In the previous molecular cloning study from human salivary gland cDNA l ibrary a novel clone (C77-091) was known as a candidate gene for antimicrobial protein by GenBank database search and RNA in situ hybridization. This study is aimed to identify the molecular characteristics of C77-091 protein, which showed an antimicrobial activity on E.coli, thereby named as salivary antimicrobial protein (SAMP). SAMP consisted of a typical hydrophobic amino acid rich domain in the N-terminus, a cluster of basic amino acids, carbohydrate attachment site, a possible transglutaminase catalyzed cross-linking site, and multiple consensus sequences of phosphorylation site in the C-terminus. Western blot analysis of human organs and tissue with the monospecific antibody to the synthetic SAMP peptide showed strong interacting protein from the extracts from submandibular gland and parotid saliva but absent in the mixed saliva, and the immunohistochemical staining detected a strong positive regions in the secretory granules in the luminal cytoplasm of interlobular ductal cells of salivary gland. The SAMP was also distributed in the human sebaceous gland and prostate. These data suggest that C77-091 named SAMP gene is a novel antimicrobial protein in human salivary gland, which may play a role for the innate immunity by protecting and stabilizing the mucosal epithelium to maintain homeostasis of oral mucosa.

In order to unravel unidentified genes from human salivary gland, a cDNA library of human submandibular gland was constructed in the Uni‐ZAP XR vector by use of mRNA from human submandibular gland and ZAP‐cDNA® Gigapack® III Gold Cloning Kit. cDNA of salivary gland was subtracted with cDNA of immortalized human keratinocyte cell line, Rhim Human Epithelial Keratinocyte cell line. The phage cDNA library was converted into a pBluescript phagemid cDNA library, which was subsequently plated on LB plates with ampicillin, IPTG, and X‐gal, and white colonies were selected for sequencing. Among 200 clones analyzed, four clones containing C77‐091, C75‐014, C76‐022, and C76‐012 designated orphan genes that are intensely expressed in the interlobular ductal and serous acinar cells of human submandibular gland. Particularly C77‐091 gene expresses 46 amino acids peptide (pI=9.45). C75‐014 and C76‐022 genes were characterized as those expressing excretory basic proteins primarily consist of alanine, proline, and leucine residues, mimicking a basic proline‐rich protein (bPRP) showing helical structures and having multiple consensus sequences of phosphorylation sites. The strong expression of C76‐012 mRNA in the nuclei of salivary ductal and acinar cells suggests a role of C76‐012 gene as a DNA binding RNA/protein. These data suggest that the identification of four orphan genes from the human salivary glands may add further understanding of greater role of salivary proteins providing innate immunity by protecting and stabilizing the mucosal epithelium in the maintaining homeostasis of oral mucosa.

The eukaryotic translation initiation factor 5A (eIF5A) is a ubiquitous protein of eukaryotic and archaeal organisms which undergoes hypusination, and known to play pivotal functions for the synthesis of proteins involved in cell proliferation and cell cycle control. Its nuclear localization has an important implication for the eIF5A functions in nucleus, but the evidence of the nuclear translocation is still in controversy. This study is aimed to elucidate the nuclear localization of eIF5A in the epithelial cells of oral leukoplakia by the immunohistochemistry using trypsin digestion to remove their cytoplasms. The keratinocytes of the acanthotic and basal cell layers in oral leukoplakia showed the complete removal of their cytoplasmic components, but the nuclei of those cell layers were remained on the microsection. The immunostainings using both polyclonal and monoclonal antibody against eIF5A showed the strong positive reaction in the nuclei remained after trypsin digestion. And the immunostaining was more intensely expressed in the nuclei of the basal and suprabasal keratinocytes than in the nuclei of the upper spinous keratinocytes. These data directly indicate the post-translationally modified eIF5A is abundantly localized in the nuclear matrix components including nucleoli, which are resistant to the trypsin digestion. It is also presumed that the nuclear eIF5A localized at the trypsin resistant nuclear matrix, i.e., histone and r ibosomal proteins, may be closely relevant to the control of mRNA production or to the nuclear-cytoplamic trafficking for mRNA transportation.

Mucous retention cyst (MRC) is not uncommon in the pathology of maxillary sinus, which should be differentially diagnosed from chronic maxillary sinusitis. The main stream of diagnosis usually depends on the clinical symptoms and radiological findings. Thus it was sometimes puzzling to confirm the histological features of mucous retention phenomenon in the antral mucosa, when the specimen was from a limited portion or much degenerated by inflammatory reaction. This study aims to define the histopathological features of MRC through reevaluation of MRCs (n=19) and maxillary sinusitis (n=65) diagnosed previously. The present study classified three types of MRC, i.e., an extravasation type, a luminal retention type, and a mixed type of MRC. The extravasation type MRC showed clear pseudocyst cavity under sinus mucosa with infiltration of foamy macrophage, and the luminal retention type MRC showed mucous retention in the luminal cavity of maxillary sinus accompanied with inflammatory reaction, and the mixed type MRC showed the both features of extravasation and luminal retention type MRCs. Resultantly, among nineteen cases of MRC only three cases belonged to the extravasation type MRC, eleven cases belonged to luminal retention type MRC, and three cases belonged to mixed type MRC, while two cases were turned out to be postoperative residual cysts of maxillary sinus. The MRCs examined in this study showed different pathological features from ordinary maxillary sinusitis, exhibiting the typical mucin retention phenomenon of extravasation type or luminal retention type with relatively mild inflammatory reaction with infiltration of mucin-pooled macrophages. However, the luminal retention type MRC was predominant among the MRCs (11/17, 64.7%) and each of the extravasation and mixed type MRCs was only three cases out of 17 MRCs (17.6%). The extravasation type MRC characteristically produces a pseudocyst by the overexpressions of matrix metalloprotease-3 (MMP-3) and connective tissue growth factor (CTGF). Because not only the pathogenetic mechanism but also the prognosis of MRC is different from chronic maxillary sinusitis, we suggest that the MRC of maxillary sinus should be classified into extravasation, luminal retention, and mixed types in the histological observations in addition to the clinical and radiological informations.

As the human mixed saliva plays important roles for the protection, regeneration, immunity, and molecular transfer/ signaling in the oral and gastro-intestinal mucosa, the salivary contents have great implications for the general health of human body. Nevertheless, the analysis method of human saliva has not been well developed up to date, because the proteins of mixed saliva are rapidly interacted with each other and easily degraded by proteolytic enzymes and microorganisms. This study aims to develop an immunoprecipitation-based high performance liquid chromatography (IP-HPLC) for the analysis of human mixed saliva. The representative IP-HPLC analyses were performed to compare among different subjects in variable general conditions. Compared to the normal control the subjects suffered from bacterial infections of gastro-intestinal enteritis, chronic periodontitis, and acute necrotizing gingivo-stomatitis showed dramatic increase of LL-37 level depending on the severity of diseases, while the subject suffered from Herpes stomatitis, a viral infection showed great increase of β-defensin 2. These data indicate that LL-37 in human mixed saliva is more responsible to the bacterial infections of gastro-intestinal enteritis, chronic periodontitis, and acute necrotizing gingivo-stomatitis, while β-defensin 2 is more responsible to the viral infection of Herpes stomatitis. This study also suggeststhat the IP-HPLC be easily applicable to the wide range of biological samples for the quantitative analysis of an objective protein.

Krox-25, a Kruppel type zinc finger protein, may play an important role for the morphogenesis of tooth in ectomesenchymal interaction between enamel epithelium and odontogenic mesenchyme. The interrupted expression of Krox-25 by antisense inhibition is supposed to affect the abnormal development of tooth germ similar to the deranged proliferation of odontogenic tumors. This study was performed to know the histomorphogenetic effect of Krox-25 antisense inhibition in tooth germs of mouse embryos and to understand the abnormal expressions of Krox-25 in different odontogenic tumors which proliferate in aberrant direction of ecto-mesenchymal interaction. Total 95 tooth germs obtained from pregnant mice in the 13th day of fertilization were cultured with antisense oligonucleotides targeting mouse Krox-25 gene, and their histological patterns were compared with those of different odontogenic tumors, i.e., ameloblastic fibro-odontoma (n=5), ameloblastoma (n=8), and ameloblastic carcinoma (n=2). Resultantly, the cultured tooth germs treated with antisense oligodeoxynucleotides produced primitive dentine and enamel by odontoblasts and ameloblasts, respectively, but they aberrantly grew and formed abnormal tooth organs. Especially, the harmonious growth of enamel and dentine formation was greatly deranged by the antisense inhibition in the organ culture system. These findings were much similar to the abnormal growth of odontogenic tumors. The relatively well differentiated enamel epithelium of ameloblastic fibro-odontoma showed irregularly strong reaction of Krox-25, while the poorly differentiated enamel epithelium of ameloblastic carcinoma showed weak reaction. These data suggest that Krox-25 may play important roles for the histomorphogenesis of tooth germ by signaling the ecto-mesenchymal interaction between odontoblasts and ameloblasts in normal tooth germ development of mouse embryos as well as in cytodifferentiation of odontogenic tumors.

A patient complaining of severe pain in the right submandibular area showed a huge sialolith in radiogram. During the operation, the submandibular gland was much indurated, and large amount of pus was discharged out at an incision of the salivary gland. The removed salivary gland contained a huge sialolith in the major excretory duct of submandibular gland, which had an intact grayish-white surface in ovoid shape. In the histological examination its excretory ducts were extensively dilated without extravasation of saliva, and the involved salivary gland was almost destroyed by the granulomatous r eaction. Most of a cinar cells were d isappeared and r eplaced by ductal cells filled with exudative materials. The microsections of sialolith showed typical laminar structures of calcification containing amorphous basophilic material in the center, in which a lot of Gram positive and Gram negative microorganisms were found. In the center of sialolith numerous microorganisms were admixed with mucinous materials which were strongly positive for the antibody of mucin-1, and formed multiple colonies. In the periphery of the bacterial colonies proline rich proteins (PRPs) were condensely localized, and followed by the consistent positive reaction of transglutaminase 4 (TGase-4). These data suggest that the sialolith of this study is formed from the primary nidus of bacterial colony aggregated with salivary mucin-1 and PRPs by the crosslinking reaction of TGase-4.

In order to know the degenerating state of postnatal cleft lip tissue, total 23 cases of lip biopsy obtained from cleft lip surgery were collected and examined pathologically. The cleft lip tissues characteristically disclosed epithelial hyperplasia (13/23), stromal myxoid degeneration (20/23), salivary gland degeneration (1/23), muscular degeneration (11/23), and sebaceous gland hyperplasia (15/23), melanocytic infiltration (5/23). The epithelial hyperplasia was marked with hyperkeratosis and basal hyperplasia, which was usually coincident with the myxoid degeneration of underlying connective tissue. The myxoid degeneration was diffuse in the deep connective tissue with chronic inflammatoryreaction, and followed by extensive muscular degeneration. The sebaceous gland hyperplasia was usually predominant in the skin area of the cleft lip. In this study the lip biopsy from 30years old patient still showed remarkable retrogressive degeneration of lip tissue. Therefore, it is considered that the postnatal cleft lip tissue is continuously degenerative, and its retrogressive change gradually affects the deterioration of perioral muscular structures, consequently resulted in the failure of lip functions as well as further bizarre malformation of oro-facial shape during the postnatal period. These data also indicate that the biopsy of postnatal cleft lip should be recommended to know its variable degenerating status and to perform the proper rehabilitation surgery of cleft lip.

A case of chronic osteomyelitis caused by prolonged intake of bisphosphonate showed multiple recurrences involving extensive area of mandibular body. After saucerization the removed bony fragments were decalcified, microsected in 4 ㎛ thickness, and stained with hematoxylin and eosin, Masson trichrome, von Gieson, and periodic acid Schiff reaction. The inflammatory lesion contained fragile osteophytes easily propagated into sequestra. Histologically, this osteomyelitis was relatively less suppurative but almost granulomatous, highly infiltrated with small round cells and macrophages. The osteophytes were frequently deposited on the old lamellate bone, but their ossification was extremely immature and frequently filled with sclerosed collagen bundles positive for von Gieson stain. In the polarizing microscope observation under Masson trichrome stain the newly deposited osteophytes were lack of birefringence image of Haversian system contrast to the old bone nearby. Therefore, we presume that the prolonged intake of bisphosphonate may induce the immature osteophytes lack of Harversian system, which are partly filled with sclerotic collagen bundles, and the immature bone is easily undergone extensive degeneration and necrosis, resulted in the inflammatory foci for multiple recurrent osteomyelitis.

Although the sparganosis involving soft tissues, i.e, tongue, cheek, etc., has been frequently reported, the mandibular involvement of sparganosis is not reported up to date. We present a case of intraosseous sparganosis involving whole mandible, which was clinically diagnosed as chronic osteomyelitis. After surgical operation of saucerization for the treatment of chronic osteomyelitis the removed specimens were pathologically examined and finally turned out intraosseous sparganosis. Radiological findings showed irregular multiple radiolucencies in round to ovoid shape throughout both mandibular body areas, of which peripheral rarefying radiopacity was less remarkable compared to the ordinary osteomyelitis. However, the radiolucencies of periapical granuloma, #34-36, were closely associated with the osteolytic lesions of mandibular body. Pathological examination showed a tunnel like space for the passage of sparganum larva, and heavy infiltration of eosinophilicleukocytes. And more, the parasitic tegument materials were found admixed with eggs in the granulomatous lesion, which were gradually degraded and resolved. Taken together, we presumed that the mandibular inflammatory lesion was primarily involved with sparganosis and secondarily aggravated by the periapical infection of #34-36.

The polarizing images of hard tissues including bone and cementum show characteristic features of different birefringence fortheir microstructures. Nevertheless, the clear mechanism of the amplified birefringence under polarizing microscope has not been well understood. We hypothesized that the unique polarized light could be accumulated in the microtubules due to the decreased refractory angle by the inside lower-density matrix, and then the accumulated light in the microtubules could be dispersed brightly. In order to elucidate the polarizing effect on the microtubules, the dentinal tubules in different conditions were observed, and compared with each other to explain their birefringence phenomena. In the decalcified sections of normal tooth, the dentinal tubules located near the pulp chamber showed strong birefringence, while the sclerosed dentinal tubules near the dentino-enamel junction did not show the birefringence. The birefringence was more conspicuous in the longitudinal sectionsof dentinal tubules than in the cross sections. In the decalcified sections of complex odontoma, which produced abnormal and immature dentinal tubules, the birefringence was not observed in the shrunken dentinal tubules filled with dense materials, while the peritubular matrix showed clear birefringence. The birefringence was also observed in the collagen fibers in the connective tissue, and continuously strong in the immature cemental materials containing precollagen fibers. However, the highly mineralized osteodentine did not show the birefringence. Taken together, these data suggest that the microtubules composed ofless-dense matrix than the background tissue, i.e., dentinal tubules, Haversian canals, etc., produce the amplified birefringence by the polarizing light according to the hypothesis of microtubule refraction.

53 years old female showed repeated ulceration of labial gingival mucosa at upper and lower anterior teeth, which was a partly desquamated and erythematous lesion. The lesion was slightly extended into vestibule and buccal mucosa in oral cavity, but the similar lesion was not found in other organs by medical inspection. The incisional biopsy including the border of the ulcerated mucosa and normal mucosa showed a severely inflamed mucosa, of which epithelium was gradually detached from the underlying conective tissue, so that it was diagnosed as a mucous membrane pemphigoid (MMP) pathologically. The epithelium was thinned, almost lost its rete pegs, and the basement membrane was completely distorted by the epithelial detachement. The inflammatory cell infiltration was mainly composed of small round cells and plasma cells. Immunohistochemistry was performed to know the expression of pathogenetic proteins using antisera of Igk, E-cadherin, laminin a5, elafin, and eIF5A. The basement membrane at the epithelial detachment was condensely positive for Igk, and the involved epithelium became atrophic but showed consistently positive reaction of matrix proteins and protein translation factor, i.e., E-cadherin, laminin a5, elafin, and eIF5A similar to the adjacent normal mucosa continuous to the MMP lesion. The Igk was also diffusely deposited on the basement membrane of nearby normal mucosa. Many plasma cells infiltrated around the lesion were strongly positive for Igk in their cytoplasms. Therefore, we suggest that the MMP be characterized by the deposition of Igk on the basement membrane of the detached epithelium in the absence of no other pathognomic changes of molecular events.

Most of mucous retention phenomena occurred in the mucous secretory glands, 1 e ‘ minor salivary gland, sublingual gland and submandibular gland. The mucous retention cyst from parotid gland has been very rarely reported in the literature As the parotid gland is composed of serous acini, the serous saliva is less likely to produce the retention phenomenon in the ducts or extraductal tissue. Here, a case of mucous retention cyst in parotid gland was demonstrated The patient of this case has been complaining of recurrent swelling of right cheek in parotid gland a'rea, and showed a feature of chronic sialadenitis or benign salivary gland tumor. The extravasated serous saliva was diffusely dispersed into the adjacent connective tissue, forming an ill-defined cyst cavity with hyalinized sclerotic luminal surface The inflammatory reaction was relatively mild compared to the extensive destruction of periglandular connective tissue However, the typical foamy macrophage was not seen but the infiltrated macrophages containing abundant eosi nophilic cytoplasm. The mucous retention phenomenon could be very rare in parotid gland, which is also easily distinguishable from chronic sialadenitis or benign tumor through path이ogical examination.

In order to develop a protective carrier scaffolder for the external usage of medical and hygienic materials, three essential protective elements existing in nature, i.e., algin, cellulose, and calcium phosphate apatite, were investigated. The algin is a main skeletal component of sea weeds, the cellulose is of vegetables, and the calcium phosphate apatite is of vertebral animals. In the present study we select the agarose which is a derivative from algin, the cellulose fiber obtained from skin of sea squirt, calcium oxide purified from shell powder, and tricalcium phosphate apatite purchased commercially. Consequently, the agarose-cellulose hybrid was made by the hydrogen bonds intermediating the calcium phosphate apatite between agarose and cellulose molecules. As the calcium phosphate apatite is formed by the addition of calcium hydroxide into tricalcium phosphate solution, we used calcium oxide to accelerate the hybridization between the agarose and calcium phosphate apatite and also between the cellulose and calcium phosphate apatite. In the phase contrast microscopic observation the agarose-cellulose hybrid showed more compact matrix structure than the mixture of agarose and cellulose. The agarose-cellulose hybrid showed increased storage modulus but decreased loss modulus in Rheometer test compared to those of the other materials tested in this study, representing that the agarose-cellulose hybrid has the highest elasticity among them and similar water capacity to agarose. The agarose-cellulose hybrid showed the strongest antimicrobial effect in bacteria killing assay than the other materials, and also it showed a potent blood clotting effect but no immunological hypersensitivity on the human skin. From the above results we presumed that the nobel material, agarose-cellulose hybrid, is a compact scaffolding matrix which has proper elasticity, high capacity to hold substrates, and antimicrobial and blood clotting property potent enough to carry the bio-medical and hygienic materials for external treatment safely.

35 peri-implantitis recently referred for 10 years showed four types of inflammatory lesions, such as mild granulomatous lesion(n=5), severe granulomatous lesion(n=4), severe inflammatory fibrous scar tissue(n=15), severe abscess formation(n=11). However, the inflammatory lesions were usually localized at the peri-implant area accompanying compensatory hyperplasia of fibrous connective tissue. The fibrous scar and the necrotic abscess frequently occurred depend on the severity of inflammatory reaction. Among 30 cases of severe inflammatory lesions, only 2 cases involved condensing osteitis in adjacent alveolar bone. Thus, we suppose that the inflammatory progression of peri-implantitis could be partly inhibited by the hyperplastic fibrous stromal tissue stimulated by implant material. And more, the focal abscess formed around the implant can be easily drainaged through the fibrous tract of implant pathway, resulted in the chronic persistent inflammatory granulomatous lesion, that is contrast to the common socket granuloma after tooth extraction. However, depend on the degree of inflammatory reaction in the peri-implantitis the inflamed fibrous collagenous tissues, unregenerated graft materials, necrotic abscess and sequestra should be removed by surgical intervention and followed by antibiotic therapy, because the peri-implant tissue is as vivid as the normal periodontium for the inflammatory defense system. Therefore, we suggest that the inflammatory lesions of peri-implantitis be carefully treated to improve the prognosis for the following dental treatments

In order to perform the protein analysis using the paraffin sections previous fixed with formalin, we applied the ImmunoMemBlot (IMB) method1) to detect the epitopes of target proteins with specific antibodies. In this study the protein extracts were obtained from the paraffin sections of each representative case of ameloblastoma, adenomatoid odontogenic tumor (AOT), and normal gingiva, and more a protein extract from fresh tissue of ameloblastoma was also compared to evaluate the IMB results used with 24 different antibodies. First of all, in the comparison between the paraffin section extract and fresh tissue extract of ameloblastoma, the latter consistently showed more positive IMB reaction than the former. Meanwhile, the paraffin section extract of ameloblastoma was more comparable with that of normal gingival, disclosing that most of proliferating genes, oncogenes, and apoptosis related genes, i.e., PCNA, CDK4, c-erbB2, CEA, p53, Bax, Bad, FLIP, FAS, Bcl-2, p21, N-ras, MMP-2, MMP-9, caspase-3, -8, -9, were highly expressed in ameloblastoma, but EGFR, HGF, and VEGF were similarly expressed both in the ameloblastoma and in normal human gingiva. On the other hand, the comparison between ameloblastoma and AOT both in the immunohistochemistry and IMB using their paraffin section extracts clearly demonstrated that the ameloblastoma showed more expression of proliferating genes and oncogenes while the AOT showed more expression of apoptosis related genes, i.e., Bax, Bad, FLIP, and caspase-9. Taken together, these data suggest that the IMB can be used for the primary screening of quantitative protein analysis using the paraffin section extract, and that the IMB results could be evaluated in conjunction with the immunohistochemical observation.

Immuno-MemBlot is a technique for detecting, analyzing, and identifying proteins, similar to the Western blot technique but differing in that protein samples are not separated electrophoretically but are spotted through circular or slot templates directly onto the membrane. Recently we developed a new Immuno-MemBlot (IMB) method applying immunoreactions and coloring procedures directly in the wells of MemBlot apparatus, which were connected by canals to perform drainage for reagent application and buffer irrigation. This IMB method was designed to get theimmunoblot results more rapidly and clearly than the previous immunoblot ones. This study is aimed to evaluate the analytical accuracy of IMB using different biological assay. In the sensitivity test of IMB the monoclonal antibody can clearly detect the 30 ng (about 12 pM) of Mucocidin peptide (35 mer), and is also available to detect at least 10 ng (about 4 pM) of Mucocidin peptide (35 mer). The IMB was effective in the quantitative analysis of methothrexate (MTX) assay for cellular apoptosis. And more, this IMB is useful to screen large number of specific samples with ease and accuracy in a short time. In the screenings for the presence of Mucocidin in saliva the quantitative comparison is conspicuous among 48 persons depend on the different conditions ofgender, drinking and smoking habits, and oral diseases. Therefore, it is presumed that, even though the target proteins were partly degraded, a specific epitope can be detected if a monoclonal antibody was still reactive. Conclusively, these data suggest that the IMB can be useful in the primary qualitativeand quantitative analysis of proteins in various fluids, i.e., blood, saliva, tear, urine, etc.

As pulp calcification occurs at least fifty percent of total teeth, the focal calcification in pulp chamber usually appears in all age groups. However, the pulp calcification is one of the important pathologic changes affecting the pulp vitality. In order to elucidate the mechanism of pulp calcification during the retrogressive degeneration of pulp tissue we performed an immunohistochemical study for proteases (MMP-3, MMP-10, and cathepsin-G), antiproteases (TIMP-1, α1- AT) and proteins involving tissue protection (TGase-2 and HSP-70). In the normal pulp tissue MMP-3 and MMP-10 were weakly expressed, but cathepsin-G and TIMP-1 were rarely expressed. Around the calcifying tissue of MMP-3, MMP- 10, and α1-AT were predominant, but TIMP-1 and cathepsin-G were sparsely expressed. On the other hands, TGase-2 and HSP-70 were condensed in the proximal fibrous tissue. These data suggest that the pulp calcification is related to retrogressive pulp degeneration, which could be resulted in the incomplete digestion of the degenerated stromal tissue by different proteases. We presume that the aberrant protease digestion of chronic pulpal pathosis, i.e., sclerotic fibrosis, chronic pulp degeneration, etc., may enhance the dystrophic calcification in dental pulp.

Melioidosis, an infectious disease caused by the facultative intracellular gram-negative bacillus Burkholderia pseudomallei, is geographically restricted to Southeast Asia and Northern Australia. It commonly affects patients with underlying medical disease, such as diabetes mellitus or renal failure. In South Korea, only six cases of melioidosis have been reported in the literature. However, none of the patients had chronic kidney disease. We report on a case of melioidosis presenting as septicemic pneumonia in a 48-year old man undergoing hemodialysis. He was a returning traveler from Thailand.

본 연구에서는 과학자의 연구과정이 가시화된 학습 프로그램이 일반계 고등학교 1학년 학생들의 진로에 미치는 영향을 알아보고자 하였다. 과학자의 연구형태 중 문제해결형, 모델제시형, 아이디어산출형의 연구과정을 적용하여 개발된 학습 프로그램을 아직 진로가 확정적이지 않은 일반계 고등학교 1학년 30명에게 적용하였다. 사전사후에 진로지향을 조사하였고, 프로그램이 진로에 미친 영향을 구체적으로 기술하게 하기 위하여 설문조사를 실시하였다. 그 결과, 본 프로그램은 학생들의 진로 결정에 전반적으로 긍정적인 영향을 주었음이 확인되었고, 진로지향의 변화에 따른 분석에서 본 프로그램은 학생들의 과학진로를 더 확고하게 하는 등 이미 과학진로지향인 학생들에게 긍정적인 영향을 주었음이 확인되었다. 또한 과학진로지향이 아닌 학생들 중 일부는 프로그램의 적용 후에 과학관련 분야로 진로를 바꾸었고, 일부는 과학관련 분야로 진로를 바꾸고 싶은 마음이 생기는 등 본 프로그램이 과학진로지향이 아닌 학생들에게 미친 영향도 적지 않음을 확인하였다. 이는 본 프로그램이 과학진로교육에 활용될 수 있는 가능성을 보여준다