A ring, monosomy and marker chromosome 13 was found in a 14 months old male with multiple congenital anomalies which suggested the deletion 13 syndrome. He presented development retardation, mental retardation, syndactyly of thumbs, xeroderma, dyspnea, dyslogia and face deformity diagnosed by chromosomal analysis using synchronized G-banding technique which revealed of 46,XY,r(13)(p13q34)[48]/45,XY,-13[28]/46,XY,-13,+mar[13]. We report this case with a brief review of the correlation between clinical features and the observed 13 polymorphism chromosome.

약 100년 전에 박테리아가 암을 억제한다는 보고를 바탕으로 다양한 미생물이 항암효과를 가지는 백신 개발에 이용되거나 또는 미생물의 세포 밖 독소 단백질을 찾아내고 있다. Psuedomonas aeruginosa exotoxin A(ETA)는 암세포에서 세포성장을 억제하고 세포 죽음을 유발하는 것으로 알려져 있다. 하지만 ETA가 세포 자멸사를 유도하는 정확한 기전은 아직 알려져 있지 않다. 따라서 본 연구에서는 세포자멸사의 유도를 확인하기 위해 K562 cell을 이용하여 세포의 형태학적 변화, 세포독성, Annexin-V binding assay 그리고 세포주기를 분석하였으며, 그 결과로 ETA는 K-562세포에서의 세포증식과 성장을 억제하였고, 세포자멸사 기작을 통한 K-562 암세포의 사멸을 일으켰음을 관찰하였다. 또한 flow cytometric analysis에서는 ETA가 세포주기 중 특히 sub-G1 기를 정지시키는 것으로 나타났다. 본 연구는 ETA가 인간 백혈병 K-562 암세포의 세포성장을 억제하고 sub-G1 기를 정지시킴으로서 세포자멸사를 유도하고 있음을 확인하였다.

The total number of clinical materials collected from Dec 1, 2005 to Nov 30, 2006 in C. hospital was 63,133. Among these materials, the isolation of Staphylococcus spp. was 5,252 strains. The proportions of Staphylococcus species infection were as follows ; 46.7% in S. aureus, 39.3% in S. epidermidis, 4.7% in S. hominis, 3.8% in S. haemolyticus, 2.9% in S. capitis and 2.5% in others. Seventeen strains of Staphylococcus species were identified with an isolation range of 0.02-46.7%. The isolation ratios of Staphylococcus species were 7.8% (2,134/27,362) in female, 8.7% (3,118/35,807) in male and 8.3% (5,252/63,133) in both. The age-related frequencies of Staphylococcus species were 22.1% in the 60-69 year group, 19.3% in the 70-79 year group and 17.1% in the 50-59 year group. The isolation ratio of the 0-49 year group to the 50-over 80 year group were 1.74 times in female, 1.92 in male and 1.85 in both. The isolation frequency of Staphylococcus spp. was at its highest in April (9.9%) and at its lowest in February (6.8%) according to monthly analysis. According to seasonal variation, the isolation frequencies of Staphylococcus spp. were 27.0% in Summer, 25.9% in Spring, 23.9% in Fall and 23.2% in Winter. The clinical departments showing over 9% isolation rate against Staphylococcus spp. were critical care medicine (12.9%), department of pediatrics (11.6%), department of urology (9.8%) and department of neuro-surgery (9.1%). On the other hand, the lowest number was observed in the department of family medicine. The clinical material showing over 15% isolation rate against Staphylococcus spp. were 32.1% in urine (random urine and catheterized urine), 20.6% in blood and 16.0% in sputum.

Intestinal parasitic infections remain a serious public health problem globally and have usually been associated with human malnutrition. This study was performed to observe the present status of intestinal helminthes infections among the primary school children in Iksan, Korea, during the period from June to August, 2006. A total of 974 fecal samples (male 479, female 495) were collected and examined by formalin-ether sedimentation technique for intestinal helminthes eggs. Of the 974 samples examined, 2 (0.2%) were egg positive for intestinal helminthes, and only eggs of Clonorchis sinensis were observed in the 2 cases. These C. sinensis egg were found in grade 5 (male, 1 case) and grade 6 (female, 1 case), respectively. The egg positive rate of male and female were 0.2%, respectively. Through this survey, I found that the C. sinensis infection is prevalent among primary school children in Iksan, Jeonbuk, and a continuous health education for school children is recommended to prevent the potential infection of C. sinensis.

The number of children patients with tinea pedis and onychomycosis diagnosed on clinical findings and culture at the Catholic Dermatological Clinic in Daegu City were 144,446 for 2 years from January 2005 to December 2006. 120 children were suspected of having clinical onychomycosis or tinea pedis. KOH smears and cultures on the Potato corn meal dextrose agars (PDCA) were done for the suspected toe webs, nails and uninvolved neighbor toe webs. Socks were dusted and cultured to check contamination of clothes. Family infections were checked by questionnaire. The incidence was 92 (0.06%) out of 144,446 outpatients in tinea pedis, 28 (0.02%) in onychomycosis. Trichophyton(T.) rubrums were isolated from all of the 7 cases of onychomycosis. T. mentagrophytes was isolated from 5 cases of the tinea pedis patients and T. rubrum was isolated from 50 (92.5%) cases of the tinea pedis. The right side was predominant for onychomycosis of both toe nails (23 of 25) and finger nails (3 of 3). No fungal elements were detected from normal looking neighbor toe webs by KOH examinations. However, culture on PDCA agars showed T. rubrum isolates from 3 toe webs. 7 showed positive cultures from the socks. From the questionnaire, 94 had family infections.

This study was carried out on 14,443 subjects (8,706 men, 5,737 women ; between 20-80 years of age, mean age $41.8{\pm}9.16$) who visited the health promotion center of one university hospital. Serum $T_3$, $T_4$ and TSH concentrations were measured with CIA using commercial kits on ADVIA Centaur Assay. The prevalence of thyroid disfunction was high in elderly people and women like in western countries. The results were as follows; 1. The prevalence of overt hyperthyroidism was 4.8/1,000 population (men 4.1/1,000, women 5.9/1,000) and was higher in women than in men. 2. The prevalence of subclinical hyperthyroidism was 10.7/1,000 population (men 9.0/1,000, women 13.2/1,000) with peak prevalence at the age group 50, 60 and was higher in women than in men. 3. The prevalence of overt hypothyroidism was 0.5/1,000 population (men 0.5/1,000, women 0.5/1,000). The prevalence increased with age and was significantly higher in women in the age group over 60 years. 4. The prevalence of subclinical hypothyroidism was 12.6/1,000 population (men 6.0/1,000, women 22.7/1,000) and was as high as about 4 times in women than in men. 5. The prevalence of thyroid dysfunction was higher in women than in men in all the age groups, and was higher in the age group 50, 60 years than in any other age group.

The purpose of this study was to evaluate the general features of allergic patients in northwestern Chungcheongnamdo who visited Soonchunhyang University Cheonan Hospital. The subjects in this study were 1692 suspected allergic patients. After their allergic symptoms were checked and a MAST-CLA test was conducted, the following results were obtained: 1. The mean age of the subjects was 23.1 years old. The male patients represented 56.2% and the female patients accounted for 43.8%. 1387 (82.0%) patients of those investigated suffered from allergic disease. 2. Among the 1387 patients, 1022 (73.7%) patients showed an increased total IgE level. The positive rate of those who were in their 40s (87.0%) was the highest, but their age made no difference to their positive rate of total IgE. 3. Concerning the positive rate for allergen specific antibody by age, those who were in their teens (73.5%) topped the list and similar in all age group except in their 40s. By gender, the positive rate of the male and female were 56.3% and 43.9% respectively. Regarding the positive rates by allergic disease, those who suffered from allergic rhinitis (60.4%) were most vulnerable, followed by the patients with allergic dermatitis (47.4%), with bronchial asthma (47.2%) and with urticaria (39.4%). 4. As for seasonal positive rates, they were most susceptible in April (77.2%) and May (71.1%). We discovered a significant difference according to seasons; Spring (60.1%), Winter (45.4%) and Summer (39.2%). 5. In case of Korean inhalent panel, the most dominant allergen-specific antibodies were "Cockroach mix" (31.1%), followed by "D. pteronyssius" (23.8%) and "Dog" (14.3%). In the event of food panel, the most popular allergen-specific antibodies were "D. farinae" (25.0%), followed by "D. pteronyssinus" (19.8%) and "Hose dust" (12.0%). 6. The residential type made no difference to the positive rates of "House dust", "Cockroach mix" and "Dog" as major antigen but compared with others, positive rates for "Tick" were somewhat higher in apartment buildings.

선천성난청은 비교적 흔한(1/1,000) 유전성질환으로 여러 유전자와 관련이 있으며, 최근에는 connexin 26 단백질내의 GJB2 유전자 돌연변이와의 관련성이 보고되고 있다. 유전질환을 예측하기 위한 유전자선별검사를 임상에 적용하기 위해서는 각 해당 국가별로 정상인에서 유전자돌연변이의 빈도를 구하고, 환자의 결과를 비교하여 활용성을 검토한 후 사용하여야 한다. 본 연구에서는 청력검사(TEOAE)가 정상인 신생아에서 GJB2 유전자 돌연변이 빈도를 구하여 screening test를 위한 한국인의 database를 수립하고자 하였다. 검체로는 437 명의 건강한 신생아의 발꿈치를 천자하여 얻은 혈액을 이용하였고, DNA는 Intron 사의 킷트를 사용하여 추출하였으며, GJB2 PCR을 실시한 후 증폭산물(783 bps)은 2% agarose gel로 전기영동을 실시하였고, DNA 자동염기서열분석기를 이용하여 분석을 실시하였다. 총 437명의 한국인 신생아에서 GJB2 유전자 중 8곳의 돌연변이(35delG, 167delT, 235delC, V27I, V37I, M34T, E114G, I203T)를 분석하였으며, 이 중 5곳에서 돌연변이가 발견되었다. 총 437명 중 301명(68.9%)에서 GJB2 유전자돌연변이가 발견되었는데, 그 중 154명이 단일돌연변이였다. V27I 변이가 271명으로 가장 많이 발견되었으며, 대부분의 V27I 변이는 E114G 변이와 함께 나타났다. E114G 변이는 총 146명, I203T 변이는 17명, V37I 변이는 14명, 235delC 변이는 1명의 순으로 나타났다. 이중돌연변이의 대부분은 V27I/E114G였으며, V27I/I203T는 3명에서 나타났고, 삼중돌연변이 V27I/E114G/I203T는 1명에서 발견되었다. 본 연구결과, PCR을 이용한 자동염기분석검사는 GJB2 유전자의 돌연변이 검출에 매우 유용하며, 본 결과는 향 후 신생아 난청선별검사를 위한 한국인의 database로 활용될 수 있을 것으로 사료된다.

This study is a report about a specific patient whose primary stomach adenocarcinoma metastasized to uterine cervix adenocarcinoma. A thirty-nine year old female patient was initially diagnosed as having metastatic adenocarcinoma in the supraclavicular lymph node. Upon further examination, she was diagnosed with stomach adenocarcinoma. 8 months later, a cervix punch biopsy was performed. The stains used for examination were H&E stain, PAS stain, Alcian blue stain, Mucicarmine stain, Papanicolaou's (Pap.) stain, and as immunohistochemical stains, cytokeratin 7 and 20 were done. In the H&E stain, the tumor cells showed prominent and eccentric nuclei, thin nuclear membrane in abundant mucous cytoplasm, and cylinder shape. In the PAS stain, intracytoplasmic mucin vacuoles were stained with pink, and in Alcian blue and Mucicarmine stains, intracytoplasmic mucin vacuoles were stained with blue and red. As in the above results, she was diagnosed with undifferentiated adenocarcinoma. As found on the cytologic smear preparation of the uterine cervix stained by Papanicolaou's stains, the background was relatively clear, the number of malignant cells was relatively low, and large and eccentric nuclei in abundant cytoplasm were observed. Upon observing the tissue preparation of the uterine cervix biopsy by H&E stain, a clear background, large and eccentric nuclei, and a signet ring cell types were observed, and the number of malignant cells were fewer than in the primary uterine cervix adenocarcinoma. The vacuoles in cytoplasm were observed. The nuclear membrane and chromatin were thick and very rough, and upon observation by cytokeratin 7 and 20 of immunohistochemical stain, the tumor cells indicated a positive rate of 70% and 20%, respectively. According to these results, also she was diagnosed with metastasized uterine cervix adenocarcinoma. In summary of the results of pathologic findings on stomach biopsy and cytologic, histopathologic, and immunohistochemical finding on uterine cervix biopsy, the adenocarcinoma of her uterine cervix could assert the adenocarcinoma of signet ring cell type that was metastasized from the primary undifferentiated adenocarcinoma in stomach.

This study was designed to investigate the correlation between the expression rate of p53 and p21 proteins by immunohistochemical staining and tumor prognostic factors including the tumor size, histological differentiation and Dukes' stage of tumor prognostic factors in colon cancer, and to acquire necessary data for the presumption of diagnosis, treatment and prognosis of colon cancer patients. From January 2000 to January 2003 at Hanyang University Guri Hospital, the paraffin blocks of 35 patients diagnosed with colon cancer whose pathologic reports were possible to review were selected. Harris hematoxylin & eosin (H&E) staining and immunohistochemical staining by ABC (Avidin Biotin Conjugate) method were performed. The histological differentiation grade and stage were classified according to the classification of the World Health Organization (WHO) and modified Dukes's stage from H&E staining. The expression rate of p53 and p21 proteins were analyzed by immunohistochemical staining. The results was analyzed statistically by SPSS (Windows version 8.0). As a result, the expression rate of p53 protein was 11.4% (4 cases) in clear differentiation, 48.6% (17 cases) in moderate differentiation, and 17.1% (6 cases) in poor differentiation. In other words, the poorer the differentiation, the higher the expression rate of p53 protein (p<0.05). The expression rate of p21 was 17.1% (6 cases) in clear differentiation, 40.0%(14 cases) in moderate differentiation, and 8.6% (3 cases) in poor differentiation, According to the progression of histological malignant degeneration, the expression rate of p21 protein decreased distinctively (p<0.05). However, the correlation between the two above mentioned proteins and the tumor-size and Dukes' stage was not of statistical significance. In the comparison of the expression rate of p53 protein with that of p21 protein, in 10 cases, p53 protein expression was positive while p21 protein expression was negative, and in 6 cases, p53 protein expression was negative whereas p21 protein expression was positive. Consequently a statistically significant inverse correlation between the expression rate of p53 protein and that of p21 protein was observed (p<0.05). In conclusion, we found a significant correlation between histological differentiation and the expression rate of p53 and p21 proteins (p<0.05), and a significant inverse correlation between the expression rate of p53 protein and that of p21 protein (p<0.05). Also, it could be confirmed that the over expression of p53 and p21 proteins is closely associated with the occurrence of colon cancer and its progress. Therefore, it is thought that this study may be greatly beneficial to the presumption of diagnosis, treatment and prognosis of colon cancer patients.

The aim of this study was to examine the effect of differences in age and sex on vestibular evoked myogenic potentials (VEMP), particularly in normal participants. Briefly, the VEMP is a response elicited by loud clicks or tone bursts recorded from the tonically contracted sternocleidomastoid muscle. A total of 72 participants were divided into 6 groups according to their age and sex (20~30/F, 20~30/M, 40~50/F, 40~50/M, ${\geq}60/F$, ${\geq}60/M$). We got the data of latency, amplitude, and asymmetry index of the amplitude(ASI) from them. As a result of this study, there are variations in VEMP amplitudes and ASI depending on the muscle tension and the intensity of stimuli. In contrast, the latency of the response is usually less varied and does not differ significantly.

Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is a disorder characterized by the repetitive collapse of the pharyngeal airway during sleep, which leads to oxygen desaturation, sleep fragmentation, daytime sleepiness, and increased risk for hypertension and stroke. We investigated the clinical factors related to the severity of OSAHS. Polysomnography was performed in three hundred and ninety five consecutive adult patients with clinical symptoms of obstructive sleep apnea syndrome. All patients completed the sleep questionnaire and the Epworth Sleepiness Scale before polysomnography. Patients were classified into four groups based on the severity of their polysomnographic data: Non-OSA group, characterized by Apnea-Hypopnea Index (AHI) < 5; mild OSA group, by AHI 5-15; moderate OSA group, by AHI 16-30; and severe OSA group, by AHI > 30. Neck circumference was also measured at the cricothyroid level. A total of 395 patients (336 men and 59 women) were studied. In the non-OSA group, there were 55 patients; their mean neck circumference was $39.63{\pm}4.24cm$ and mean BMI was $24.48{\pm}3.53$. In the mild group, there were 101 patients; their mean neck circumference was $41.93{\pm}3.75cm$ and mean BMI was $25.33{\pm}2.94$. In the moderated group, there were 93 patients; their mean neck circumference was $43.27{\pm}3.50cm$ and BMI was $25.90{\pm}2.88$. In the severe group, there were 146 patients; their mean neck circumference was $44.94{\pm}3.93cm$ and mean BMI was $26.81{\pm}3.76$. Men had significantly larger neck circumference than women ($Mean{\pm}SD$, $43.72{\pm}3.83$ vs $39.17{\pm}4.30$, p < 0.001), and higher AHI than women ($29.12{\pm}22.65$ vs $14.63{\pm}14.11$, p < 0.001). Multiple regression analysis revealed that neck circumference was the most significant predictor of AHI. Neck circumference and BMI were positively correlated with the severity of OSAHS. The severity of OSAHS was greater in men than in women.