• 약학회지
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• 제52권6호
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• pp.419-425
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• 2008

A qualitative and quantitative analytical method was developed for detection of methamphetamine (MA) and its main metabolite amphetamine (AM) in oral fluid. Oral fluids of eleven drug abusers were provided by Police, specimens were collected by stimulation with a cotton swab treated with 20 mg of citric acid ($Salivette^{(R)}$; Sarstedt, USA). As the preliminary test, oral fluid samples were screened for amphetamines by Fluorescence Polarization Immunoassay (TDxFLx, Abbott Co.). Extraction for MA was performed using solid-phase extraction (SPE) by $RapidTrace^{TM}$ (Zymark, USA) with mixed mode cation exchange cartridge, CLEAN $SCREEN^{(R)}$ (130 mg/3 ml, UCT) after dilution with phosphate buffer. Samples were evaporated and derivatized by pentafluoropropionic acid anhydride (PFPA). Quantitation of MA and AM was performed by gas chromatography-mass spectrometry (GC-MS) using selective ion monitoring (SIM), the quantitation ions were m/z 204 (MA), 208 (MA-$D_5$), 190 (AM) and 194 (AM-$D_5$). The selectivity, linearity of calibration, limit of detection (LOD) and quantification (LOQ) within- and between day precision, accuracy and recoveries were examined as parts of the method validation. All oral fluid samples gave positive results to immunoassay for MA (cut-off level, 50 ng/ml as d-amphetamine). Concentrations of MA and AM by GC-MS in eleven samples were ranged 104.2${\sim}$4603.3 ng/ml and 32.4${\sim}$268.6 ng/ml, respectively. Extracted calibration curves of MA and AM were linear over the two concentration range of 1${\sim}$100 and 50${\sim}$1000 ng/ml with correlation coefficient of above 0.999. LOQ of MA and AM was 1 and 3 ng/ml, respectively. The intraand inter-day run precisions (CV) for MA and AM were less than 10%, and the accuracies (bias) for MA and AM were also less than 10% at the two different concentrations 5 and 100 ng/ml at low calibration range, 50 and 1000 ng/ml at high calibration range. The absolute recoveries of MA and AM at low and high calibration ranges were more than 82% and 75%, respectively. In this study the qualitative and quantitative analytical method of MA in oral fluid was established. Oral fluid testing may detect drug use in past hours because of its shorter detection window than urine, and be useful in post-accident situations. So oral fluids will be most useful for testing drug abuse in the driving under the influence of drug (DUID) as the alternative specimens of urine.

• Korean Journal of Acupuncture
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• 제23권3호
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• pp.133-160
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• 2006

Objectives : Scolopendrae Corpus has a broad array of clinical applications in Korean medicine, including treatment of inflammatory conditions such as arthritis. To explore the global gene expression profiles in human Raw cell lines treated with Scolopendrae Corpus herbal-acupuncture solution (SCHAS), cDNA microarray analysis was performed. Methods : The Raw 264.7 cells were treated with lipopolysaccharide (LPS), SCHAS, or both. The primary data was normalized by the total spots of intensity between two groups, and then normalized by the intensity ratio of reference genes such as housekeeping genes in both groups. The expression ratio was converted to log2 ratio. Normalized spot intensities were calculated into gene expression ratios between the control and treatment groups. Greater than 2 fold changes between two groups were considered to be of significance. Results : Of the 8 K genes profiled in this study, with a cut-off level of two-fold change in the expression, 20 genes (BCL2-related protein A1, MARCKS-like 1, etc.) were upregulated and 5 genes (activated RNA polymerase II transcription cofactor 4, calcium binding atopy-related autoantigen 1, etc.) downregulated following LPS treatment. 139 genes (kell blood group precursor (McLeod phenotype), ribosomal protein S7, etc.) were upregulated and 42 genes (anterior gradient 2 homolog (xenopus laevis), phosphodiesterase 8B, etc.) were downregulated following SCHAS treatment. And 10 genes (yeast saccharomyces cerevisiae intergeneic sequence 4-1, mitogen-activated protein kinase 1, etc.) were upregulated and 8 genes (spermatid perinuclear RNA binding protein, nuclear receptor binding protein 2, etc.) were downregulated following co-stimulation of SCHAS and LPS. Discussions : It is thought that microarrays will play an ever-growing role in the advance of our understanding of the pharmacological actions of SCHAS in the treatment of arthritis. But further studies are required to concretely prove the effectiveness of SCHAS.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2009년도 공동학술대회
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• pp.475-486
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• 2009

목도의 지질조사가 한국 역사상 이번에 처음으로 수행되었다. 목도가 중생대 말기 약$7,000{\sim}8,000$만년 전에 성층화산으로 분출하여 화산원형이 개석됨으로서 현재는 Planeze 단계를 지나 골격단계에 이른 것으로 밝혀졌다. 추후에 정밀조사를 한다면 분화구 자리도 찾아질 수 있을 것이다. 목도에는 50m고도에 해성단구면이 있다. 이는 제4단구면에 대비되고 홍적세 후기에 생성된 것으로 추정된다. 목도의 해안에 발달한 해안의 미지형으로는 해안단구, 해식애, 해식동, 파식대, 해안석주, 낭식장, 타포니(풍화혈) 등이 발견되었다. 목도는 산경도(山徑圖)에 표시되어 있는 낙동정맥의 남방 연장선 위 몰운대 앞바다에 위치하며 "물에 뜬 거북이"형국(부해금귀형(浮海金龜形)) 혹은 "물에서 나오고 있는 거북이"형국(출수금귀형(出水金龜形))이다. 목도의 도서명은 그 정체성을 위하여 "유구도"(游龜島) "남구도"(南龜島) "회구도"(廻龜島)중에서 선택하여 개칭할 필요가 있다. 목도는 부산의 관광수요를 위한 새로운 관광명소로 발전, 개발되는데 필요한 관광자연배경을 충분히 가지고 있으며, 앞으로 이 무인도서가 분산의 등대섬, 그리고 유,무인도서라 연계하여 해양관광을 개발한다면 새로운 관광지로서 행양수도발전에 지대한 영향력을 가질 수 있다고 평가되었다. 목도의 주변해역에 해양수족관과 해초정원을 조성하고 수목원을 조성하며 기타 해양문화공간조성의 종합기본계획이 이 연구에서 완성되었다.

• 한국도로학회논문집
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• 제9권4호
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• pp.193-204
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• 2007

변형강도($S_D$)는 고온에서 아스팔트 혼합물의 소성변형특성과 상관관계가 높은 특성이며, APA 시험기는 아스팔트 혼합물의 소성변형저항성 평가에 널리 이용된다. 따라서 $S_D$를 이용한 아스팔트 혼합물의 소성변형저항성 추정에 상응하는 값으로 APA 시험 결과가 사용되었으며 $S_D$와 APA의 상관관계를 설정하기 위하여 많은 데이터가 수집되었다. 아스팔트 공시체를 $60^{\circ}C$에 30분간 수침한 후 50mm/min의 하중을 가하여 최대하중 P와 그때의 수직변형 y로 부터 $S_D$를 계산하였다. 같은 혼합물에 대하여 APA 시험도 수행되었다. APA 침하깊이와 $S_D$간의 회귀분석을 수행하여 $R^2=0.76$이 얻어졌다. 이는 변형강도 시험이 아스팔트 혼합물의 고온변형 저항성을 추정 가능한 시험법임을 암시하는 것이다. 또한 회귀분석 모델을 이용하여 특정 등급도로의 표층 및 기층 혼합물 $S_D$의 임계값을 설정할 수 있음을 보였다. 이를 더 정교하게 연구하면 이 임계치는 특정층 포장혼합물의 하한치로 이용될 수 있을 것이다.

• Parasites, Hosts and Diseases
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• 제25권2호
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• pp.141-148
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• 1987

실험적으로 폐홉춘을 감염시킨 백서의 혈청내 항원을 ELISA 법으로 측정하였다. 시험용 혈청은 폐흡충의 피낭유충을 마리당 25개씩 먹인 총 22마리의 백서에서 감염후 12주가 될 때까지 채혈하여 얻었다. 폐흡충에 대한 특이항체는 폐흡충 감염 고양이의 혈청으로부터 ammonium sulfate 침전과 anionezchange chromatography를 이용, IgG를 분리한 후 affinity chromatography를 이용하여 순수분리하였다. 항원을 찾기 위한 ELISA는 소위 "double antibody sandwich method"를 사용하였다. 대조로서 사용한 감염전 혈청의 O.D.치 평균값은 0.04(표준편차 0.04)이었으며 감염후 O.D.치 (표준편차)의 변화를 보면 0.5주(3일)는 0.03(0.01), 1주는 0.55(0.50), 1.5주는 0.69(0.45), 2주는 0.20(0.19), 2.5주는 0.13(0.10)이었고 감염 3주 이후는 대조 혈청의 값으로 떨어졌다. 대조혈청의 $평균간+3{\times}$ 표준편차, 즉 0.16이하를 이 system에서의 비특이적 수치로 잡았을 때 이 이상의 수치를 나타낸 경우는 감염 후 1주부터 2.5주까지의 혈청에서만 관찰되었다. 한편 감염 12주 후에 총 10마리의 백서를 희생시켜 유충을 회수하여 보았다. 폐와 흉강에서는 평균 2.2마리, 근육에서는 평균 6.2마리의 유충을 회수할 수 있었다. 폐흡충 감염 백서에 있어 충체가 생산하는 항원은 감염 1주 후부터 혈청 내에서 검출되었다. 그러나 감염 3주후부터는 검출되지 않았는데 이것은 항원-항체 복합체 형성에 의한 반응 저해 현상에 의한 것으로 생각되었다.

• 식물조직배양학회지
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• 제27권3호
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• pp.185-189
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• 2000

카사바 (Manihot esculenta Crantz, cv. MCol 22)의 마디 절편을 MS 기본배지에 3종류의 사이토키닌을 여러 농도로 첨가한 조건에서 2주동안 현탁배양한 결과, 고체배지에서 3주 배양된 것보다 훨씬 생장이 효과적이었다. 현탁배양된 유식물에서는 과수화현상이 나타났으나, 이들을 세사 (마사토 + 1/2농도의 크놉씨액)를 담은 유리배양병에 이식하여 생육시킨 결과, 유경에서 새 잎이 신장되면서 과수화를 벗어나 4주후에는 4~6개의 마디를 가진 유경길이 3~5 cm의 정상 유묘로 생장됨으로서, 목본식물인 카사바의 경우 마디절편의 현탁배양에 의한 대량증식의 가능성을 확인했다. 현탁배양시 저농도의 제아틴 (0.01-0.05 mg 1$^{-1}$) 처리는 BAP 최적조건에서 보다 2배나 길게 부정아 길이를 신장시켰다. 사이토키닌 처리로 부정아가 잘 발생된 유식물은 토양이식 작업을 간편하게 했으며, 토양 이식 후 부정근을 활발히 발생시켜 one step culture시스템 배양이 가능하게 했다. 과수화된 유식물은 기외에서 순화가 어려웠으나 유기물이 혼입되지 않은 세사를 담은 유리배양병에서는 비무균조건일지라도 95% 이상 순화될 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제35권2호
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• pp.99-106
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• 2002

Objective : Until now, there have been no evidence-based guidelines produced for the mass screening of hyperlipidemia cases in Korea. This study was done to find the most efficient strategy for a hyperlipidemia-screening program among Korean adults, Method : Seven alternative strategies for hyperlipidemia screening were formulated and compared ir terms of cost-effectiveness. Cost and effectiveness were estimated from social perspectives and using a two-stage screening process (initial testing and additional testing for positives from the first test). A computerized database (based on persons who had visited a health promotion center in one teaching hospital for a routine health check-up) was used to determine the cost and the outcome of various strategies. Official data was used in calculating direct and indirect costs. Effectiveness was measured according to the number of persons who needed clinical intervention for hyperlipidemia. A stratified analysis, considering age group and sex, was then done. Sensitivity analyses, focusing on several uncertain parameters, were also done. Results : Of the seven test alternatives available, the most cost-effective strategy was a screening program, which consisted of an initial test of total cholesterol, high-density lipoprotein cholesterol and triglyceride. There was some variation in the rank of the cost-effectiveness ratios for the seven alternatives dependent on age group or gender. Conclusions : Current hyperlipidemia screening practice, for National Health Insurance beneficiaries, tests only the total cholesterol level with a cut-off value of 260mg/dl as an initial screening test. It is not the best strategy for cost-effectiveness, and should be modified. Different screening strategies taking age group and sex into account should be developed and used for the efficient mass screening of hyperlipidemia cases among Korean adults.

• 정신신체의학
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• 제24권2호
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• pp.133-139
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• 2016

연구목적 노인 우울증의 증가에 따라 예방 및 관리 대책이 시급한 상태이나 초기 우울증의 선별이 어려워 조기 발견이 쉽지 않은 것이 현실이다. 본 연구는 일도시지역에 노인 복지 시설 이용 노인들을 대상으로 PHQ-9 설문지를 이용하여 인구사회학적 요인과 우울증과의 관련성에 대해 파악하고 더 나아가 노인 우울증을 조기에 선별하기 위한 목적으로 시행되었다. 방 법 본 연구는 일도시지역에 거주하는 노인을 대상으로 PHQ-9의 검사와 면담을 통해 인구사회학적 요인(성별, 나이, 주거형태, 자녀 수, 동거인 유무, 교육 수준, 질병 상태)과 우울증과의 관련성에 대해 확인해보았다. 인구사회학적 요인에 따른 PHQ-9 점수의 평균을 비교하여 통계적으로 유의한 요인에 대해 알아보았다. 또한 PHQ-9의 우울증 진단의 절단값인 10점을 기준으로 이와 관련된 인구사회학적 요인을 비교 분석하였다. 결 과 주거 형태(자가 vs. 비자가)와 교육 수준(초등학교 졸업 미만 vs. 초등학교 졸업 이상)에 따른 PHQ-9 점수평균에서 유의한 차이를 보였다. 유사하게 PHQ-9 점수 10점을 기준으로 한 인구사회학적 요인의 비교에서도 비자가에서 거주하는 경우, 그리고 초등학교 졸업 미만인 경우 PHQ-9 점수가 유의하게 높은 것을 확인할 수 있었다. 결 론 이 연구는 노인 우울증의 위험인자에 대한 이해와 노인 우울증의 조기 평가 및 개입을 통한 대책 마련에 도움을 줄 수 있을 것으로 기대한다.

• 대한응급의학회지
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• 제29권6호
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• pp.679-686
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• 2018

Objective: The aim of this study was to identify the clinical characteristics and risk factors associated with the admission of patients in the emergency department (ED) within 30 days after discharge. Methods: A retrospective, observational study was conducted on adult patients presenting with abdominal pain to the ED of a single, urban, university hospital, between January 2014 and December 2015, who revisited the ED within 30 days after discharge. Data was collected on the emergency severity index level, time to contact doctors, physical examination, laboratory tests, use of computed tomography (CT), and patient disposition on revisitation. The primary outcome was hospital admission following an ED revisit in the 30-day period after the first visit. Results: During the study period, 19,480 patients visited the ED with the chief complaint of abdominal pain, and 13,577 were discharged. A total of 251 patients (1.29%) revisited the ED within 30 days, of which 89 were eligible for the study. The primary outcome was associated with not performing a CT scan on the initial visit and an increased C-reactive protein (CRP) value. Receiver operating characteristic curve analysis showed that a cut-off baseline CRP value of >0.35 mg/dL can predict the primary outcome with a sensitivity and specificity of 75% and 62.1%, respectively (area under the curve, 0.701; 95% confidence interval, 0.569-0.833; P=0.007). Conclusion: An increased CRP value and not performing abdominal CT were associated with a higher rate of admission following ED revisits of patients with abdominal pain. Future prospective studies on the role of abdominal CT imaging in patients presenting to the ED with abdominal pain will be needed.

• Journal of Korean Neurosurgical Society
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• 제65권1호
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• pp.96-106
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• 2022

Objective : The most common complication of anterior cervical discectomy and fusion (ACDF) is cage subsidence and maintenance of disc height affects postoperative clinical outcomes. We considered cage subsidence as an inappropriate indicator for evaluating preservation of disc height. Thus, this study aimed to consider patients with complications such as reduced total disc height compared to that before surgery and evaluate the relevance of several factors before ACDF. Methods : We retrospectively reviewed the medical records of 40 patients who underwent stand-alone single-level ACDF using a polyetheretherketone (PEEK) cage at our institution between January 2012 and December 2018. Our study population comprised 19 male and 21 female patients aged 24-70 years. The minimum follow-up period was 1 year. Twenty-seven patients had preoperative bone mineral density (BMD) data on dual-energy X-ray absorptiometry. Clinical parameters included sex, age, body mass index, smoking history, and prior medical history. Radiologic parameters included the C2-7 cobb angle, segmental angle, sagittal vertical axis, disc height, and total intervertebral height (TIH) at the preoperative and postoperative periods. Cage decrement was defined as the reduction in TIH at the 6-month follow-up compared to preoperative TIH. To evaluate the bone quality, Hounsfield unit (HU) value was calculated in the axial and sagittal images of conventional computed tomography. Results : Lumbar BMD values and cervical HU values were significantly correlated (r=0.733, p<0.001). We divided the patients into two groups based on cage decrement, and 47.5% of the total patients were regarded as cage decrement. There were statistically significant differences in the parameters of measuring the HU value of the vertebra and intraoperative distraction between the two groups. Using these identified factors, we performed a receiver operating characteristic (ROC) curve analysis. Based on the ROC curve, the cut-off point was 530 at the HU value of the upper cortical and cancellous vertebrae (p=0.014; area under the curve [AUC], 0.727; sensitivity, 94.7%; specificity, 42.9%) and 22.41 at intraoperative distraction (p=0.017; AUC, 0.722; sensitivity, 85.7%; specificity, 57.9%). Using this value, we converted these parameters into a bifurcated variable and assessed the multinomial regression analysis to evaluate the risk factors for cage decrement in ACDF. Intraoperative distraction and HU value of the upper vertebral body were independent factors of postoperative subsidence. Conclusion : Insufficient intraoperative distraction and low HU value showed a strong relationship with postoperative intervertebral height reduction following single stand-alone PEEK cage ACDF.