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.

老齡者의 建康을 위한 生活習慣 實態調査

申東敏,長鳳愚,李揆文,金賢俊,金昌範,崔宗洙,崔鍾晥,李鍾珏,金圭碩,趙庚旭,金鍾聲,朴鍾振 平生體育硏究所 論文集 1987 平生體育硏究所 論文集 Vol.2 No.-

With a view to examining the habit and method in which old people maintain and improve their health, we consulted 551 men and 444 women who were over 65 years old, and concluded as follows: 1. Habit of eating It's been revealed that most of the old people keep a regular eating hour, control the quantity of meal or eat a little food, and prefer vegetables to meat. 2. Mental health Old people feel the necessity for mental health and most of them (about 80%) keep good mental health without becoming pessimistic. Their chief concenrs have turned out to be about their sons and daughters and their own health and finance. 3. Managing Good Health It has been revelaed that old people do not possess any special kind of secret to keep good health but taking plenty of rest, regular meal, and proper exercise, and many of them (about 60%) have been shown to eat invigorant food that they can easily get around their living area. 4. Physical Functions It has been revealed that many old people are conscious of some symptoms about their parts of body and about to percent of them suffers from neuralgia. Some measures like medical aid especially for old people need to be taken as soon as possible. As we have found that the health-keeping method of old people consists plenty of rest, proper exercise, and appropriate nutrition, we can conclude that the recreatonal and culture facilities and programs for keeping old people in good health should be developed. It is also necessary to study food that contribute to their health and develop ways to get rid of the stresses to which they are exposed in their daily life. Presides, it is natural that government found an administrative department to deal with these matters effectively.

하악골에 발생한 골막 골육종

김태우,김승범,권혁찬,문선재,윤정훈,김형준,차인호,육종인,김진 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.1

Periosteal osteosarcoma is a distinct entity of malignant bone tumor with characteristic clinical, morphological, and histological features within the group of juxtacortical osteosarcoma. Periosteal osteosarcoma is predominantly located in the tubular long bones, and extremely rarely involving the jaws. A case of periosteal osteosarcoma of the right mandible is presented. A 27-year-old woman complained of the gingival swelling and bleeding tendency of the right posterior mandible. Clinical examination revealed a reddish brown strawberry-like swelling on the affected mucosa, which measured 1.5㎝×1.5㎝. The tumor was located on the lingual cortex of the mandible and extended into the surrounding soft tissues. Microscopically, the tumor consisted exclusively of atypical chondroblastic cells with a small osteoblastic area. A minimal bone marrow involvement was noted and the adjacent cortex was free of tumor. These findings suggested that the tumor originated from the periosteal cambium layer, which lies between the periosteal fibrous layer and the cortex of mandible.

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

정신분열병 환자의 뇌저신경절의 자기공명영상 소견

김종범,이길홍,나철 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.4

This study was performed to investigate possible neuroanatomical changes in the basal ganglia of schizophrenic patients. We used magnetic resonance imaging morphometric techniques, selected of two axial planes to show obviously basal ganglia, to estimate the area and the volume of specific nuclei of basal ganglia and cerebral hemispheres and further each precentage by the same hemisphere in schizophrenic patients and controls with mild neurotic complains, who had no significant difference in age- and sex- distributions. Schizophrenic group had greater basal ganglia in all nuclei analysed : these differences didn't attain statistical significance for all. Estimates of the area and each percentage of all nuclei of basal ganglia execept globus pallidus in the lower slice, not the higher slice were increased. Estimates of the volume of putamen, lenticular nucleus, striatum in all nuclei of basal ganglia were increased in the schizophrenic patients. The area increase in all nuclei of basal ganglia except globus pallidus and especially the volume increase in putamen, lenticular nucleus, and striatum are cautiously interpreted as one of the evidences supporting neurodevelopmental hypothesis of the pathogenesis of schizophrenia.

레슬링 그레코-로만형 경기내용에 관한 연구

김현준,김창범,박종진 忠北大學校 平生體育硏究所 1998 平生體育硏究所 論文集 Vol.10 No.-

The present study was to offer basic data on desirable wrestling match management and skill instruction through analysing the Greco-Roman wrestlers' match skills and attack patterns. Analyses on video-taped 105 wrestling matches of 48kg to 130kg weights in1997 wrestling world championship selection match revealed the following results; First, the most frequently used stand skill was waist tackle skill(68times, 20.1%), and its success rate was 22 times(32.3%) and failure rate was 46 times(67.6%). Second, the most frequently used ground skill was waist hold turning with arms skill(150 times, 53.0%), and its success rate was 95 times (63.3%) and failure rate was 55 times(36.7%). Third, wrestles obtaining first merit won 74 matches(70.5%) and lost 31 match(29.5%) among all the 105 match. Fourth, total frequencies of passive were 267 times, and there were more passive in heavy weight matches than in light weight matches.

Ⅲ급 부정교합 환자의 교정치료 경과에 따른 저작근 근활성도 및 교합 접촉점 변화에 관한 연구

김종범,손동수,김종철 大韓小兒齒科學會 1992 大韓小兒齒科學會誌 Vol.19 No.1

The purpose of the present study was to compare the changes in the maximal contraction of the masticatory muscles and the occlusal contact points before and after the orthodontic treatment of the class Ⅲ malocclusion children. The subjects were consisted of 21 children with class Ⅲ malocclusion, 17 normal occlusion children and 13 treated children. The class Ⅲ malocclusion children were treated with FR-Ⅲ. The EMG signal from the masseter and the anterior temporal muscle group was recorded by the Bioelertric Processor EM2, and the occlusal contact point was evaluated by the T-Scan system. The following results were obtained: 1. In the anterior temporal muscle activity, there was no significant difference between the normal occlusion children and the class Ⅲ malocclusion children, but the masseter muscle activity of the normal occlusion children was higher than that of the class Ⅲ malocclusion group(P<0.05). 2. There was no significant difference in the both muscle activity, but in the normal occlusion group, the activity of the masseter muscle was higher than that of the anterior temporal muscle(P<0.01). 3. In the both muscle group, there was no significant difference between the right and left side. 4. In the occlusal contact point, the normal occlusion group was more recored than the class Ⅲ malocclusion group(P<0.005). 5. After treatment the muscle activity in the both muscle grpup was significantly reduced, and the anterior temporal muscle showed greater decreasing than the masseter muscle(Ant. temporal muscle: P< 0.005, Masseter muscle: P<0.05). 6. After treatment the occlusal contact point was decreased, but not statistical difference level(P=0.059).

體育學科 入學을 爲한 實技銓衛에 關한 調査硏究

金昌範,鄭升溶,崔淙洙,李揆文,金顯俊 忠北大學校 平生體育硏究所 1985 平生體育硏究所 論文集 Vol.1 No.-

The aim of this study is to establish a reasonable model of the field test in the entrance examination of Department of Physical Education. For this purpose, we selected at random sampling 25 physical departments of universities and colleges in the nation and used a questionnaire. Its items include the problem in the field tests, the methods of evaluation, the records of the test in sport events, the number of field tests,and so on. We conducted this study from March 1985 to December 1985. The results of the study are as fallows: 1. In the field tests of entrance examinations in the departments of physical education, we have found that the concerned suffer the lack of facility and place. 2. For testing physical strength seventeen items are now in use, and it has been revealed that the means in physical strength items are 2.9 items and those in physical ability test 1.5 items. And the means in physical skill tests are 2.0 items. 3. In 1985, the field test was adopted by 90% of the total colleges, and this implies that the field test has now become an essential part of the entrance examination. 4. The method of evaluating the field tests was following the level of standard for physical fitness test and motor skill test items which was made in the past.

한국판 알바니 공황-공포 질문지 타당화 연구

김지혜,양종철,김정범,임기영,이소영,유범희 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.3

전리수에서의 STS304의 부식

이종권,박소연,김범식 순천향대학교 산업기술연구소 2006 순천향 산업기술연구소논문집 Vol.12 No.1

.