• 제목/요약/키워드: NO.OF INDIVIDUALS

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육지면품종의 유용형질의 유전에 관한 연구 (Studies on the Inheritance of Agronomic Characteristics in Upland Cotton Varieties (Gossypium hirsutum L.) in Korea)

  • 계봉명
    • 한국작물학회지
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    • 제21권2호
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    • pp.281-313
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    • 1976
  • 면화의 유용형질의 개별적 유전관계를 조기에 검정하고 이들의 상호관련성을 육종사업에 효율적으로 이용할 수 있는 기초자료를 얻고저 1969년부터 1972년까지 작물시험장목포지장실험포장(북위 $34^{\circ}47',$ 동경 $126^{\circ}20',$ 표고 1.5m)에서 육지면품종간의 Partial Diallel Cross $F_1$ 및 Paymaster$\times$Heujueusseo Trice의, 분리집단을 공시하여 Hetesosis, Combining Ability, 품종별우열성, 유전분산의 분할, 표현형 및 유전상관등을 조사한 결과를 요약하면 다음과 같다. 1. Heterosis는 주당삭수와 소면수량에서 양친평균 보다 각각 27.84%, 37.26%의 증가경향을 보였고 기타 형질에서는 유의성이 없었다. 2. GCA에 있어서는 모든 형질에서 유의성이 있었고, SCA보다 GCA 효과가 컸으며, 품종별 GCA효과푸 Suwon# 1이 조숙으로, Paymaster 및 Arijona는 고소면로, Arijona는 장섬유의 방향으로 했다. 3. 소면수량의 SCA는 Mokpo #4, Mokpo #6, Heujueusseo Trice등을 편친으로 한 조합이 변이가 컷고, 기중 SCA효과가 가장 큰 조합은 Mokpo# 4$\times$Acala 1517W, Mokpo#$\times$D.P.L, Heujoeusseo Trice$\times$Paymaster 조합등으로서 비교적 대립형질이 많은 조합이었다. 4. 조만성의 유전은 조숙이 만숙에 대하여 완전우성조합 또는 조숙과 만숙의 상호간의 우성을 나타내지 못하는 중간성조합이 있었음에 따라 이것은 상가적 유전성분이 큰 Multi gene의 지배를 받는 것으로 추찰되였다. 조숙성의 우성강도가 가장 큰 품종으로서는 Heujueusseo Trice. Mokpo#6, Suwon#1 등이였다. 5. 삭중 및 종자 100립중의 유전은 뚜렸한 경향이 없었다. 6. 장섬유성인 Paymaster와 단섬유성인 Heujueusseo Trice간의 교잡조합의 $F_2,$ $F_3에$ 있어서의 섬유장분리는 장섬유가 단섬유에 대하여 완전 또는 부분우성의 단인자지배에 의하여 분리되였으며 세대가 진전됨에 따라 우성개체발현율이 감소되는 경향이였다. 또한 Diallel Cross $F_1으로$ 동시에 수개품종을 비교할 경우는 각품종의 섬유장의 폭이 다르고 우성의 정도가 다르기 때문에 다소 복잡한 대립인자작용으로 나타났다. 7. 주당삭수는 대체로 초월우성이 강하게 나타났으며 따라서 상가적부분이 적게 표현되여 비대립유전자의 작용도 존재하는 것으로 였다. 8. 소면수량도 초월우성이 강하게 나타내여 비대립유전자의 작용도 존재하는 Multi gene에 의하여 지배되는 것으로 보였으며 대체로 다수성품종이 소수성품종에 비하여 우성이였다. 그러나 Heujeusseo Trice는 소수성품종으로서 초월우성을 나타내여 품종 및 조합에 따라서 상리한 반응을보였다. 9. 개화소요일수의 유전력은 39~34%였으나 협의 11%로 낮은 것은 우리 나라에서는 개체변이가 심하여 유전력이 다소 낮게 표현되는 것으로 사료된다. 또한 삭중의 유전력은 광의 30%, 협의 22%로 낮은 경향이였으나 Diallel Cross $F_1$ 에서는 다소 높게 나타났다. 10. 섬유장 및 소면비율의 유전력은 어느 경우에서도 높았으므로 선발효율이 클것으로 기대된다. 11. 주당삭수의 유전력 Diallel Cross 에서 30%, $F_2에서$ 협의 36%로 낮은 경향을 보였으나 광의 67%로 높았으므로 $F_2,$ $F_3에서는$ 양친의 특성을 어느정도 나타낼것으로 기대된다. 12. 소면수량의 유전력은 Diallel Cross 에서는 초월우성이 강하게 작용했기 때문에 낮은 우전력을 보였으나, $F_2,$ $F_3에서는$ 광의 38%, 협의 50%로서 비교적 높았다. 따라서 수량의 유전력은 $F_1에서는$ 극히 낮았으나, $F_2,$ $F_3세대에서는$ 높아가는 경향이였다. 13. 개화소요일수, 소면비율 및 섬유장의 상호간에는 $F_1,$ $F_2,$ F3에서 모두 표현형상관이 높았으므로 만숙품종 및 개체가 대체로 장섬유 및 고소면의 경향이였고 이들의 유전상관도 높기때문에 유전적관계가 컸었다. 개화소요일수와 소면수량과의 상관관계가 극히 낮았으므로 이들은 서로 독립형질로 사료되지만 주당 삭수와는 $F_3에서$ 부의 상관이 있으므로 조숙개체가 다삭성인 경향을 많이 보였다. 14. 소면비율과 섬유장과의 표현형 및 유전상관은 $F_1,$ $F_2,$ $F_3$ 모두 높았으므로 이 두 형질은 대체로 흡사한 형질이라고 인정할 수 있음에 따라 장섬유품종이 대체로 고소면성이였다. 또한 소면수량과 소면비율과는 Diallel Cross $F_1에서$ 정의 상관, $F_2에서는$ 섬유장과의 정의 상관을 보여 소면비율 및 섬유장도 소면수량에 다소 관여하는 것으로 나타났다. 15. 소면수량은 주당삭수와의 표현형상관이 $F_1,$ $F_2,$ $F_3$ 모두 고도의 전상관을 나타냈고, 유전상관도 높음에 따라 유전적인 관련성이 크다고 인정되였다. 따라서 다수성을 선발하려면 주당삭수가 많은 개체를 후기세대에서 선발하는 것이 선발효율이 크다고 사료된다. 또한 양질계통을 선발하기 위해서는 장섬유 및 고소면개체를 초기세대부터 선발해도 선발효율은 클것으로 기대되지만 이러한 개체는 동시에 만숙성을 내포할 가능성이 있었다.

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Catecholamines에 관(關)하여 -제5편(第五編) : 자궁(子宮) catecholamines에 관한 실험적(實驗的) 연구(硏究)- (Experimental Studies on Uterine Catecholamines)

  • 이우주
    • 대한약리학회지
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    • 제19권1호
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    • pp.37-60
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    • 1983
  • The uterus receives adrenergic terminals from the mesenteric ganglia and considerably large amount of catecholamines have been shown to be contained in this organ. On the other hand, the activities of epinephrine, norepinephrine or adrenergic nerve on uterine motility is so complicated that many controversial results have been reporter. Recently, a large number of reports concerning the changes of uterine catecholamines content have appeared, but little is known about the role of uterine catecholamines in their activities on uterine motility. The present experiments were undertaken to determine the significance of the intrinsic uterine catecholamines in the physiology of uterus. Female albino rabbits weighing approximately 2 kg were employed in this experiment. uterine strip3 were prepared and suspended in a constant temperature $bath(38^{\circ}C)$ containing 100 ml of Locke's solution aerated with 95% oxygen and 5% carbon dioxide. Spontaneous motility was recorded on a smoked drum with an isotonic lever. The catecholamines concentration of the uterus was determined according to the Procedure described of Shore and Olin (1958). Human uterus obtained from patients was also used to determine the catecholam ines content of myometrium. Followings are summarized results. 1) On the non-pregnant rabbit uterine strips, epinephrine and norepinephrine significantly elevated the tonus and stimulated the spontaneous motility. Pretreatment with dichloroisoproterenol(DCI), an adrenergic beta-receptor blocker, enhanced the stimulatory activity of epinephrine or norepinephrine. On the other hand, pretreatment with dibenamine, an adrenergic alpha-receptor blocker, rendered the uterine muscle to exhibit inhibition after the administration of epinephrine or norepinephrine. Following the treatment with both DCI and dibenamine, epinephrine or norepinephrine produced no appreciable effects on the spontaneous motility of the uterus. These results suggest there exist both alpha and beta-adrenergic receptors in the uterine muscle and the response to epinephrine of the former is predominant over that of latter in the non-pregnant uterus of rabbits. The total catecholamines concentration of the non-pregnant uterus was $351\;m{\mu}g/g$ and the fractional concentrations of epinephrine and norepinephrine were $125\;m{\mu}g/g(35.7%)$ and $226\;m{\mu}g/g$ respectively. It is interesting to note that the catecholamines content of uterus was characterized by a high fractional corcentration of epinephrine relative to norepinephrine. 2) On the pregnant rabbit uterine strips, the effects of epinephrine and norepinephrine varied according to the period of pregnancy. The response to epinephrine of adrenergic beta receptor of uterus increased during pregnancy, and the effect of catecholamine was inhibitory in the early pregnancy but became stimulatory as the pregnancy progressed. This stimulating action on the uterine motility was found to occur through the action of norepinephrine. The uterine catecholamines concentration was markedly reduced during pregnancy. The catecholamines concentration was started to decrease in the early pregnancy, reached the lowest level in the mid-pregnancy and then started to increaae again in the late pregnancy when the total catecholamines content became the highest level of all. This increase of catefholamines in late pregnancy was chiefly due to the increase of norepinephrine. These results suggest that the uterine motility may be related to the catecholamines content, especially norepinephrine content in the uterus. 3) Bilateral oophorectomy of rabbits results in a marked shrink of the uterus in size. The spontaneous motility of the uterine segment of these animals was very weak and irregular. Norepinephrine produced inhibitory effect, whereas epinephrine was stimulatory or inhibitory effect on the uterine segment. The total catecholamines tontent in whole uterus was markedly reduced. The injection of estrogen into the oophorectornized rabbit increased the weight of uterus to approximately three times of that of oophorectornized animal. The apontaneous motility and the response to epinephrine and norepinephrine of the uterine segment were greatly enhanced. Both epinephrine and norepinephrine produced a marked stimulatory effects of the uterine motility. The uterine content of catecholamines, particularly epinephrine, was markedly increased. The injection of progesterone into the oophorectornized rabbit increaeed the weight of uterus to approximately 2.5 times of that of eophorectornized animal. The spontaneous motility of the uterine segment was weak and irregular. Epinephrine produced stimulatory effect at high concentrations but norepinephrine always prcdnced inhibitory effect on the uterine segment. The uterine content of catecholamines, particularly of norepinephrine, was markedly reduced. These results suggested that ovarian hormones play an important role not only on the growth and spontaneous norepinephrine of uterus but also on the catecholamines content and responee to epinephrine and norepinephrine of the uterus. 4) The intraperitoneal injection of reserpine(3 mg/kg) into the non-pregnant, pregnant and oophorectornieed rabbits markedly decreased the uterine content of catecholamines, particularly of the norepinephrine. The stimulatory response to epinephrine and. norepinephrine of the uterine segment of these reserpinized ratbits was markedly reduced whereas the inhibitory response to these catecholamines was enhanced. This finding further support the close relationship between the uterine catecholamines content and uterine response to epineptrire and norepinephrine. 5) In the human uterus, the concentration of epinephrine was actrally greater than that of norepinephrine and it was significantly greater during the proliferative phase of the menstrtal cycle. In the human pregnant uterus, the concentrations of toth epinephrine and ncrefinephrine were markedly reduced and showed about 45 percent rednction after 6-8 weeks of ectopic Pregnancy. At full term ana during labor, the concentrations of epinephrine and norepinephrine at placental sites were less than those found in the non-pregnant group. Of interest was the finding that the norepinephrine concentration of uterus from toxemic patients was two and half times higher than that of lower uterine segment of the nontoxemic pregnant individuals. Also the epinephrine concentraticn was slightly increaeed.

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재일한국인의 생활문화의 이질화와 적응과정에 관한 보건학적 연구(제 1보 한국, 재일한국인, 일본의 사인구조분석 (A comparative Study of Changing Pattern of Cause of Death Analysis of Korean, Korean in Japan and Japanese)

  • 김정근;장창곡;임달오;김무채;이주열
    • 한국인구학
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    • 제15권2호
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    • pp.15-59
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    • 1992
  • After world war II Japanese life expectancy has been improved remarkably, and reached the highest level in the world around late 1970's. The life expectancy of Korean has also shown tremendous improvement in recent years with about 20 year's gap from the Japanese. The reason of rapid improvement of life expectancy can be explained by changes in the structure of cause of death due to health system, living standard, social welfare, health behavior of individuals and so on. Korean in Japan is placed under different situations from both Korean in Korea and Japanese in these regards, and expected to show different picture of cause of death pattern. The objective of this study is the comparision of changing patterns of cause of death of three population groups, Korean in Japan, Korean in Korea and Japanese, and to investigate the reasons which effect to the structural difference of mortality cause with special emphasis on health ecological aspects. One of the major limitations of the Korean causes of death statistics is the under-registration which ranges about 10% of the total events, and inaccuracy of the exact cause of death. Some 20% of registered deaths were unable to classify by ICD. However, it is concluded that the Korean data are evaluated as sufficient to stand for over-viewing of trends of cause of death pattern. The evaluation is done by comparing data from registration and field survey over the same population sample. Population data of Korean in Japan differ between two sources of data; census and foreigner's registration. Correction is done by life table method under the assumption that age-specific mortality pattern would accord with that of the Japanese. The crude death rate was lowest among Korean in Japan, 5.7 deaths per 1,000 population in 1965. The crude death rates of Korean in Japan and Japanese are increasing recently influenced by age structure while Korean in Korea still shows decreasing tendency. The adjusted death rate is lowest among Japanese, followed by Korean in Japan, and Korean in Korea. The leading causes of death of Korean in Korea until 1960's was infectious diseases including pneumonia and tuberculosis. The causes of death structure changed gradually to accidents, neoplasm, hypertensive disease, cerebro-vascular disease in order. The main difference in cause of death between Korean and Japanese if high rate of liver diseases and diabetes for both Korean in Japan and Korea. A special feature of cause of death among Korean in Korea is remakably high rate of hypertensive disease, which is assumed to be caused by physicians tendency in choosing diagnostic categories. The low ischemic heart disease and high vasculo-cerebral disease are the distinctive characteristic of the three population groups compared to western countries. Specific causes of death were selected for detailed sex, age and ethnic group comparisons based on their high death rates. Cancer is the cause of death which showed most dramatical increase in all three population groups. In Korea 20.1% of all death were caused by cancer in 1990 compared with 10.5% in 1981. Cancer of the liver is the leading cause of cancer death among Korean in Japan for both sexes, followed by cancer of the lung and cancer of the stomach, while that of Korean in Korea is cancer of the stomach, followed by cancer of the liver and cancer of the lung for male. Causes of infant mortality were examined among the three population groups since 1980 on yearly bases. For both Japanese and Korean in Japan, leading cause of death ranks as conditions originating in the perinatal period, congenital anomalies, accidents and other violent causes. Trends since 1980 for these two population groups in the leading cause of infant mortality showed no changes. On the contrary, significant changes in leading cause of death structure in Korea were observed : the ranking of leading cause of death in 1981 were congenital asnomalies, pneumonia bronchitis, infectious disease, heart disease, conditions originating in the perinatal period, accident and other violent causes ; in 1990 the ranking shifted to congenital anomalies, accident, pneumonia bronchities, conditions originating in the perinatal period, infectious disease. The mortality rate by congenital anomalies in Korea continuously grew than any other causes. Larger increase ocurred during the 1990's

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대구 경북지역에서 진단된 노령자 폐암의 임상적 특징과 예후 (The Clinical Characteristics and Prognosis of Elderly Patients with Lung Cancer Diagnosed in Daegu and Gyeongsangbukdo)

  • 김현숙;현대성;김경찬;이상채;정태훈;박재용;김창호;차승익;이관호;정진홍;신경철;전영준;한승범;최원일;김연재;정치영;임건일
    • Tuberculosis and Respiratory Diseases
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    • 제65권1호
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    • pp.15-22
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    • 2008
  • 연구배경: 폐암은 우리나라 암 사망원인 질환의 가장 높은 비율을 차지하는 질환으로 특히 노령 인구에서 증가하는 추세이다. 그러나 노령의 폐암 환자는 동반된 질환, 노령에 따른 장기 기능의 저하 등의 이유로 적절한 치료를 받지못하는 경우가 많다. 이에 70세 이상의 노령 폐암 환자의 임상적 특징과 치료에 따른 생존기간 등을 알아보고자 한다. 방 법: 2005년 1월부터 2005년 12월까지 대구, 경북 지역에 소재하고 있는 대학병원 및 종합병원(경북대학병원, 구미 순천향병원, 대구가톨릭대학병원, 대구파티마병원, 동산의료원, 영남대학병원)에서 세포학적 혹은 조직학적으로 원발성 폐암을 진단받은 706명의 환자들을 70세 이상 환자군과 70세 미만 환자군으로 나누어 후향적으로 연구하였다. 결 과: 전체 환자 중 70세 이상의 환자는273명(38.7%)이었다. 70세 이상의 환자는 70세 미만보다 호흡곤란의 증상이 많았으며(p<0.001), 만성폐쇄성폐질환의 빈도가 높았고(p<0.001), 활동도가 좋은 경우가 적었다(p<0.001). 비소세포폐암 환자의 중앙생존기간은 70세 미만의 환자와 70세 이상의 환자에서 유의한 차이를 보였지만(962일 vs 298일, p=0.001), 한 가지라도 치료를 받았던 환자들을 대상으로 했을 때는 두 군간에 의미 있는 차이가 없었다(1,109일 vs 708일, p=0.14). 결 론: 70세 이상의 비소세포폐암 환자에서 환자의 활동도 등을 고려하여 적극적인 치료를 시행하는 것이 바람직할 것으로 생각된다.

최근국제항공보안대책(最近國際航空保安対策)의 제간제(諸間題) -특히 법적측면(法的測面)을 중심(中心)으로- (Some New Problems of International Aviation Security- Considerations Forcused on its Legal Aspects)

  • 최완식
    • 항공우주정책ㆍ법학회지
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    • 제5권
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    • pp.53-75
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    • 1993
  • This article is concerned with the comment on "Some New Problems of International Aviation Security-Considerations Forcused on its Legal Aspects". Ever since 1970, in addition to the problem of failure to accept the Tokyo, Hague and Montreal Conventions, there has been also the problem of parties to them, failing to comply with their obligations under the respective treaties, in the form especially of nominal penalties or the lack of any effort to prosecute after blank refusals to extradite. There have also been cases of prolonged detention of aircraft, passengers and hostages. In this regard, all three conventions contain identical clauses which submit disputes between two or more contracting States concerning the interpretation or application of the respective conventions to arbitration or failing agreement on the organization of the arbitration, to the International Court of Justice. To the extent to which contracting States have not contracted out of this undertaking, as I fear they are expressly allowed to do, this promision can be used by contracting States to ensure compliance. But to date, this avenue does not appear to have been used. From this point of view, it may be worth mentioning that there appears to be an alarming trend towards the view that the defeat of terrorism is such an overriding imperative that all means of doing so become, in international law, automatically lawful. In addition, in as far as aviation security is concerned, as in fact it has long been suggested, what is required is the "application of the strictest security measures by all concerned."In this regard, mention should be made of Annex 17 to the Chicago Convention on Security-Safeguarding International Civil Aviation against Acts of Unlawful Intereference. ICAO has, moreover, compiled, for restricted distribution, a Security Manual for Safeguarding Civil Aviation Against Acts of Unlawful Interference, which is highly useful. In this regard, it may well be argued that, unless States members of ICAO notify the ICAO Council of their inability to comply with opecific standards in Annex 17 or any of the related Annexes in accordance with Article 38 of the 1944 Chicago Convention on International Civil Aviation, their failure to do so can involve State responsibility and, if damage were to insure, their liability. The same applies to breaches of any other treaty obligation. I hope to demonstrate that although modes of international violence may change, their underlying characteristics remain broadly similar, necessitating not simply the adoption of an adequate body of domestic legislation, firm in its content and fairly administered, but also an international network of communication, of cooperation and of coordination of policies. Afurther legal instrument is now being developed by the Legal Committee of ICAO with respect to unlawful acts at International airports. These instruments, however, are not very effective, because of the absence of universal acceptance and the deficiency I have already pointed out. Therefore, States, airports and international airlines have to concentrate on prevention. If the development of policies is important at the international level, it is equally important in the domestic setting. For example, the recent experiences of France have prompted many changes in the State's legislation and in its policies towards terrorism, with higher penalties for terrorist offences and incentives which encourage accused terrorists to pass informations to the authorities. And our government has to tighten furthermore security measures. Particularly, in the case an unarmed hijacker who boards having no instrument in his possession with which to promote the hoax, a plaintiff-passenger would be hard-pressed to show that the airline was negligent in screening the hijacker prior to boarding. In light of the airline's duty to exercise a high degree of care to provide for the safety of all the passengers on board, an acquiescence to a hijacker's demands on the part of the air carrier could constitute a breach of duty only when it is clearly shown that the carrier's employees knew or plainly should have known that the hijacker was unarmed. The general opinion is that the legal oystem could be sufficient, provided that the political will is there to use and apply it effectively. All agreed that the main responsibility for security has to be borne by the governments. A state that supports aviation terrorism is responsible for violation of International Aviation Law. Generally speaking, terrorism is a violation of international law. It violates the sovereign rights of states, and the human rights of the individuals. We have to contribute more to the creation of a general consensus amongst all states about the need to combat the threat of aviation terrorism. I think that aviation terrorism as becoming an ever more serious issue, has to be solved by internationally agreed and closely co - ordinated measures.

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위암에서 조직학적 특징에 따른 혈청 E-cadherin의 농도 (Concentration of E-cadherin Correlated with Pathologic Features in Gastric Cancer)

  • 허훈;송교영;김진조;진형민;김욱;박조현;박승만;임근우;박우배;김승남;전해명
    • Journal of Gastric Cancer
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    • 제4권3호
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    • pp.156-163
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    • 2004
  • Purpose: While E-cadherin in normal cells induces calciumdependent cell-cell adhesion, in malignant cell, it plays a role in invasion and metastasis with a reduction of adhesion. Serum soluble E-cadherin is a result of the reduction of the cellular E-cadherin molecule and is found in the circulation of normal individuals, but it is particularly known to be increased in patients with malignancies. Accordingly, through checking the level of serum soluble E-cadherin in patients with gastric cancer and analyzing it in the view of clinicopathology, we investigated whether serum soluble E-cadherin could be translated into a clinicopathologic esult and used as a tumor marker. Materials and Methods: The investigation targeted 88 patients who had been diagnosed as having gastric cancer by the Department of Surgery, St. Mary's Hospital, from October 1, 2002, to July 30, 2003, and who had under gone performed surgery. We measured the level of preoperative serum E-cadherin in the 88 patients by unsing ELISA. Among them, we collected gastric cancer tissues from 54 patients and executed immunohistochemistry for E-cadherin. The samples were compared with normal tissues in terms of both serum E-cadherin level and immunohistochemistry level, as well as with other clinicopathologic factors. Result: The mean serum E-cadherin level of the 88 patients was 4368.7 ng/ml and was significantly higher than the level in 12 normal control patients, 3335.5 ng/ml (P=0.016). In terms of clinicopathology, the serum level of E-cadherin was significantly correlated with increasing age (P=0.0006) and was higher in positive venous invasion patients (P=0.0005). When the E-cadherin immunohistochemical stain was compared with the serum E-cadherin level in 54 patients, no significant statistically meaningful result was obtained (P=0.2881). However, 4 patients with serum E-cadherin levels about 6000 ng/ml were classified into the lower expression group ($<80\%$ of E-cadherin immunohistochemicals stain. In the analysis for 36 patients who were early gastric cancer patients, the serum E-cadherin level in lymph-node-metastatic patients was higher than it was in the other patients (P=0.0442). Conclusion: The serum E-cadherin level in gastric cancer patients was higher than the level in normal control patients. In advanced gastric cancer patients, that the difference was increased. Also, since the E-cadherin level correlated with the serum E-cadherin level with venous invasion, it can be used as an effective tumor marker for gastric cancer. Particularly, in that the serum E-cadherin level correlated with lymph node metastasis in early gastic cancer, it can be used when a therapeutic method for early gastric cancer is selected.

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폐결핵 환자의 말초 혈액에서 중합효소연쇄반응을 이용한 결핵균 DNA의 검출 (Detection of Mycobacterium tuberculosis DNA by PCR in Peripheral Blood of Patients with Pulmonary Tuberculosis)

  • 홍윤기;조경욱;이혜영;김미나;성흥섭;오연목;이상도;김우성;김동순;김원동;심태선
    • Tuberculosis and Respiratory Diseases
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    • 제63권4호
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    • pp.331-336
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    • 2007
  • 연구배경: 결핵은 호흡기를 통한 전염성 질환이지만 말초혈액에서 결핵균 PCR이 양성이거나 결핵균이 배양된 보고가 일부 있었다. 이는 결핵의 진단에 있어서의 유용성과 헌혈을 통한 결핵의 전염 가능성의 두 가지 문제를 제기하게 되었고, 저자들은 상기 문제들에 대한 향후 연구방향의 기초자료로 사용하고자 연구를 시행하여 보았다. 방법: 속립성 결핵이 아닌 폐결핵, 비결핵항산균 폐질환, 폐암 및 폐렴 환자 69명을 대상으로 말초혈액에서 결핵균 PCR을 시행하였고, 결핵균이 많을 것으로 추정되는 10명의 폐결핵 환자의 말초혈액을 대상으로 결핵균 배양을 시행하였다. 결핵균 PCR은 nested PCR을 이용한 TB-taq (M&D, Korea)을 이용하였고 혈액배양에는 BACTEC Myco/F Lytic 혈액배양병(Becton Dickinson, Sparks, Md)을 사용하였다. 결과: 결핵균 PCR을 시행한 환자는 69명으로 각각 폐결핵 35명, 비결핵항산균 폐질환 6명, 폐암 20명, 폐렴 8명이었다. 폐렴이나 폐암 환자 28명 모두에서 PCR은 음성이었고, 비결핵항산균 폐질환 6명 중 1명(16.7%), 폐결핵 35명 중 8명(22.8%)에서 양성이었다. 혈액 배양은 폐결핵 10명 모두에서 음성이었다. 결론: 미만성 결핵이 동반되지 않은 폐결핵 환자의 말초혈액에서 결핵균의 DNA가 검출됨을 확인할 수 있었으나 균배양이 되지 않는 것으로 보아 살아있는 균이 존재하기 보다는 균의 일부 성분만 존재할 가능성을 제시하였다.

119구급대원의 심폐소생술 성적 분석 - 병원전 심정지를 중심으로 - (Factors Affecting the Survivals of Out-of-hospital Cardiac Arrests by 119 Fire Service)

  • 강병우
    • 한국응급구조학회지
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    • 제9권2호
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    • pp.111-128
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    • 2005
  • Background: Cardiac arrest is one of the most critical diseases which can likely lead to severe cerebral disability or brain death when the cases can not recover their circulation within 10 minutes. Saving out-of-hospital cardiac arrest cases is a recent concern in Korea. Resuscitation has become an important multidisciplinary branch of medicine, demanding a spectrum of skills and attracting a plethora of specialities and organizations. The best survival can be achieved if all the following links have been optimized : rapid access, and early CPR, defibrillation and ACLS, Since the "Utstein Style" was advocated in 1991, many reports about out-of-hospital cardiac arrest have been published based on this guideline. These differences prevent valid inter-hospital and international comparisons. However, it is not known how effective resuscitation has become to the patients. In other words, there are no guidelines for reviewing, reporting, and conducting research on resuscitation in Korea. This dissertation aims to provide the basic data for a unified reporting guideline of resuscitation in Korea and evaluating the out-of-hospital factors associated with survival discharge of out-of-hospital cardiac arrest. Methods: As for this study, uses the collected data about Out-of-hospital cardiac arrests at 4 area, from January, 2005 to April. 2005. With a retrospective study, 174 cases were analyzed. The data was recorded based on the Out-of-Hospital Utstein Style. Results: Resuscitation was performed on 174 out-of-hospital cardiac arrest cases at the 4 area 14 patients(8.1%) recovered their spontaneous circulation. Overall, the ROSC of the out-of-hospital cardiac arrest patients was 8.1%, which was poorer than that of western countries. Gender distribution was 50 females(28.7%) and 124 males(71.3%), approximately twice as many males as females. ROSC of witnessed arrests was found out to be 97.7%. The ratio of the witnessed arrest groups showed higher results than that of unwitnessed arrest groups in the above-examined cases. Cardiac etiology consisted of cardiac(33.5%), non-cardiac(45.7%), trauma(20.1%), and unknown(6.0%). Cardiac was the best performance. Initial rhythm showed Ventricular Tachycardia/pulseless Ventricular Fibrillation in 8 patients(6.0%), asystole in 100(75.2%) and unknown in 25(18.8%). The results of the Ventricular Tachycardia/pulseless Ventricular Fibrillation showed higher results than the others cases, The proportion of the cardiogenic cause was 33.5%, which was only half of western countries. Ventricular Tachycardia/pulseless Ventricular Fibrillation is relatively rare. These differences were due to the prevalent pattern of Out-of-hospital cardiac arrest as well as prematurity of the EMSS. Bystander CPR was practiced on 13 patients(7.52%). ROSC was shown in 46.2% cases. CPR by EMT was carried out on 167 cases(96.5%). ACLS by EMf was rare. From collapse, 4 cases(2.6%) arrived to ED within 6 minutes. 13 (8.6%) within 10 minutes, and 49(32.5%) over 31 minutes. The sooner the patients arrived, the greater the ratio of ROSC and discharged alive became, and the same with collapse time to ROSC. As the results of the logistic regression analysis, ROSC was found out to be highly influenced by the time of ED arrival from collapse and Ventricular Tachycardia/pulseless Ventricular Fibrillation. Therefore, the ratio of ROSC depends on not any single factor but various intervention factors. Conclusion: This dissertation presents the following suggestions and directions of the study hereafter. First, the first step for a chain of survival should be taken to activate EMSS early with a phone as soon as cardiac arrests are witnessed. Second, it is keenly needed that emergency medical technicians should be increased through emergency education for living. Third, it is necessary to establish the emergency transportation system. Fourth, most of the Koreans have little understanding of EMT and the present operation systems have many problems, which should be fundamentally changed. Fifth, it is required to have an active medical control over Out-of-hospital CPR, And proper psychological supports should be given not only to patients themselves and their family but also individuals who are engaged in emergency situation. Finally, through studies hereafter on nationwide, comprehensive, and standard forms, it is needed to examine into the biological figures of human body, causes and trends of cardiac arrests, and then, to enhance the survival rate of Out-of-hospital cardiac arrests. Korean guidelines for Cardiopulmonary resuscitation need to be made.

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요통환자들의 성생활 행태와 영향 요인 조사 (A survey on sex life behavior and factors of low back pain)

  • 남철현;우광석
    • 대한물리치료과학회지
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    • 제9권3호
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    • pp.31-49
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    • 2002
  • The purpose of this study was to investigate discomforts and sexual life and to identify the relation between the discomforts and sexual life with low back pain. The data were collected from March 2 through July 31, 2001. Four hundred forty-two questionnaires were returned (response rate=88.0%). Analysis of the data was done with SPSS PC+ and use descriptive statistics, $x^2$-test, t-test, ANOVA. regression. The statistics shows that over than 80% of the adults experienced lumbago at least one time in their life, and Back pain is known as one of the most common complaints made by the patients of all ages in the general hospital or local medical clinics throughout. However, in certain case it leads to a chronic condition which can cause a great deal of problems in management and in financial burden to individuals and society. The result of this study was summarized as follows: 1) It appeared that regarding the distribution of gender, male was the higher(63.6%) then that of female, the portion of forties was 28.5%. Sitting for long time was 23.1% in men and 21.7% in women. Unknown reason including sexual behaviour was 12.9% in men and 15.5% in women. Patients treated medicine and physical therapy were 36.4%. In level of educational background, the rate of high school was 31.0%, technical college was 28.5%. The highest proportion by occupation was 18.3% of office workers, occupation posture was 41.9% of sitting. 2) Men(26.0%) and most of women(34.8%) were not satisfied in the explanation satisfaction rate of sex life concerned disease. 23.8% in men and 23.6% in women considered flexibility of waist good. Man(33.3%) and most of woman(35.0%) considered that Health education is necessary. 32.7% in men and 27.3% in women did't mind educator is whoever. Preventing of lower back pain(LBP) and proper Health education of sex life are demanded in daily life. 3) 58.0% of man and 64.0% of woman mostly had a posture which is man over woman. 28.5% in men and 27.8% in women considered that proper information finding of LBP and sex life was very few and few. 37.7% in men and 42.7% in women have acquired information about sex life flung their friends. 4) The number of sex life was decreased from 2.96 0.98 to 2.61 1.63 and also the time of sex life was decreased from 3.65 1.89 to 226 1.64. The satisfaction rate of sex life changed from 3.60 0.86 to 2.77 1.10. In the number of sex life, The non correct group was 2.62 1.91 and the correct group was higher in 2.68 1.65. In the time of sex life, The non correct group was 2.02 1.47 and the correct group was higher in 229 1.65. The satisfaction rate of sex life was 2.76 0.86 in non correct group and 2.88 1.10 in correct group. So there was a difference. 5) In the satisfaction rate of sex life, Men who have a lower back pain were higher than women and no attack group was higher than attack group. As they had many sex life, the satisfaction rate was higher significantly in statistics. As the time of sex life was short, the satisfaction rate was lower significantly in statistics. As the age was low, the demand rate of Health education was high and as means of patient who had a lower back pain was high, the demand rate of Health education was high. As the patient who had a lower back pain had a long married life, the demand rate of Health education was high and as education level was high, the demand rate of Health education was high. It is necessary to provide patients with conservative treatment, educational teaching, and training to prevent further injuries in the future. In general, it is important to educate the public how to prevent back injuries and how to treat themselves in an onset period to prevent further injuries sliding into a chronic state. Sexuality is an integral part of normal and healthy relationships, but patients are unable to enjoy sex because they are riot able to get into a comfortable position due to back pain. Many conditions of the spine can make certain positions uncomfortable. Health educator should make the education program of the discomforts and the sexual pattern for low back pain in workplace and/or hospital. Further study Is needed on how to integrate the educational program on sexuality into the total rehabilitation program.

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근·현대 나전도안과 공예품의 수급(需給)형태 - 중요무형문화재 제10호 나전장 송방웅 소장 나전도안을 중심으로 - (Patterns of Mother-of-Pearl Craftwork Sketches and the Way of Supply and Demand of the Works in Modern and Contemporary Times)

  • 이연재
    • 헤리티지:역사와 과학
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    • 제43권3호
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    • pp.334-365
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    • 2010
  • 나전도안은 작품을 완성하는 데 필요한 모든 공정이 들어있는 것으로 기물의 종류와 형태, 크기, 장석과 나전 문양에 대한 내용이 포함되어 있다. 또 일부는 제작시기와 제작자를 비롯하여 작품 제작을 주문한 수요자에 대한 정보가 남아 있다. 본고에서는 송방웅(중요무형문화재 제10호 나전장) 소장 나전도안 도안 1,700여 점을 중심으로 일제강점기부터 현재에 이르는 기간 동안 시대별로 유행했던 문양과 기물, 그리고 수요자와 수급형태에 대해 알아보고자 한다. 도안의 대표적인 문양으로는 화조, 사군자, 문화재, 풍속인물, 수복자, 산수 등이 있다. 문양도안은 시대에 따라 변화하는데 근대를 대표하는 일제강점기에는 일본에 의해 작품제작과 수급이 통제되었던 배경과 맞물려 일본의 취향을 따른 문양 도안이 많다. 수요층도 일본인을 중심으로 일본과 친분이 있는 계층이 주를 이루었던 것으로 보인다. 도안의 중요성에 대한 인식도 시대적인 정황과 관계된 것으로 보이는데, 송주안이 일본에 거주하였던 시기와 남아있는 도안 중 가장 이른 것의 시대가 일치하는 것으로 보아 일찍이 공예 도안연구가 활성화되었던 일본의 영향을 받았던 것으로 추정된다. 그러나 일본과는 소재, 제작방식, 수급체제가 달랐던 만큼 일본과 한국의 도안에는 큰 차이가 있다. 해방 이후 현대로 접어든 1950년대에는 6.25 전쟁 이후 미군이 새로운 수요층으로 출현하여 이들이 선호하였던 소품을 장식하기 위한 한국적인 문양도안이 주를 이루게 된다. 1960년대 후반부터 1970년대까지는 외국산 자개가 수입되고 사용량이 증가하면서 도안의 크기와 내용, 종류가 다양해지며 조각법, 부식법 등의 새로운 기법도 등장하게 된다. 1970년대에는 경제성장과 맞물려 나전공예품에 대한 관심과 인기가 높았기 때문에 수요층이 다양하였다. 나전공예품은 전적으로 주문에 의해 생산되었는데, 수요층은 각종 단체와 가구 중개상, 그리고 개인으로 분류된다. 이 시기의 수요층 가운데 주목되는 것은 도안에 '부산 좌천동'과 '점촌'으로 표기된 가구 중개상과 개인 수요자인 '진범모친'이다. 부산 좌천동은 1970년대 자개골목으로 유명했던 곳으로 이곳의 상인들은 통영으로부터 다양한 종류의 나전공예품을 납품받아 재판매하였으며, 점촌은 문경의 탄광촌으로 이곳의 "김씨"가 광부들을 상대하던 접대부를 상대로 통영에서 만들어진 나전공예품을 조달하였다. 진범모친은 나전공예품을 소유하기 위해 개인들이 모여 만든 계의 대표로서 부산 대신동에 살았으며 통영에 삼층장을 비롯한 각종 나전공예품을 주문하였다. 1980년대에는 아파트 문화의 정착으로 붙박이장과 거실장, 주방기구, 소파 등 새로운 양식의 가구가 사용되면서 자개장의 입지가 크게 좁아졌다. 한때 통영에서는 끊음질이 크게 유행하여 나전공예품 제작이 활성화되는 듯하였으나 1980년대 말 이후, 사회 전반적으로 나전공예에 대한 선호도가 떨어져 수요자가 감소하였고, 이에 따라 나전 작품의 제작도 자연스럽게 줄어들게 되었다. 현재는 몇몇 장인들에 의해 명맥만이 유지되고 있다.