정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

Gryllus bimaculatus extract protects against palmitate‑induced β‑cell death by inhibiting ceramide synthesis

Park Ie Byung,Kim Min Hee,Han Jung-Soon,Park Woo-Jae 한국응용생명화학회 2022 Applied Biological Chemistry (Appl Biol Chem) Vol.65 No.6

Type I diabetes mellitus is an autoimmune disease characterized by the destruction of β-cells, leading to severe insulin deficiency. Environmental factors and genetic predisposition are implicated in β-cell destruction, which is the final step in a cascade of complex events. Possible triggers of β-cell destruction are activation of Fas, activation of perforin, increased generation of reactive oxygen species, increased production of inflammatory cytokines, and endoplasmic reticulum (ER) stress. In this study, we examined whether Gryllus bimaculatus (GB) extract could prevent palmitate-induced β-cell apoptosis. Exposure to GB extract prevented palmitate-induced death of MIN6 cells, a mouse pancreatic β-cell line. Palmitate increased total ceramide levels with the elevation of ceramide synthase (CerS)1, CerS4, and CerS6 expressions. Treatment with GB extract decreased the levels and expressions of ceramides related to insulin resistance. CerS4 and CerS6 overexpression, but not CerS1 overexpression, increased palmitate-induced MIN6 cell death by increasing ceramide synthesis. Oppositely, inhibition of ceramide synthesis by fumonisin B1 treatment partially recovered palmitate-induced MIN6 cell death. Furthermore, GB extract reduced ER stress (phosphorylation of PERK and eIF2α), NF-κB–iNOS signaling, and the phosphorylation of MAP kinase (JNK, p38). GB extract reduced pro-apoptotic Bax protein expression but increased anti-apoptotic Bcl2 expression. In addition, CerS4 and CerS6 overexpression aggravated impairment of insulin secretion by palmitate, but GB extract recovered it. In conclusion, GB could be a functional food that improves palmitate-induced β-cell death and insulin secretion.

허혈 유사 조건이 심방근의 활동전위 특성에 미치는 영향

김재하,주정민,조용범,신동호,안병희,주신배,김상형 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.11

부산시 주거지역과 공업지역 여성모발에서 검출된 중금속 농도에 대한 비교 연구

민병윤,윤명희,안희정 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 1997 Journal of biomedical laboratory sciences Vol.3 No.1

부산시의 주거지역과 공업지역에서 거주하는 여성의 모발로 부터 Zn, Ni, Fe, Mn, Cu, Cr, Pb 및 Cd에 대한 중금속의 농도를 분석한 결과, 전체 시료에서 모든 중금속이 검출되었다.특히, 공장지역의 주구성원인 10대와 20대 여성 모발에서 필수원소인 Ni, Fe, Mn, Cu 및 독성원소인 Cr, Pb, Cd의 농도가 같은 연령의 주거지역 여성들의 모발에 비해 매우 높게 검출되는 점으로부터, 이 지역의 직업인이 이들 중금속 원소에 의해서 직접 노출되어 있음을 알 수 있었다. 즉 공장지역 여성 10대와 20대 모발 중의 Cr, Pb, Cd의 농도는 주거지역 같은 연령 여성 모발 중의 농도에 비해 높게는 Cr의 경우 110배 (20대 여성), Pb의 경우 92배 (10대 여성), Cd의 경우 23배 (20대 여성)까지 검출되어, 이 지역 환경이 극도로 오염되어 있음을 경고하고 있다. 주거지역 여성 모발 중의 독성원소인 Cr, Pb 및 Cd의 농도는 국외에 거주하는 외국인에서 검출된 농도와 거의 유사하였으나, 이들의 농도가 연령이 높아짐에 따라 높아지는 점으로부터 이들 원소들이 연령에 따라 체내에 점차 축적됨이 밝혀졌다. The concentrations in women's hair of essential and toxic elements such as Zn, Ni, Fe, Mn, Cu, Cr, Pb and Cd in residential and factory areas in Pusan were determined, and all the elements were detected from all the samples. It was apparent that employees working in factory areas in Pusan were exposed directly to the essential and toxic heavy matals. This is based on the fact that average concentrations of Ni, Fe, Mn, Cu, Cr, Pb and Cd in hair samples from women aged 10 to 29 in factory area, who were considered to be main members among women employees, were much higher than those of residential areas. That is, the highest concentrations found in the hair samples taken from women 10 to 29 years old living in factory areas were 110 times higher in Cr (in the women in their 20's), 92 times higher in Pb (in the women in their teens) and 23 times higher in Cd (in the women in their 20's) than those living in residential areas. Furthermore, it was suggested that the heavy metals may be accumulated gradually in human bodies as humans get older, based on the fact that the concentrations of Cr, Pb, and Cd in women living in residential areas were higher in older age groups, although the average contents of these elements in residents from residential areas were similar with those of several foreign countries.

The Red Badge of Courage에 나타난 Stephen Crane의 藝術性

閔丙喜 단국대학교 대학원 1983 學術論叢 Vol.7 No.-

The Red Badge of Courage is Stephen Crane's monumental masterpiece written, at the young age of 23, without any experience of actual war. The army camps and battlefields were vividly described, even though they were merely used for setting. Crane's main purpose seemed to be the treatment of psychology of men in battle. The conflicts in Henry Fleming's mind, in particular, were superbly shown. Extensive use of animal imagery was employed in the form of similies and metaphors. Henry's moral growth from a youth to a real adult was paralleled with the different animal imageries throughout the book. Crane painted with words exactly as the French impressionists painted with pigments using both pure colors and contrasts of colors. Those varied color images symbolize respectively courage, badge, war, blood, injury, enemy, death, rage, roar, fury, etc.. Religious imagery prevails and deep, powerful ironies are found constantly. Crane seldom used proper names for his characters, eve if they did have their own. Instead, they were referred to by their looks, characteristics, jobs, ranks and so on. Making Henry a point-of-character with a limited third-person objective, Crane's narrative technique was outstandingly well done. Rather more psychological than military was the tone. Making simple and crispy sentences with poetic cadence was Crane's tactic. Often he liked to coin hyphenated compound words and use passive forms and prepositional phrases. The Red Badge of Courage alone proves that Stephen Crane is a genius writer as well as a superlative artist. And with this novel Crane has contributed a great deal to American literature.

와이어 매시 레인포스트 시멘트에 관한 硏究

閔丙亨,朴雲龍,金勇熙,鄭昌植 동아대학교 공과대학 부설 한국자원개발연구소 1985 硏究報告 Vol.9 No.2

This study has been performed on the selective method of materials for MRC and the various mechanical tests through the testing manufacture of MRC pontoon. And we have attempted the enlargement of use by it's merits.

한국산 조류(물총새 및 까치)에 잔류하는 유기염소화합물

민병윤,윤명희 경남대학교 환경문제연구소 1991 환경연구 Vol.13 No.-

경기도 가평군에서 물총새 및 까치를 채집하여 체내에 잔류하는 유기염소화합물의 잔류 농도를 측정하였다. 그결과 공시한 전개체에서 이미 사용이 금지 되었거나 규제된 PCB, BHC이성체 및 DDT화합물이 검출되었다. 특히 물총새에서 높은 농도의 유기염소화합물이 검출되었다. 즉 전 유기염소화합물(PCB + BHC이성체 + DDT화합물)의 농도가 물총새와 까치에서 각각 5.16ppm, 0.70ppm이었다. 이러한 사실로 부터 이들 화합물의 강한 잔류성이 시사되며 두종에 대한 잔류성의 차는 생태적 측면의 상이에서 기인되는 것으로 생각된다. Residue levels of PCBs, BHC isomers and DDT compounds were determined for two species of birds, the kingfisher and the magpie collected from Gapyeong-gun, Kyunggi-do in Korea. The organoch-lorine compounds (PCBs+∑BHC+EDDT), the use of each compounds was restricted or prohibited, were detected from all the specimens examined, and the residue levels of the total organochlorine compounds were much higher in the kingfisher; 5.16ppm and 0.70ppm in the kingfisher and the magpie, respectively. These facts indicate prolonged persistency of these compounds, and the difference in contaminate levels in the two species seems to be due to the disparity of the ecolo□ical aspects between them.

치아표백후의 법랑질에 대한 심미성 수복재의 결합강도 변화에 관한 연구

류경희,박상진,민병순,최호영,최기운 大韓齒科保存學會 1998 Restorative Dentistry & Endodontics Vol.23 No.1

The purpose of this study was to determine the effect of bleaching technique on the shear bond strength of esthetic restorative materials to bovine enamel. The bleaching agent was used 35% H_2O_2(Hi-Lite, Shofu, U.S.A.). Experimental groups were divided into two divisions as group A and B. Experimental A groups for the effect of number of bleaching were as follows ; Group Al : no bleaching Group A2 : bleaching 1 time ( for 5 minutes ) Group A3 : bleaching 3 times ( each for 5 minutes ) Group A4 : bleaching 6 times ( each for 5 minutes ) Group A5 : bleaching 9 times ( each for 5 minutes ) Experimental B groups for the effect of storage period in artificial saliva were as follows ; Group Bl : not stored in artificial saliva after bleaching Group B2 : stored in artificial saliva for 1 day after bleaching Group B3 : stored in artificial saliva for 1 week after bleaching Group B4 : stored in artificial saliva for 2 week after bleaching Group B5 : stored in artificial saliva for 4 week after bleaching Composite resin and glass ionomer cement were bonded to all specimens, and the shear bond strength between enamel and restorative material were measured in Instron Universal Testing Machine(Instron, 4467, U.S.A.). Additionally, the bleached enamel specimens were examed after etching with 37.4% H_3PO_4 for 1 min under SEM(S-2300, Hitachi Co., Japan) to observe the effect of bleaching procedure on enamel surface morphology. The result were as follows ; 1. In SEM findings, bleached bovine enamel was found to be superficially rough. 2. In bleached bovine enamel, the effect of acid etching was reduced with the increase of number of bleaching. 3. The mean shear bond strength of composite resin and glass ionomer cement to bleached enamel surface tended to be lower than those to non-bleached enamel surface. 4. With the increase of number of bleaching, the shear bond strength of composite resin and glass ionomer cement to bleached enamel were progressively decreased. 5. Increasing the storage period in artificial saliva after bleaching, the shear bond strength of composite resin and glass ionomer cement to bleached enamel were progressively increased. 6. The mean shear bond strength of glass ionomer cement to bleached bovine enamel tended to be clearly lower than that of composite resin.

급성 백혈병 환자에서 감염증의 양상 및 예후인자에 관한 연구 : 1988년∼1995년까지

정희진,김병수,신상원,김열홍,김우주,김민자,김준석,박승철,김권범 대한감염학회 1998 감염 Vol.30 No.3

목적 : 급성 백혈병의 경우 골수기능이 억제되고 항암화학요법에 따른 골수기능 저하로 감염의 위험이 증가하며 감염의 치료가 환자의 생존에 큰 영향을 미치게 된다. 이에 저자들은 1988년부터 1995년까지 고대 구로병원에 급성 백혈병으로 입원했던 환자들 중 입원 기간 내 감염이 있었던 경우를 대상으로 하여 감염의 위험인자 및 감염증의 예후를 후향적으로 분석함으로써 향후 급성 백혈병환자의 감염의 치료에 대한 지침을 얻고자 하였다. 방법 : 급성 백혈병으로 확진된 환자들 중 감염병에 이환된 경우를 대상으로 하여 각각을 미생물학적 확인감염, 임상적 확인감염, 그리고 설명 불가열로 구분하였다. 각각의 경우에서 감염 당시의 호중구 수, 호중구 감소 기간, 항암화학요법과의 연관성, 감염 병소, 배양된 검체 및 원인균, 선택적 소화관 살균법의 사용여부 및 골수회복 여부 등을 조사한 후 환자의 예후와 어떤 관계가 있는 지 조사하였다. 결과 : 연구 대상은 총 113예로 남녀비는 46:67 이었고 평균연령은 34±13세, 진단은 급성 골수성 백혈병 (AML)이 84예, 급성 림프구성 백혈병(ALL)이 29예였으며, 감염시 평균 호중구수는 663±1678/㎣이었고, 호중구 감소 기간은 평균 18±13일이었다. 감염양상은 항암화학요법과 연관된 감염이 84예로 대부분이었고 미생물학적 확인 감염이 40예로서 35%였으며, 폐렴과 원발성 패혈증이 각각 20예와 19예로 가장 많았고, 카테터 연관 감염이 7예로 나타났다. 배양된 균주는 E. coli가 10예(25%)로서 가장 많았으며, 전체적으로 E. coli, P. aeruginosa, K. pneumoniae 등의 그람음성균이 63%로 대부분을 차지하였으나 최근 그람양성구군 및 진균의 분리율이 증가하는 양상을 보였다. 감염증의 예후를 분석한 결과 진균 감염인 경우나 호중구 감소 기간이 긴 경우 사망률이 높았으며 그 중에서도 골수 기능이 회복 여부가 환자들의 생존과 통계적으로 유의한 연관이 있었다.(P=0.01). 결론 : 급성 백혈병 환자들에서의 감염은 관해유도화학요법 후 초래되는 호중구 감소와 유의한 관계가 있으며, 폐렴 및 패혈증의 임상양상을 보이는 경우가 흔하고, 원인균별로는 그람 음성균이 주류를 이루나 최근 그람 양성균 감염이 증가하는 추세를 보였다. 감염의 예후 인자로는 진균 감염인 경우나 호중구 감소 기간이 긴 경우 사망률이 높았으나 골수 기능의 회복여부가 결정적인 역할을 하는 것으로 나타나, 향후 급성 백혈병 환자의 치료에 있어 감염 빈도의 감소와 감염에서의 조속한 회복을 위해서는 골수 기능의 회복에 중점을 두어야 할 것으로 사료된다. Background : Infection is one of the most important and fatal complications in patients with acute leukemia. The characteristics of infection in acute leukemic patients are different from those in other diseases by the lack of normal inflammatory responses or distinct clinical evidence except fever. To improve the outcome of acute leukemia, it is very important to recognize the risk factors, patterns and prognostic factors of acute leukemia. Methods : We analyzed retrospectively the patterns of infection from 113 febrile patients with acute leukemia from January, 1988 to December, 1995. To determine the prognostic factors and the outcome of infection, the following variables were analyzed: the presence of neutropenia, use of chemotherapeutic agents, type and site of infections, isolated organisms, gastrointestinal decontamination, duration of neutropenia, and bone marrow recovery. Results : Out of 113 febrile patients with acute leukemia, 84 infection episodes(74%) occurred after chemotherapy. The mean duration of neutropenia was 18±13 days. The incidence of microbiologically-documented infection(MDI) was 35%(40/113). Pneumonia was the most common infection(26%), followed by primary sepsis(24%), catheter-related infection(9%). In cases of MDI, 63% were caused by gram-negative bacteria, followed by gram-positive bacteria(28%), and fungi(10%). Escherichia coli(25%) was the most common isolated in MDI. Regarding the prognostic factors in cases with infections, the recovery of bone marrow function was the only statistically significant factor(P=0.01). Conclusion : Infection has been a major cause of morbidity and mortality in acute in acute leukemic patients. To prevent infection and thereby improve the prognosis of acute leukemia, restoration of bone marrow function at early stage is important.

水耕裁培 토마토의 生育 및 果實發育에 미치는 窒素源의 影響

郭倫僖,閔炳訓,李政明 경희대학교 부설 식량자원개발연구소 1990 硏究論文集 Vol.11 No.-

Experiments was conducted to investigate the shoot growth and fruit development in two cultivars of tomato(Lycopersicum esculentum Mill cv. 'Kangyuk and Ruby') as influenced by the composition of NO_(3)-N and NH_(4)-N in hydroponic culture solution. When the nitrogen was supplied entirely with NH_(4)-N, root browning and foliage withering were initially observed and most plants in this plot were eventually killed. The best shoot growth was obtained from the hydroponic culture containing an equal amount of NO_(3)-N and NH_(4)-N. The 2 tested cultivars exhibited similar response even though they possessed very different growth characteristics. Mean fruit fresh weight of 'Kangyuk' and Ruby tomatoes was significantly higher in nutrient solution composed of 70% NO_(3)-N and 30% NH_(4)-N and the fruits also showed the best qualities. However, higher composition of NH_(4)-N resulted in the lower mean fruit fresh weight. Total fruit yield and the number of fruits harvested per plant were not influenced by the composition of NO_(3)-N and NH_(4)-N in the nutrient solution except in the plot supplied entirely with NH_(4)-N. The composition of nitrogen form in nutrient solution had little or no effect on the soluble solids content, juice acidity, and juice titratable acidity unless the nitrogen was supplied only with NH_(4)-N.