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.

제3분과 : 야생동물 ; 국립공원 산불통제구간내 야생동물 서식현황 분석 -지리산국립공원 노고단~피아골계곡을 중심으로-

강병선 ( Byung Seon Kahng ),박기연 ( Ki Yeon Park ),김은창 ( Eun Chang Kim ),이재윤 ( Jae Yoon Lee ),지기선 ( Ki Seon Ji ),최형진 ( Hyung Jin Choi ),오현경 ( Hyun Kyung Oh ) 한국환경생태학회 2013 한국환경생태학회 학술대회지 Vol.2013 No.1

우리나라 전 국토의 6.58%를 차지하고 있는 국립공원은 생태계 현황을 대표하는 지역으로 한국에 서식하는 생물종 39,150종 중 40%에 해당하는 15,727종이 서식하고 있다(국립공원관리공단, 2012). 특히 환경부에서 지정한 멸종위기종 221종 중에서 65%에 해당하는 144종이 서식하고 있어 인간의 간섭 및 개발압력으로부터 마지막 피난처의 중요한 역할 또한 수행하고 있다. 국립공원은 자연생태계와 자연 및 문화경관 등을 보전하고 지속가능한 이용을 도모함을 목적으로 하는 자연공원법에 의하여 지정되는 자연공원의 하나로서 자연생태계의 보전뿐만 아니라 지속가능한 이용 또한 고려되어야 한다. 즉, 생물종 서식처의 보존 뿐만 아니라 탐방객의 이용 또한 고려되어야 하며 이를 위해서는 생물종의 서식현황 분석은 반드시 선행되어야 할 과제이다. 그러나 생물종이 다양하고 서식처가 광범위하여 종의 전체적인 서식현황을 분석에는 많은 시간과 비용이 수반된다. 따라서 시간과 공간이 제한되는 산불조심기간 중 산불통제 구간을 대상으로 야생동물의 서식현황을 분석해 보고자 하였다. 아울러 구례군 지역에 서식하는 야생동물의 서식현황을 분석하여 보호지역 관리에 기초자료를 제공하고자 하였다. 월 1회 정기적으로 탐방로를 중심으로 야생동물의 식흔, 배설물 등 흔적을 2010년부터 2012년까지 최근 3년간 모니터링 하였으며, 모니터링 시 GPS 좌표 측점, 사진촬영, 주변환경조사 등을 병행하였다. 아울러 무인센서카메라를 10대 설치하여 실체를 확인하였으며, 조사된 자료는 GIS DB로 최근 3년간, 지리산국립공원 노고단~피아골계곡에서 조사된 야생동물 흔적은 124건으로 삵 59건, 담비 27건, 족제비 21건, 멧토끼 10건, 멧돼지 4건, 고라니 2건, 오소리 1건 등이었다. 이중 삵과 담비는 멸종위기종으로서 86건으로 발견종의 69%를 차지하고 있었다. 특히 봄과 가을철 산불통 제기간 중에는 월평균 19회 관찰되었는데 이는 다른 기간 평균 4회 보다 5배정도 많은 횟수로 탐방객의 출입이 제한되었을 때 위협요인이 감소됨으로서 서식여건이 보다 안정화되어 훨씬 많이 발견되고 있음을 알 수 있었다. 2010년부터 2012년 지리산국립공원 구례지역에서 조사된 야생동물 698건의 서식 분포특성을 분석한 결과 삵 286건, 담비 139건, 족제비 95건, 수달 53건, 오소리 30건, 멧돼지 30건, 멧토끼 29건, 너구리 16건, 고라니 13건, 노루 4건, 하늘다람쥐 3건 등이었다. 특히 멸종위기종인 삵, 담비, 수달, 하늘다람쥐 등이 481건으로 68%를 차지하고 있어 멸종위기 야생동물의 출현빈도가 매우 높음을 알 수 있었다. 최근 3년간 야생동물 서식현황을 분석한 결과 타기간 보다 산불방지기간에 출현빈도가 높아 탐방객의 출입에 따른 위협요인을 계량적으로 파악할 수 있었으며, 특히, 봄철 산불방지기간은 야생동물의 번식기라는 점에서 보다 안정된 서식처를 제공한다는 의의가 있을 수 있다. 또한 멸종위기종의 흔적이 전체종의 68%가 발견됨으로서 멸종위기종의 서식처를 제공하고 있음을 알 수 있었다. 향후 이러한 결과를 바탕으로 각 야생동물에 대한 서식처 분석과 더불어 이를 통한 관리방안이 수립될 필요성이 있다.

반려동물의 기생충검사 이론 및 실제

이성호,박영석,박병권,김상기,정지윤,박수진,박창식,김병수 충남대학교 형질전환복제돼지연구센터 2007 논문집 Vol. No.10

The aim of this article is to improve human health and that of companion animals by improving the diagnosis and control of parasitic diseases. This is achieved by research into parasites of veterinary significance including zoonoses and the use of comparative systems to increase our understanding of some human parasitic diseases. We should promotes learning and teaching through knowledge and operates a diagnostic unit that offers a service to pet owner for indigenous and exotic parasitic diseases of companion animals. We must diagnose and treat them early. Zoonotic parasites are very important because many of animal parasites are zoonoses and give pain and death to human. Parasites are divided Protozoa, Helminthes and Arthropods. There are many protozoa, about 65,000 species. Arthropods are the vector of another diseases, such as virus, bacteria, protozoa and nematodes. Helminthes are composed of Trematoda, Cestoda, Nematoda and Acanthocephala. The target of Veterinary Parasitology is to recognize the characteristics of these parasites and subsequently diagnose, treat and control them. This article is intended to familiarize you with the essential facts and concepts of companion animal parasitology. Emphasis is placed on fecal sample techniques (comparison of fecal examination techniques; frequently found artifacts in fecal smears; direct Smear; zinc sulfate flotation; etc.) We recommend that the study be done to more references on animal parasites.

Expression Profiles of Retinoblastoma Protein and p27Kip1 According to HER2 Amplification Status in Primary Breast Cancer

신재호,Sung-Jin Park,Hyun-Jin Cho,Geumhee Gwak,Byung-Noe Bae,Ki Whan Kim,Hong-Yong Kim2,Kyeongmee Park,Sehwan Han 한국유방암학회 2009 Journal of breast cancer Vol.12 No.1

Purpose: Human epidermal growth factor receptor-2 (HER-2)/neu amplification affects the cell proliferation through the modulation of multiple G1 cell cycle regulators in breast tumor cells. We performed this study to investigate whether retinoblastoma protein (pRB) and p27Kip1 were differently expressed according to the HER2 amplification status in human breast cancer. Methods: HER2 amplification was assayed by fluorescence in situ hybridization and the expression of cell cycle regulators were assayed by immunohistochemistry on 153 consecutive invasive breast cancers. The proliferative activity of breast cancer was analyzed according to the HER2 amplification and cell cycle protein expression status. Results: HER2 amplification was observed in 39 (25.5%) of 153 breast cancers. In the HER2 amplified breast cancers, the pRB expression was significantly increased (p=0.011) whereas there was no significant relationship between HER2 amplification and p27Kip1 expression. There was an inverse correlation between pRB expression and Ki-67 labeling index in the HER2 amplified breast cancers (p=0.036). In contrast, Ki67 labeling index was significantly decreased as p27Kip1 expression increased in HER2 non-amplified breast cancers (p=0.028). In HER2 non-amplified breast cancers, we could not observe any association between the pRB expression and Ki67 labeling index. Conclusion: The proliferation of the breast cancers was associated with pRB expression in HER2 amplified tumors whereas it was associated with p27Kip1 expression in HER2 non-amplified tumors. The results of the current study indicate that the cell proliferative activity of the breast cancer is under different growth signal pathways according to HER2 amplification status.

학교체육 활성화 방안에 대한 연구(Ⅰ) : 강원대학교 교양체육 운영방법의 개선을 중심으로

이광재,문병용,노성규,박기동,홍관이,한상준,유옥재,엄기진,정청자,오수일,김윤래,박장평,부기원 江原大學校附設 體育科學硏究所 1986 江原大學校附設體育科學硏究所論文集 Vol.- No.11

Try to find a scheme for activation to College Physical Education, this Report informs the various kinds of Survey and process those were projected for improvement of management methods on Cultural Physical Education in Kang Weon National University. From experimentally carried out "Sports events Choosing System" not as usual be inforced "Total practical Skill System", Following Positive effects and sujestions were Presented; 1. "Sports events choosing system" gave birth to more students' interesting and more voluntary participation to the sports events they chose, and sports skill and instruction level was elevated due to charge of expert according to each sports events. This system would be managed continuously hereafter for it related to life sports. 2. This System needs to closed cooperations between College and Community, for the facilities of community are utilized by college. 3. To complete the plan for activation of college Physical Education, additionally, the successional study ; namely "autonomous extracurricular sports activity" should be excuted hereafter.

운동선수의 임장불안에 대한 연구

홍관이,이광재,김두경,부기원,노성규,한상준,박기동,오수일,문병용,이철규,박장평,엄기진,박남환 江原大學校附設 體育科學硏究所 1984 江原大學校附設體育科學硏究所論文集 Vol.- No.9

This study is designed to grasp the elements and situations of stage fright in order to propose a part of ways to cope with it. We make 511 top-class high school players, male and female, in the central districts (Seoul, Inchon, Kyungki, Chungbuk, and Kangweon Province) on object of questionnaire, and get the following results. Through players generally have all-round characters they show weakness in the superiority and emotional stability while showing strength in the sonformity. This fact comes to be related to the elements which cause stage fright. Physiological changes also have many effects on the symptom of stage fright. Especially, stage fright increases when players show sensitive reaction to the self-consciousness of final consequence which comes from the tension or uneasiness of sympathetic nerve, Thus, it turns out that players make use of reducing psychological burden by physical exercise or adjusting the level of demanded result in order to release the stage fright.

中學 科學敎育의 探究學習에 대한 評價問項 開發(Ⅰ)

奇宇恒,權炳奎,朴德圭,이병교,鄭遠佑,金裕漢 경북대학교 과학교육연구소 1984 科學敎育硏究誌 Vol.8 No.-

The purpose of this study is to achieve the individualized inquiring learning which is centered on students by improving the method of the evaluation of the inquiry learning in the science class in a multi-student class. Therefore the author made the table of specification for scientific achievements of the abilities of inquiring by analyzing the abilities of inquiring according to the content of science and five basic experiments of each unit inthe first grade of of middle school, ant then made the paper and pencil and performance test items for the evaluation of the abilities of inquiring. The paper and pencil test was taken after the experimental and observational class, and performance test was taken in the way of the students' self evaluation, peer evaluation and Tester evaluation. The results are as follows: 1) In operation of the inquiry learning by two experiments, performance test items and 13 the paper and pencil test items made for evaluation of the abilities of inquiring could be applied usefully. 2) Correlation coefficient between paper and pencil test and performance test is .362 and it is very low. Therefore it is desirable that performance test be used for the evaluation for the abilities of inquiring which cannot be evaluated by paper and pencil test. 3) In evaluation of the abilities of inquiring by performance test on five basic experiments, it is more desirable that 'the use of microscope' is presented in the way of peer evaluation or peer and Tester evaluation, 'the observation on epidermis of onion cell' in the way of peer evaluation, and self-evaluation. 4) Skill of the abilities of inquiring in experimental and observational class can be evaluated correctly through performance test.

장기간 운동이 비만여성의 특성불안 및 관련 생리변인에 미치는 영향

박기용,박영명,박병규,김성진,최경훈 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.3

The purpose of this study was to examine the changes of trait anxiety and its related physiological variables in obese women through chronic exercise. A total of twenty three college female students having over 30% of body at were equally assigned to an experimental group or a control group. The experimental group lasted aerobic exercise for 40 minutes a day, 3 times per week for 10 weeks, Their exercise intensity was 50% to 70% of VO₂ max, An independent t-test using each group's gain scores showed that changes of the trait anxiety(p<.05), body fat(p<.01), and VO₂ max(p<.05) were significantly different from those of the control group. There were, however, no significant differences between the two groups in the changes or the blood pressure and the recovery heart rates, It was concluded that chronic exercise can lower trait anxiety in obese women, However, the decreased trait anxiety seems to be independently associated with blood pressure changes.

모발의 모간부에서 미토콘드리아 DNA 분석

박기원,전병원 內務部 國立科學搜査硏究所 2001 國立 科學 搜査 硏究所 年報 Vol.33 No.-

염화콜린 처리가 고추 및 토마토묘의 생육 및 몇가지 원예작물 삽목묘의 발근과 생육에 미치는 영향

박영기,민병훈,이정명 경희대학교 부설 식량자원개발연구소 1992 硏究論文集 Vol.13 No.-

Effects of choline chlorides of different formulations and their analogues on pot-grown hot pepper and tomato seedlings were investigated. Choline chloride solutions of different concentrations were sprayed or applied to the pot-soil approximately one month before the expected transplanting and the quality of seedlings was evaluated shortly before the transplanting. The effects of choline chloride on the rooting and subsequent growth of cuttings of several horticultural crops were also investigated. Major results can be summarized as follows. 1. Spray treatment of 250-1,000ppm choline chloride to hot pepper seedlings were effective in improving the seedling vigor by promoting the seedling growth and increasing the fresh weight of roots of several cultivars tested. 2. Applications of choline chloride solutions directly to the pot at the rate of l0ml per 12-cm diam pot were effective in improving the seedling vigor prior to transplanting in 'Dabok' hot peppers. 3. Spray of 250-500ppm choline chloride to tomato seedlings promoted the growth though decrease in the number of flowers in the first flower cluster was observed in the seedlings sprayed with solutions of higher concentrations. 4. Significant promotion of rooting was obtained by dipping the sweetpotato cuttings in choline chloride solution and rooted a t cool, shady place during the early spring whereas no such promotion was found in the cuttings rooted under favorable environments. 5. Cucumber cuttings dipped in 3 ppm choline chloride solution prior to rooting in vermiculite medium showed a marked promotion of rooting as comparable to that with IBA treatment whereas the watermelon cuttings treated in the same way showed only slight promotion of rooting. 6. The effect of choline chloride treatment was not quite apparent when treated to the easy-to-root floricultural plants such a s devil's ivy and English ivy.