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.

적조생물구제농도의 Sodium Hypochlorite (NaOCl)의 노출에 따른 조피볼락 및 바지락의 조직학적 영향

한조희,김영석,허민도,정해진,박관하 한국환경독성학회 2001 환경독성보건학회지 Vol.16 No.2

In a previous study by Kim et al. (2000), sodium hypochlorite (NaOCI) has been demonstrated to be effective against algae that cause red tides. To secure the environmental safety of the chemical in practical use, effect of NaOC1, at concentrations. required for algicidal activity, on the histology of rockfish and little neck clam was examined. When the animals were exposed to NaOCI at concentrations of 0.5 or 2 ppm for I hr, there was no exposure-associated histological change in either animal. As the experimental exposure condition was set in consideration of the use, our results provide safety information necessary for practical application to marine fields.

이온화에너지 처리 아이스크림 및 우유의 단회투여 독성시험

이희준,최현종,한선경,구본철,신명수,함준상,조철훈,이완규 충북대학교 동물의학연구소 2006 Journal of Biomedical and Translational Research Vol.7 No.1

본문참조

조혈모세포이식을 받은 급성 골수 백혈병 환자에서 발생한 cyclosporine에 의한 양측 시신경병증

정진권,김한조,박명진,하승주,최경식,이성진,박성희,이상철,이남수,박희숙,원종호 순천향대학교 의학연구소 2007 Journal of Soonchunhyang Medical Science Vol.13 No.2

..

Sodium Hypochlorite (NaOCl)의 해산어류에 대한 단기노출의 영향

박관하,한조희 한국환경독성학회 2002 환경독성보건학회지 Vol.17 No.2

넙치는 단기간 NaOCl에 대한 노출에 대해 2ppm 이하에서는 육안적으로 관찰시 심각한 이상 증상이 관찰되지 않았으며, 조피볼락에서는 2.5ppm까지 급성적으로 안전하였다. 넙치와 조피볼락에서의 1시간 LC_50은 각각 3.24ppm 및 7.58ppm이었다. 조피볼락을 NaOCl로 1시간 노출시키고 혈액학적 및 혈장생화학적 변수를 측정하였을 때 2ppm 이상의 농도에서 glucose의 농도가 현저히 상승한 부분을 제외하고는 생화학적 변수에도 이상이 발견되지는 않았다. Glucose의 거의 모든 종류의 stress에 의해서 신속히 증가하는 변수로서 이 시험에서 발견된 증가현상도 NaOCl이 가진 냄새 또는 화학적 자극성에 의한 stress의 결과로 나타난 것으로 추정된다. Sodium hypochlorite (NaOCI) has been demonstrated to he effective against algae that cause red tides. To secure the environmental safety of this chemical for practical use, toxic effects of NaOCI were evaluated in two important aquaculture fishes, flounder and rockfish. At concentrations above 2.5 and 5 ppm for I hr, mortality occurred in flounder and rockfish, respectively. Flounder, however, did not die at 2 ppm up to an 8 hr exposure, nor did lipid peroxide level change at the same concentration in 1 hr. Plasma glucose level significantly increased in 1 hr with more than 2 ppm exposure. The results indicate that NaOCI may not induce persistent severe toxicity in flounder and rockfish at the algicidal concentration, 0.5 ppm.

만성 화농성 중이염의 세균학적 고찰

윤신의,문문만,김승찬,박희완,나한조,최봉남 朝鮮大學校 附設 醫學硏究所 1991 The Medical Journal of Chosun University Vol.16 No.1

The chronic suppurative otitis media is one of the most common disease in the otologic field. And the works on bacterial distribution of chronic suppurative otitis media were studied by many otologist, but there is some difference. The bacteriologic study was done on 126 cases of chronic suppurative otitis media who visited the Department of Otolaryngology, Chosun University Hospital between January 1989 and December 1989 and the following conclusions were obtained. 1) In sex distribution, the male had higher incidence rate than female (M: 56.3%, F:43.7%). 2) In age distribution, 3rd decade (34.1%), 2nd decade (34.1%), were most prevalent. 3) In duration of the disease, the hightest frequence was below 5 years duration 4) Among 126 cases, 98 cases(77.8%) were unilateral (right ear was 47 cases(37.3%) and left ear was 51 cases(40.5%))and 28 cases(22.2%) were bilateral. 5) The 136 cases(88.3%) showed the positive results under culture, but 18 cases(11.7%) didn't growthed. Among 136 cases 95 cases(61.7%) had single infection and the 41 cases(26.6%) had mixed infection. 6) The most frequently isolated bacteria was staphylococcus(38 strains, 27.9%) and next were proteus(27 strains, 19.9%) and pseudomonas (22 strains, 16.2%). 7) The Staphylococcus was sensitive to cephalothin(94.7%), amikacin(78.9%) and resistant to penicaIin(63.2%). 8) The Proteus was sensitive to amikacin(92.6%), cephalothin(88.9%) and resistant to minocycline(81.5%) and gentamicin(70.4%). 9) The Pseudomonas was sensitive to amikadn(86.4%), gemtamicin(59.1%) and resistant to minocycline(90.9%), ampicillin(86.4%) and cephalothin(86.4%).

Real-time Nutrient Monitoring of Hydroponic Solutions Using an Ion-selective Electrode-based Embedded System

Hee-Jo Han(한희조),Hak-Jin Kim(김학진),Dae-Hyun Jung(정대현),Woo-Jae Cho(조우재),Yeong-Yeol Cho(조영열),Gong-In Lee(이공인) (사)한국생물환경조절학회 2020 생물환경조절학회지 Vol.29 No.2

본 연구는 양액 내 존재하는 다량 영양소의 농도를 실시간으로 측정하기 위해 이온 선택 전극 (ISE) 으로 구성된 임베디드 시스템의 개발을 보여준다. NO₃, K 및 Ca 이온을 감지하기위한 PVC ISE, H₂PO₄를 감지하기위한 코발트 전극, 기준 전극, 샘플 용액이 담기는 챔버, 펌프 및 밸브를 사용하여 측정하는 시스템으로 구성된다. 양액 샘플양 조절과 데이터 수집을 위해서 데이터 Due 보드가 사용되었고, 각각의 샘플 측정 전에, 측정 중 발생하는 드리프트를 최소화시키기 위해 2 점 정규화 방법을 사용하였다. PVC 멤브레인을 기반으로 한 NO₃ 및 K 전극의 농도 예측 성능은 표준 분석기의 결과와 근접한 일치 (R² = 0.99) 나타내며 만족스러운 결과를 나타냈다. 하지만, Ca Ⅱ 이온 투과체 제조된 Ca 전극은 고농도 양액 농도에서 Ca 농도를 55 %로 낮게 측정하였다. 코발트 전극 기반 인산 측정은 반복측정 중에 발생한 코발트 전극의 불안정한 신호로 인해 표준 방법과 비교하여 45 ~ 155 mg / L의 인산 농도 범위에서 24.7 ± 9.26 %의 비교적 높은 오차를 나타냈다. 수경 P 감지의 예측 능력을 향상시키기 위해 코발트 전극의 신호 컨디셔닝에 대한 추가 연구가 필요함으로 판단된다. The rapid on-site measurement of hydroponic nutrients allows for the more efficient use of crop fertilizers. This paper reports on the development of an embedded on-site system consisting of multiple ion-selective electrodes (ISEs) for the real-time measurement of the concentrations of macronutrients in hydroponic solutions. The system included a combination of PVC ISEs for the detection of NO₃, K, and Ca ions, a cobalt-electrode for the detection of H₂PO₄, a double-junction reference electrode, a solution container, and a sampling system consisting of pumps and valves. An Arduino Due board was used to collect data and to control the volume of the sample. Prior to the measurement of each sample, a two-point normalization method was employed to adjust the sensitivity followed by an offset to minimize potential drift that might occur during continuous measurement. The predictive capabilities of the NO₃and K ISEs based on PVC membranes were satisfactory, producing results that were in close agreement with the results of standard analyzers (R² = 0.99). Though the Ca ISE fabricated with Ca ionophore II underestimated the Ca concentration by an average of 55%, the strong linear relationship (R² > 0.84) makes it possible for the embedded system to be used in hydroponic NO₃, K, and Ca sensing. The cobalt-rod-based phosphate electrodes exhibited a relatively high error of 24.7±9.26% in the phosphate concentration range of 45 to 155 mg/L compared to standard methods due to inconsistent signal readings between replicates, illustrating the need for further research on the signal conditioning of cobalt electrodes to improve their predictive ability in hydroponic P sensing.

Response of osteoblast-like cells cultured on zirconia to bone morphogenetic protein-2

Han, Seung-Hee,Kim, Kyoung-Hwa,Han, Jung-Seok,Koo, Ki-Tae,Kim, Tae-Il,Seol, Yang-Jo,Lee, Yong-Moo,Ku, Young,Rhyu, In-Chul Korean Academy of Periodontology 2011 Journal of Periodontal & Implant Science Vol.41 No.5

Purpose: The aim of this study was to compare osteoblast behavior on zirconia and titanium under conditions cultured with bone morphogenetic protein-2. Methods: MC3T3-E1 cells were cultured on sandblasted zirconia and sandblasted/etched titanium discs. At 24 hours after seeding MC3T3-E1, the demineralized bone matrix (DBM) gel alone and the DBM gel with bone morphogenetic protein-2 (BMP-2) were added to the culture medium. The surface topography was examined by confocal laser scanning microscopy. Cellular proliferation was measured at 1, 4, and 7 days after gel loading. Alkaline phosphatase activity was measured at 7 days after gel loading. The mRNA expression of ALPase, bone sialoprotein, type I collagen, runt-related transcription factor 2 (Runx-2), osteocalcin, and osterix were evaluated by real-time polymerase chain reaction at 4 days and 7 days. Results: At 1, 4, and 7 days after loading the DBM gel alone and the DBM gel with BMP-2, cellular proliferation on the zirconia and titanium discs was similar and that of the groups cultured with the DBM gel alone and the DBM gel with BMP-2 was not significantly different, except for titanium with BMP-2 gel. ALPase activity was higher in the cells cultured with BMP-2 than in the other groups, but there was no difference between the zirconia and titanium. In ALPase, bone sialoprotein, osteocalcin, Runx-2 and osterix gene expression, that of cells on zirconia or titanium with BMP-2 gel was much more highly increased than titanium without gel at day 7. The gene expression level of cells cultured on zirconia with BMP-2 was higher than that on titanium with BMP-2 at day 7. Conclusions: The data in this study demonstrate that the osteoblastic cell attachment and proliferation of zirconia were comparable to those of titanium. With the stimulation of BMP-2, zirconia has a more pronounced effect on the proliferation and differentiation of the osteoblastic cells compared with titanium.

Characteristics of aluminum nitride films on hexagonal boron nitride buffer layers using various growth methods through metal organic chemical vapor deposition

Han, Min,Ryu, Beo Deul,Ko, Kang Bok,Jo, Chang Hee,Lim, Chang-hyun,Cuong, Tran Viet,Han, Nam,Hong, Chang-Hee Elsevier 2019 Journal of crystal growth Vol.507 No.-

<P><B>Abstract</B></P> <P>Hexagonal boron nitride (hBN) combined with III-nitride materials is attracting increasing attention for widening the applications of III-nitride materials. Three methods were used to grow the hBN buffer layer: (i) 2-step (low and high temperature), (ii) 1-step (high temperature), and (iii) pre-TEB surface treatment method. The optical properties of the hBN buffer layers were determined through Raman spectroscopy and absorbance measurements to characterize the combination between the III-nitride material (AlN) and hBN. The crystal quality of the AlN film grown under the same conditions on three hBN buffer layers has investigated by X-ray diffraction (XRD). XRD data established that the surface roughness of the hBN layer and density of the AlN nuclei are important factors for crystal quality of III-nitride material. The surface roughness of the hBN layers varied for the different growth methods, while the V/III ratio for each method remained unchanged. This difference in the surface roughness was confirmed to be related to the bonding configuration within the hBN layer, and was further confirmed by X-ray photoelectron spectroscopy to be due to the strong interactions between BN with the substrate (B<SUB>1</SUB>). In addition, the strongly interacting BN bond, which is dependent on the method used for the growth of the buffer layer, resulted in a peel-off of the AlN layer. This phenomenon did not occur at the hBN/sapphire interface, but occurred at the AlN/hBN interface, confirming that the strong interaction bonding between BN and the substrate weakens adhesion at the AlN/hBN interface.</P> <P><B>Highlights</B></P> <P> <UL> <LI> AlN films grown on various hexagonal boron nitride buffer layer by MOCVD. </LI> <LI> The XPS results of BN impacts adhesion to the AlN template. </LI> <LI> Surface roughness of hexagonal boron nitride buffer significantly impacts the density of AlN nuclei. </LI> </UL> </P>

Association Between Low Anti-spike Antibody Levels After the Third Dose of SARS-CoV-2 Vaccination and Hospitalization due to Symptomatic Breakthrough Infection in Kidney Transplant Recipients

Han Ahram,Min Sangil,Jo Eun-Ah,Lee Hajeong,Kim Yong Chul,Han Seung Seok,Kang Hee Gyung,Ahn Yo Han,Oh Inseong,Song Eun Young,Ha Jongwon 대한진단검사의학회 2024 Annals of Laboratory Medicine Vol.44 No.1

Background: Whether anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody levels post-third coronavirus disease (COVID-19) vaccination correlate with worse outcomes due to breakthrough infection is unclear. We evaluated the association between anti-SARS-CoV-2 antibody levels and symptomatic breakthrough infection or hospitalization during the Omicron surge in kidney transplant recipients. Methods: In total, 287 kidney transplant recipients expected to receive a third vaccination were enrolled between November 2021 and February 2022. The Abbott SARS-CoV-2 IgG II Quant test (Abbott, Chicago, IL, USA) was performed within three weeks before and four weeks after the third vaccination. The incidence of symptomatic breakthrough infection and hospitalization from two weeks to four months post-third vaccination was recorded. Results: After the third vaccination, the seropositive rate and median antibody titer of the 287 patients increased from 57.1% to 82.2% and from 71.7 (interquartile range [IQR] 7.2–402.8) to 1,612.1 (IQR 153.9–5,489.1) AU/mL, respectively. Sixty-four (22.3%) patients had symptomatic breakthrough infections, of whom 12 required hospitalization. Lower anti-receptor-binding domain (RBD) IgG levels (<400 AU/mL) post-third vaccination were a risk factor for symptomatic breakthrough infection (hazard ratio [HR]=3.46, P<0.001). Anti-RBD IgG levels <200 AU/mL were a critical risk factor for hospitalization (HR=36.4, P=0.007). Conclusions: Low anti-spike IgG levels after third vaccination in kidney transplant recipients were associated with symptomatic breakthrough infection and, particularly, with hospitalization during the Omicron surge. These data can be used to identify patients requiring additional protective measures, such as passive immunization using monoclonal antibodies.