, Kyoung Min,Moon, Jae Hoon,Choi, Sung Hee,Hwang, Hee,Jung, Hye Seung,Park, Kyong Soo,Ryu, Jun Oh,Jang, Hak Chul Springer International 2016 Acta diabetologica Vol. No.

<P>In 2011, we demonstrated that an individualized health management system employing advanced medical information technology, designated ubiquitous (u)-healthcare, was helpful in achieving glycemic control without hypoglycemia in patients with diabetes. Following this, we generated a new multidisciplinary u-healthcare system by upgrading our clinical decision support system (CDSS) rule engine and integrating a physical activity-monitoring device and dietary feedback into a comprehensive package. In a randomized, controlled clinical trial, patients with type 2 diabetes aged over 60 years were assigned randomly to a self-monitored blood glucose (SMBG) group (N = 50) or u-healthcare group (N = 50) for 6 months. The primary endpoint was the proportion of patients achieving glycated hemoglobin (HbA(1c)) < 7 % without hypoglycemia. Changes in body composition and lipid profiles were also investigated. The u-healthcare group was educated to use a specially designed glucometer and an activity monitor that automatically transferred test results to a hospital-based server. An automated CDSS rule engine generated and sent patient-specific messages about glucose, diet, and physical activity to their mobile phones and a Web site. After 6 months of follow-up, the HbA(1c) level was significantly decreased in the u-healthcare group [8.0 +/- A 0.7 % (64.2 +/- A 8.8 mmol/mol) to 7.3 +/- A 0.9 % (56.7 +/- A 9.9 mmol/mol)] compared with the SMBG group [8.1 +/- A 0.8 % (64.9 +/- A 9.1 mmol/mol) to 7.9 +/- A 1.2 % (63.2 +/- A 12.3 mmol/mol)] (P < 0.01). The proportion of patients with HbA(1c) < 7 % without hypoglycemia was greater in the u-healthcare group (26 %) than in the SMBG group (12 %; P < 0.05). Body fat mass decreased and lipid profiles improved in the u-healthcare group but not in the SMBG group. This u-healthcare service provided effective management for older patients with type 2 diabetes (ClinicalTrial.Gov: NCT01137058).</P>

The Clinical Outcomes of Marginal Donor Hearts: A Single Center Experience

Soo Yong Lee,Seok Hyun Kim,Min Ho Ju,Mi Hee Lim,Chee-hoon Lee,Hyung Gon Je,Ji Hoon Lim,Ga Yun Kim,Ji Soo Oh,Jin Hee Choi,Min Ku Chon,Sang Hyun Lee,Ki Won Hwang,Jeong Su Kim,Yong Hyun Park,June Hong Ki 대한심장학회 2023 Korean Circulation Journal Vol.53 No.4

Background and Objectives: Although the shortage of donor is a common problem worldwide, a significant portion of unutilized hearts are classified as marginal donor (MD) hearts. However, research on the correlation between the MD and the prognosis of heart transplantation (HTx) is lacking. This study was conducted to investigate the clinical impact of MD in HTx. Methods: Consecutive 73 HTxs during 2014 and 2021 in a tertiary hospital were analyzed. MD was defined as follows; a donor age >55 years, left ventricular ejection fraction <50%, cold ischemic time >240 minutes, or significant cardiac structural problems. Preoperative characteristics and postoperative hemodynamic data, primary graft dysfunction (PGD), and the survival rate were analyzed. Risk stratification by Index for Mortality Prediction after Cardiac Transplantation (IMPACT) score was performed to examine the outcomes according to the recipient state. Each group was sub-divided into 2 risk groups according to the IMPACT score (low <10 vs. high ≥10). Results: A total of 32 (43.8%) patients received an organ from MDs. Extracorporeal membrane oxygenation was more frequent in the non-MD group (34.4% vs. 70.7, p=0.007) There was no significant difference in PGD, 30-day mortality and long-term survival between groups. In the subgroup analysis, early outcomes did not differ between low- and high-risk groups. However, the long-term survival was better in the low-risk group (p=0.01). Conclusions: The outcomes of MD group were not significantly different from non-MD group. Particularly, in low-risk recipient, the MD group showed excellent early and long-term outcomes. These results suggest the usability of selected MD hearts without increasing adverse events.