• Interdisciplinary Bio Central
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• 제1권1호
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• pp.3.1-3.6
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• 2009

Introduction: GTPases known as translation factor play a vital role as ribosomal subunit assembly chaperone. The bacterial Obg proteins ($Spo{\underline{0B}}$-associated ${\underline{G}}TP$-binding protein) belong to the subfamily of P-loop GTPase proteins and now it is considered as one of the new target for antibacterial drug. The majority of bacterial Obgs have been commonly found to be associated with ribosome, implying that these proteins may play a fundamental role in ribosome assembly or maturation. In addition, one of the experimental evidences suggested that Bacillus subtilis Obg (BsObg) protein binds to the L13 ribosomal protein (BsL13) which is known to be one of the early assembly proteins of the 50S ribosomal subunit in Escherichia coli. In order to investigate binding mode between the BsObg and the BsL13, protein-protein docking simulation was carried out after generating 3D structure of the BsL13 structure using homology modeling method. Materials and Methods: Homology model structure of BsL13 was generated using the EcL13 crystal structure as a template. Protein-protein docking of BsObg protein with ribosomal protein BsL13 was performed by DOT, a macro-molecular docking software, in order to predict a reasonable binding mode. The solvated energy minimization calculation of the docked conformation was carried out to refine the structure. Results and Discussion: The possible binding conformation of BsL13 along with activated Obg fold in BsObg was predicted by computational docking study. The final structure is obtained from the solvated energy minimization. From the analysis, three important H-bond interactions between the Obg fold and the L13 were detected: Obg:Tyr27-L13:Glu32, Obg:Asn76-L13:Glu139, and Obg:Ala136-L13:Glu142. The interaction between the BsObg and BsL13 structures were also analyzed by electrostatic potential calculations to examine the interface surfaces. From the results, the key residues for hydrogen bonding and hydrophobic interaction between the two proteins were predicted. Conclusion and Prospects: In this study, we have focused on the binding mode of the BsObg protein with the ribosomal BsL13 protein. The interaction between the activated Obg and target protein was investigated with protein-protein docking calculations. The binding pattern can be further used as a base for structure-based drug design to find a novel antibacterial drug.

• 근관절건강학회지
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• 제5권1호
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• pp.39-56
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• 1998

This study was an quasi-experimental study, done to identify factors Influencing the reduction of symptoms in patients with fibromyalgia. The primary purpose of the study was to develop a Self-Help Program suitable for patients with fibromyalgia in Korea. The secondary purpose was to identify the effects of a Self-Help Program which included stretching exercise. This study was carried out between Feb. 24 and July 8, 1997 and patients in the study Included out patient diagnosed with fibromyalgia based on the criteria developed by the American College of Rheumatology(1990) and H, University which is a tertiary patient care clinic for Rheumatism. The experimental group included 38 patients who were residents of Seoul or Kyungi province, and a control group of 38 patients who were residents of other areas. The control patients were matched to the experimental group patients and they were selected considering the number of tender points on the Fibromyalgia Impact Questionnaire score and a score of self-efficacy. The experimental group participated in a Self-Help Program based on the American Arthritis Foundation(1995) guidelines. The program participants participated in a small group which consisted of 12-15 members attending the program once a week, for 6 weeks with each program lasted two to two and a half hours. The stretching exercise was carried out in each patient's home every day following the video tape exercise provided by the researcher, and the researcher provided encouragement and concern to the patients by calling them once a week. The number times the exercise was performed was divided by the number of participants to calculate the percentage of performance and determine the amount of exercise. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. The degree of pain was converted to scores based on the Visual Analog Scale, the number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Depression was measured by CES-D and physical disability, sleep disturbance, fatigue, and anxiety of patients with fibromyalgia were measured by the Fibromyalgia Impact Questionnaire. The level of the exercise performance was converted to scores using the number of times the exercise was performed following the video tape prepared by Association of Rheumatology Health Professionals. Data were analyzed by SPSS windows and the results ire described below. 1. The experimental group which participated in the Self-Help Program showed higher efficacy scores than the control group when both groups were analyzed for depression and the number of tender points as common variables(F=9.146, p=.003). 2. The experimental group which participated in the Self-Help Program showed lower scores than the control group, for pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety. These symptoms of fibromyalgia can all be seen to have subsided(F=9.483, p=.003 : F=32.680, p=.001 ; F=11.104, p=.001, F=5.344 : p=.024, F=7.630 : P=.007, F=15.6512, p=.003 : F= 7.5412, p=.008). 3. In the experimental group, the self-efficacy score for the first three weeks showed a positive correlation with the exercise-performance score for four to six weeks (r=.387, p=.043). 4. In the experimental group, the relationship between the level of exercise-performance and the reduction of symptoms showed a significant correlation only to physical disability(r= -.500, p=.001). 5. In the experimental group, the relationship between the self-efficacy score and pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety score showed inverse correlations and thus, a reduction of symptoms occured when the self-efficacy score increased(r=-.325, p=.004 ; r= -.253, p=.027, r=-.452, p=.001 : r=-.434, p=.001 ; r=-.316, p=.005 ; r=-.460, p=.001 ; r=-.397, p=.014). Therefore, self-efficacy improved following the Self-Help Program including the stretching exercise. It was also found that physical symptoms (pain, number of tender points, level physical disability) and psychological symptoms (depression, fatigue, sleep disturbance, anxiety) were reduced. Moreover, It was found that the higher the self-efficacy, the the higher the degree of achievement of goals set for the stretching exercises. In addition, the level of exercise-performance influenced the level of physical disability, one of the symptoms of fibromyalgia. Accordingly, the conclusions from this study are that exercise-performance and the reduction of symptoms is achieved through promotion of self-efficacy. Therefore, it is proposed that are the Self-Help Program including stretching exercises is an appropriate nursing intervention for the reduction of symptoms of fibromyalgia.

• 한국치위생학회지
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• 제12권3호
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• pp.453-463
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• 2012

Objectives : The oral health education for interaction between snack and oral health is made more in detail, it seems to contribute to improvement of oral health by reducing occurrence of dental caries. Methods : This study performed the survey for 530 high school and college students living in Y City, Chungbuk for 10 days from June 14, 2011 to understand the difference by the level of snack recognition. 530 copies of questionnaire were collected, the final 502 copies were analyzed and the results are as followings. Results : 1. As for the snack intake frequency, 'sometimes' and '2~3 times a day' was found to be largest with 32.0% respectively in female and 'sometimes' was largest with 34.9% in male. As for the '2~3 times a day' was most in high school students with 31.5% and 'sometimes' was most in college students with 39.0%. 2. As for snack characteristics, 'crispy' was most preferred in female and male with 43.7% and 39.4% respectively and, by school year, high school students and college students preferred 'crispy' most with 39.1% and 46.0% respectively. 3. As for the item of meal, 'sometimes skip' was most in female with 46.1% and 'all three meals a day' was most im male with 51.4%. 'All three meals a day' was proved to be most with 48.3%in high school students and 'sometime skip' was most in college students with 48.0%. 4. As for the difference of oral health management by school year, college students ($3.37{\pm}0.70$) proved to be higher in the oral health management (p<.01) than high school students ($2.98{\pm}0.81$) and the Negative snack recognition group ($3.24{\pm}0.73$) was found to be higher in the oral health management (p<.01) than the Positive snack recognition group ($3.06{\pm}0.82$). Although the interaction between school year and snack recognition level was not different in case of college students, the Negative snack recognition($3.17{\pm}0.77$) proved to manage higher oral health (p<.05) than the high snack recognition gathering ($2.81{\pm}0.80$) in case of high school students. 5. As for the difference of the oral health most im male wex and). Although the innteractifemale ($3.39{\pm}0.72$) proved to most the oral health (2.(p<.01) than male ($2.81{\pm}0.75$) and the group with Negative snack recognition terac ($3.24{\pm}0.73$) most d the oral health (2.(p<.01) than the group with Positive snack recognition level ($3.06{\pm}0.82$). As for effects of interaction between sex and snack recognition level, while there was not much difference in the oral health management by the snack recognition level in case of female, the cluster of low snack recognition level ($3.03{\pm}0.69$) proved to manage the oral health more (p<.01) than the gathering of high snack recognition level ($2.59{\pm}0.75$). Conclusions : To see the results as above, it can be seen the oral health management is higher as the snack recognition level is higher by sex and school year.

• 한국수정란이식학회지
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• 제22권1호
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• pp.27-32
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• 2007

본 연구는 소 체외 수정란의 팽창 및 hatching시 prostaglandin $F_2{\alpha}(PGF_2{\alpha})$와 prostaglandin $E_2(PGF_2)$의 영향에 대하여 검토하였다. 체외 수정란의 체외 배양시 다음과 같이 (1) 0, 1, 10 및 100ng/ml $PGF_2{\alpha}$, (2) 0, 1, 10 및 100ng/ml $PGE_2$, (3) low $PGF_2{\alpha}$(1ng/ml : 1ng/ml), (4) low $PGF_2{\alpha}\;:\;high\;PGE_2(1ng/ml\;:\;10ng/ml)$, (5) high $PGF_2{\alpha}\;:\;low\;PGE_2$ (10ng/ml : 1ng/ml), (6) high $PGF_2{\alpha}$ : high $PGE_2$(10ng/ml : 10ng/ml)로 나누어 처리하였다. 그 결과, $PGF_2{\alpha}$ 및 $PGE_2$의 단독 처리가 소 체외 수정란의 배반포로의 발달에는 영향을 미치지는 않았다. 그러나 10ng/ml $PGE_2$(10.3%) 그리고 1ng/ml $PGF_2{\alpha}$ : 10ng/ml $PGE_2$(22.2%)를 처리한 수정란의 hatching율에 있어서는 대조군(4.3% and 12.7%)이나 다른 처리구에 비하여 유의적으로 높은 결과를 나타냈다(P<0.05). 한편 높은 농도의 $PGF_2{\alpha}$를 처리한 수정란의 경우 hatching율이 감소하였다. 따라서 본 연구의 결과는 $PGF_2{\alpha}$ 및 $PGE_2$의 첨가가 소 수정란의 hatching율과 관련이 있으며, 이것은 농도에 따라 서로 다른 영향을 미칠 수 있을 것으로 추측되었다.

• 한국보건간호학회지
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• 제18권2호
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• pp.342-357
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• 2004

A descriptive correlation study was done to provide a basic data for comprehensive nursing care by analyzing the relationship between spiritual wellbeing, hope and perceived health status of the rural elderly. 130 respondents who lived at their homes and nursing homes for elders in D county. Kyungbuk province were selected and their age was over 60 years old. Paloutzian and Ellison(1982)'s spiritual wellbeing scale. Nowotny(l989)'s hope scale and Northern Illinois University's health self rating scale was used. From September 2nd to September 30th, 2002, ready made questionnaires were handed out by researcher and two well trained nurse research assistants. to those who can fill it out and for those who cannot fill out the questionnaires alone, the researcher and assistants read it and finished by interview. This study used Pearson's correlation coefficient for the hypothetic test and the average point and standard deviation of spiritual wellbeing, hope, and perceived health status were checked. To find out the difference between spiritual wellbeing, hope, and perceived health status by general characteristics ANOVA and Tukey test were used. The results are as follows : 1. The mean score for spiritual wellbeing of the rural elders was $49.94(\pm5.62)$ in a possible range of 20-80. The mean score of religious wellbeing was $25.20(\pm3.91)$ and that of existential wellbeing was $24.74(\pm2.83)$ in a possible range of 10-40. The average point of religious wellbeing was $2.52(\pm0.39)$ points and existential wellbeing was $2.47(\pm0.28)$ points to 4 point full marks. 2. The mean score for hope was $67.68(\pm10.92)$ in a possible range of 29-116. The average point of hope was $2.33(\pm0.38)$ points to 4 point full marks. 3. The mean score for perceived health status was $9.95(\pm2.66)$ in a possible range of 4-14. The average point of perceived health status was $2.15(\pm0.72)$ point to 4 point full marks. 4. In testing the hypothesis concerning the relationship between spiritual wellbeing and hope, there was a statistically positive correlation(r=0.621. p=0.000). 5. In testing the hypothesis concerning the relationship between hope and perceived health status, there was a statistically positive correlation(r=0.305, p=0.000). 6. There were significant differences in spiritual wellbeing according to age(F=5.60, p=0.000), religion(F=11.61. p=0.000), family status(F=2.86, p=0.040) and average monthly pocket money(F=4.32, p=0.015). 7. There were significant differences in hope according to age(F=16.49, p=0.000), religion (F=3.56, p=0.009), educational level(F=8.94, p=0.000), present occupation(t=-3.13, p=0.002), family status(F=5.90, p=0.001) and average monthly pocket money(F=3.41. p=0.036). 8. There were significant differences in perceived health status according to present occupation(t=-2.16, p=0.033) average monthly pocket money(F=4.11, p=0.019). From the above results it can be concluded that: There was a positive correlation between spiritual wellbeing and hope, hope and perceived health status. There was no positive correlation between spiritual wellbeing and perceived health status. For futher study, adequate spiritual wellbeing scale and hope scale for rural elders should be developed and, age and religion factors has to be reconsidered. When the nurse implicate the nursing intervention which can be promote the spiritual wellbeing and hope, rural elder's spiritual wellbeing and hope can be improved and at the same time, their perceived health status also can be improved.

• 한국식품영양과학회지
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• 제42권8호
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• pp.1197-1203
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• 2013

본 연구는 2주간의 지구성 운동과 ginsenoside $Rb_1$이 쥐골격근의 AMPK insulin signaling($tAMPK{\alpha}$, $pAMPK{\alpha}$ $Thr^{172}$)과 PI3K insulin signaling pathway(pIRS-1 $Tyr^{612}$, PI3K $p^{85}$, pAkt $Ser^{473}$) 발현 및 glucose uptake에 미치는 영향을 분석하였다. 골격근내 glucose uptake에서는 비교집단과 비교하여 운동집단(59.4%), $Rb_1$집단(70.5%) $Rb_1/Ex$집단(58.6%)에서 유의하게 증가하였다. 2주간의 지구성 운동과 ginsenoside $Rb_1$이 AMPK insulin signaling pathway에 미치는 효과를 조사한 결과 비교집단에 비해 $AMPK{\alpha}$(Ex, 28.6%; $Rb_1$, 28.5%; $Rb_1/Ex$, 29.8%), $pAMPK{\alpha}$ $Thr^{172}$(Ex, 35.1%; $Rb_1$, 35.3%; $Rb_1/Ex$, 30.9%)의 발현이 유의하게 증가한 것을 알 수 있었다. 2주간의 지구성 운동과 ginsenoside $Rb_1$이 PI3K insulin signaling pathway에 미치는 효과를 알아본 결과 비교집단과 비교하여 IRS-1, PI3K $p^{85}$에서는 유의한 차이가 없었으나 pAkt $Ser^{473}$은 $Rb_1$ 집단에서 유의하게 증가한 것을 알 수 있었다. 이상의 결과를 종합해 볼 때, ginsenoside $Rb_1$은 운동과 더불어 근육 세포내 AMPK의 활성화와 근육 내 glucose uptake를 증가시켜 제2형 당뇨병 예방과 치료에 효과가 있을 것으로 생각된다. 그러나 본 연구의 결과로 PI3K insulin signaling pathway의 항당뇨 효과는 설명하기는 부족하다고 판단되며 추후 본 연구의 결과를 기초로 ginsenoside $Rb_1$의 농도, 처치시간, 처치방법을 고려한 후속 연구가 필요할 것으로 생각된다.

• 대한토목학회논문집
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• 제1권1호
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• pp.21-32
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• 1981

최근 구미(歐美) 선진제국(先進諸國)에서는 확률적(確率的)인 개념(槪念)에 의한 한계상태설계법(限界狀態設計法)을 표준시방서(標準示方書)로 도입(導入)하는 경향이 높아지고 있다. 이들 선진국(先進國)에서 채택한 LSD, LRFD, PBLSD 같은 신뢰성설계기준(信賴性設計基準)은 각종(各種) 시공재료(施工材料)에 대한 설계절차(設計節次)를 단순화(單純化)시킬 뿐만아니라 일관성(一貫性)있는 신뢰성(信賴性)을 갖게 하는 능력(能力)을 갖고 있다. 본(本) 연구(硏究)에서는 RC 휨부재(部材)에 대한 이러한 신뢰성설계기준(信賴性設計基準)을 제안(提案)하였다. 이를 위하여 Lind-Hasofer의 불변(不變)2차(次)모멘트 신뢰성이론(信賴性理論)에 의해 반복시행적(反復試行的) 신뢰성해석(信賴性解析) 및 하중(荷重)-저항계수(抵抗係數) 결정(決定)알고리즘을 유도하고, 또한 Cornell의 평균제(平均第)1계이차(階二次)모멘트법(法)을 사용하여 근사적(近似的)으로도 신뢰성(信賴性)을 해석(解析)하여 설계기준(設計基準)을 결정(決定)하도록 하였다. 휨부재(部材)의 저항(抵抗) 및 하중효과(荷重效果)에 대한 불확실양산정(不確實量算定)은 Ellingwood의 하중(荷重) 및 저항불확실량(抵抗不確實量) 해석방법(解析方法)을 따랐다. 현행(現行) 극한강설계시방서(極限强設計示方書) 기준(基準)으로 설계(設計)되는 R.C.휨부재(部材)의 상대적(相對的) 의미(意味)의 안전성수준(安全性水準)을 제안(提案)된 이차(二次)모멘트신뢰성이론(信賴性理論)에 의해 검토(檢討)하였다. 그리고 우리 현실(現實)을 고려한 ${\beta}_0=4$를 적절한 목표신뢰성지수(目標信賴性指數)로 간주(看做)하고 이에 대한 저항(抵抗) 및 하중계수(荷重係數)를 제안(提案)된 방법(方法)으로 계산(計算)하였으며, 현행(現行) 극한강설계기준(極限强設計基準)의 안전율(安全率)과 이들 계산(計算)된 계수(係數)를 비교(比較), 분석(分析)하였다. 현행(現行) 시방서(示方書)로 설계(設計)되는 휨부재(部材)의 신뢰성(信賴性) 수준(水準)은 적절(適切)하지 못하며, 현행(現行) 시방서(示方書)에 규정(規定)된 저항(抵抗) 및 하중계수(荷重係數)는 본연구(本硏究)의 신뢰성이론(信賴性理論)으로 유도한 저항(抵抗) 및 하중계수(荷重係數)와 상당히 차이(差異)가 있음을 발견(發見)할 수 있었다.

• Asian-Australasian Journal of Animal Sciences
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• 제28권5호
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• pp.605-611
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• 2015

A synthetic strain of ducks (Anas platyrhynchos) was developed by introducing genes for long duration of fertility to be used as mother of mule ducklings and a seven-generation selection experiment was conducted to increase the number of fertile eggs after a single artificial insemination (AI) with pooled Muscovy semen. Reciprocal crossbreeding between Brown Tsaiya LRI-2 (with long duration of fertility) and Pekin L-201 (with white plumage mule ducklings) ducks produced the G0. Then G1 were intercrossed to produce G2 and so on for the following generations. Each female duck was inseminated 3 times, at 26, 29, and 32 weeks of age. The eggs were collected for 14 days from day 2 after AI. Individual data regarding the number of incubated eggs (Ie), the number of fertile eggs at candling at day 7 of incubation (F), the total number of dead embryos (M), the maximum duration of fertility (Dm) and the number of hatched mule ducklings (H) with plumage colour were recorded. The selection criterion was the breeding values of the best linear unbiased prediction animal model for F. The results show high percentage of exhibited heterosis in G2 for traits to improve (19.1% for F and 12.9% for H); F with a value of 5.92 (vs 3.74 in the Pekin L-201) was improved in the G2. Heritabilities were found to be low for Ie ($h^2=0.07{\pm}0.03$) and M ($h^2=0.07{\pm}0.01$), moderately low for Dm ($h^2=0.13{\pm}0.02$), of medium values for H ($h^2=0.20{\pm}0.03$) and F ($h^2=0.23{\pm}0.03$). High and favourable genetic correlations existed between F and Dm ($r_g=0.93$), between F and H ($r_g=0.97$) and between Dm and H ($r_g=0.90$). The selection experiment showed a positive trend for phenotypic values of F (6.38 fertile eggs in G10 of synthetic strain vs 5.59 eggs in G4, and 3.74 eggs in Pekin L-201), with correlated response for increasing H (5.73 ducklings in G10 vs 4.86 in G4, and 3.09 ducklings in Pekin L-201) and maximum duration of the fertile period without increasing the embryo mortality rate. The average predicted genetic response for F was 40% of genetic standard deviation per generation of selection. The mule ducklings' feather colour also was improved. It was concluded that this study provided results for a better understanding of the genetics of the duration of fertility traits in the common female duck bred for mule and that the selection of a synthetic strain was effective method of improvement.

• Clinical and Experimental Pediatrics
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• 제46권1호
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• pp.24-32
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• 2003

목 적 : 황색포도구균(S. aureus)은 건강인의 비강이나 피부에 정상 세균총으로 존재하지만, 병원 내 감염과 항생제 내성이 문제가 되고 있다. 본 연구는 신생아의 비강에서 S. aureus을 분리하여 항생제 감수성의 양상과 내성 관련 유전자를 검출하여 내성의 정도와 내성 관련 유전자의 상관관계를 규명해 보고자 하였으며, 병원성 인자의 검출을 실시하고, arbitrarily-primed polymerase chain reaction(AP-PCR)법에 의한 유전자형별을 통하여 역학적 해석을 시도하였다. 방 법 : 2001년 2월에서 5월 사이에 부산대학교병원 신생아 중환자실 및 신생아실에 입원한 28명을 대상으로 이들의 비강에서 총 120회의 nasal swab을 실시하여 51주의 S. aureus를 분리하였다. 분리균에 대한 항생제 감수성 검사, coagulase 검사과형별, plasmid DNA의 양상, mec 관련 유전자의 분포, 장독소의 유전자 및 TSST-1 독소의 유전자 보유 상태, AP-PCR법으로 유전자 형별을 조사하였다. 결 과 : 1) Methicillin 내성이 23주, vancomycin 내성이 6주였고, 3가지 이상의 약제에 대한 내성이 절반 이상을 차지하였다. 2) 42주가 coagulase 양성이었고, 이중 mecA 및 femA 유전 자를 보유한 12주를 대상으로 한 형별 검사에서 8종(coagulase I-VIII형)으로 분류되었다. 3) mecA 유전자가 22주에서, mecR1 유전자가 18주, mecI 유전자가 1주, femA 유전자가 17주에서 발견되었으며, 이들을 4가지의 유전자형으로 분류하였을 때 mecA형이 14주, mecR1형 10주, mecA-mecR1형 7주, mecA-mecR1-mecI형이 1주였다. mecA 및 mecA 관련 유전자와 항생제 다제내성과는 상관관계가 없었다. 4) 16주가 mecA와 femA를 모두 보유하였으며, 이들의 plasmid 양상은 I형이 7주, II형이 6주 그리고 III형이 2주였다. Oxacillin 및 vancomycin에 내성을 보이는 II형과 III형에서는 35.5kb의 plasmid DNA를 보유하였다. 5) 장독소 A, B, D, 및 E의 유전자는 51주 전부에서 검출되지 않았으나 장독소 C의 유전자는 64.7%, TSST-1 유전자는 80.4%가 양성이었다. 6) Coagulase 양성이며 mecA 및 femA 유전자를 보유한 MRSA 12균주에 대한 유전자 형별 검사에서 I형에서 X형으로 분류할 수 있었으며, II형 2주, X형 2주가 동일 유전자형이었고, 나머지는 다른 유전자형이었다. 결 론 : 입원 중인 신생아의 비강 내 S. aureus의 상재률이 아주 높았으며, 이들의 항생제 내성률, 특히 vancomycin의 내성률이 높아 이들에 의한 원내 감염에 대한 특별한 관리가 필요하며, 이들의 병원성 인자 및 관련 유전자에 대한 분석은 원내 감염에 대한 적절한 대책과 효과적인 치료에 많은 도움을 줄 수 있으리라 사료된다.

• 대한관절경학회지
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• 제9권1호
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• pp.51-55
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• 2005

목적: 자가 슬괵건을 이용한 전방 십자 인대 재건술 후 대퇴 터널 내의 고정은 2개의 생흡수성 핀인 Rigidifix system (Mitek Product, Johnson and Johnson, USA)를 이용하여 고정하고, 경골 터널 내는 Intrafix system을 이용한 생간섭나사로 고정 후 이식건의 경골 족에 인대 고정 나사를 이용한 부가적 고정이 수술 후 슬관절 전방 안정성에 영향을 주는지를 알아 보고자 하였다. 대상 및 방법: 2002년 5월부터 2003년 1월까지 Rigidfix와 Intrafix를 이용하여 관절경적 전방 십자 인대 재건술을 시행 받은 39명 중 추시 관찰이 되지 않은 2명을 제외한 37명의 환자를 대상으로 하였다. 평균 추시 기간은 14개월(범위: $25{\sim}13$개월) 이었다. 부가적 고정 여부의 결정은 수술 순서에 따라서 교대로 선택하였고, 경골 터널 밖으로 나온 이식건을 인대 고정 나사로 고정하였고 이식건이 짧은 경우는 봉합사를 인대 고정 나사에 묶었다. Intrafix만으로 고정한 경우 17명, 부가적 고정을 한 경우가 20명이었다. 내측 반월상 연골의 절제 2예, 내측 반월상 연골의 봉합 2예, 외측 반월상 연골의 봉합 1예에서 시행하였다. 임상적 평가는 이학적 검사인 Lachman검사, Pivot shift 검사와 재건술 후의 Lysholm점수, IKDC (International Knee Documentation Committee)평가 기준, KT-1000관절 계측 결과를 이용하였다. 결과: 최종 추시 상 수술 후 Lysholm점수는 93.1점(범위: $65{\sim}98$점), IKDC 평가 기준에 의한 최종 평가 상 정상(A) 26예, 거의 정상(8) 10예, 비정상(C) 1 예이었으며, 심한 비정상은 (D)은 없었다. 최종 추시 상 KT-1000 관절계를 이용한 최대 도수 부하 검사 상 건측과의 차이는 평균 2.5mm$(0{\sim}6mm)$ 이였다. 술 후 시행한 Lachman 검사 상 정상 32예, 1 등급 4예, 2 등급 II 1예 이었고, Pivot shift 검사 상 정상 34예, 1 등급 2예, 2등급 1예 이었다. KT-1000 관절계를 이용한 최대 도수 부하 검사 상 건측과의 차이는 부가적 고정을 한 경우는 평균 2.2 mm$(0{\sim}4mm)$ Intrafix 만으로 고정한 경우는 평균 2.8 mm$(0{\sim}6mm)$였다. 두 군 사이에 통계학적으로 유의한 차이는 없었다(P>0.05). 결론: 자가 슬괵건을 이용한 전방 십자 재건술 후 전방 안정성은 Intrafix를 이용한 경골 터널 내의 이식건의 고정이 부가적 고정을 한 경우와 비교하여 차이가 없었다. 따라서 경골 터널 내에서 부가적 고정 없이 슬괵건의 고정만으로도 전방 안정성을 얻을 수 있다고 사료된다.