Risperidone 약물치료가 정신분열병 환자의 주의력 및 정보처리 기능에 미치는 영향

우종민,강동우,김이영,김도관,서만길,손성은,홍경수 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.5

연구목적 : 비정형 항전신병약물의 약물 역동학적 특성은 정신분열병 환자의 양성, 음성 증상 뿐 아니라 인지기능에도 긍정적 효과를 미칠 것으로 기대된다. 본 연구의 목적은 정신분열병 환자에서 8주간의 risperidone 약물치료가 주의력과 정보처리력에 미치는 영향을 파악하고, 이것이 임상 증상의 변화와 연관되어 있는지 여부를 알아보는 것이다. 방 법 : 연구 대상은 정신병적 증상의 발현 혹은 악화 상태에 있는 29명의 정신분열병 환자와 정상 대조군 25명이었다. 임상 증상은 치료 전후로 Positive and Negative Syndrome Scale, Clinical Global Impression 및 Extrapyramidal Symptom Rating Scale을 사용하여 평가하였다. 치료 전후의 환자군과 대조군에 대해 전산화 인지기능 검사인 Vigilance Test, Continuous Attention Test, Reaction Unit Tests, Motor Performance Tests를 시행하여 경계력(vigilance), 지속적 주의력, 시각/청각 자극에 대한 정보처리력 및 미세운동 조절능력을 평가하였다. 결 과 : 치료전 환자군은 경계력과 지속적 주의력, 미세운동 조절능력에서 대조군에 비해 유의하게 저하된 성적을 보였으며, 시각/청각 자극에 대한 반응 결정속도도 저하된 경향을 보였다. 8주간의 risperidone 약물치료 후 임상 증상은 양성척도, 음성척도 및 일반정신병리척도에서 모두 유의한 호전을 보였다. 치료 후 환자군은 시청각 복합 자극에 대한 반응 결정 속도의 유의한 향상을 보였는데, 이는 임상 증상의 호전 정도와 상관성을 보이지 않았다. 단순 자극에 대한 반응결정 속도, 주의력, 미세운동 조절기능 등은 치료 전후로 차이를 보이지 않았고, Vigilance Test의 반응시간은 지연되었다. 치료 후 추체외로 증상 정도와 상관성을 보이는 인지기능 검사 항목은 없었다. 결 론 : 정신분열병 환자는 경계력, 지속적 주의력 및 미세운동 조절기능의 결함을 보이며, 이들 결함은 risperidone 약물치료로 임상증상이 호전된 후에도 비슷한 수준으로 유지되는바, 질병 고유의 특성임이 시사되었다. 치료 후 시청각 복합자극에 대한 반응 결정속도가 향상되었는데, 이는 임상 증상 호전과는 무관한 약물 역동학적 기전에 의한 직접적 효과임이 시사된다. Objectives : The aim of this study is to evaluate the effect of risperidone on attention and information-processing in schizophrenic patients after 8 weeks of treatment and to determine whether any improvement on cognitive function relates to improvement in psychopathology. Methods : The subjects were 29 schizophrenic inpatients with active psychotic symptoms and the controls were 25 normal volunteers. Pre- and post-treatment clinical symptoms were assessed by Positive and Negative Syndrome Scale, Clinical Global Impression and Extrapyramidal Symptom Rating Scale. Vigilance, continuous attention, the speed of information-processing and fine motor coordinations were assessed by standardized computerized neurocognitive function tests. Results : At baseline, patients showed significantly poor vigilance and continuous attention than normal controls and these functions were not improved after treatment. The positive and negative symptoms and the general psychopathology were significantly improved. The only item of cognitive tasks significantly improved after treatment was decision time to complex audio-visual stimuli in information-processing task. This improvement was not related to the improvements in psychopathology. The level of extrapyramidal symptoms was not related with any of the cognitive function tests items. Conclusions : Treatment with risperidone appeared to exert a favorable effect on the speed of information-processing and this appeared to be due to a direct pharmacodynamic characteristics of the drug.

서양산 고추냉이 추출물이 함유된 세치제의 효능에 대한 임상적 실험연구

서현우,박호원,김종수,이시영,신일식 大韓小兒齒科學會 2012 大韓小兒齒科學會誌 Vol.39 No.1

The purpose of this study was to find out the effect of dentifrice containing Horseradish (Armoracia rustica) root extracts on improvement of oral hygiene. The clinical evaluation was done participated by 80 adults volunteers who provided a informed consent for their participation. The participants were divided into two groups ; control group (using toothpaste without Horseradish extracts) and experimental group (using toothpaste containing Horseradish extracts). The checklist of the experiment includes the plaque index, gingival index and anti-caries activity. The anti-caries activity was measured by cultivating Streptococcus mutans for 48 hours then estimating the number of increased bacteria using Dentocult SM. The double-blind method was used in this study. The results of this study can be summarized as follows; 1. The plaque formation decreased 28% in control group, 58% in experimental group using dentifrice with Horseradish extracts compared to baseline data. 2. For gingival index, control group and experimental group showed 26% and 40% decrease compared to baseline data, respectively. 3. The score of caries activity test decreased by 4% for control group and 69% for experimental group compared to baseline data. According to the results, a dentifrice containing Horseradish extracts can improve oral hygiene. 식물성 자연추출물 중 하나인 고추냉이 추출물을 배합한 세치제의 구강환경 개선 효과를 알아보기위해 총72명을 대상으로 교차실험 및 이중맹검법을 실시하여 치면세균막지수, 치은염지수 및 우식활성도검사 등을 비교 검토한 결과 다음과 같은 결 론을 얻었다. 1. 치면세균막지수는 초기값에 비해 대조군은 28%, 고추냉이 추출물 배합세치군은 58%의 억제효과를 나타내었다. 2. 치은염지수는 초기값에 비해 대조군은 26%, 고추냉이 추출물 배합세치군은 40%의 억제효과를 나타내었다. 3. Dentocult-SM을 이용한 우식활성도 평가에서는 초기값에 비해 대조군은 4%, 고추냉이 추출물 배합세치군은 69%의 억제효과를 나타내어 고추냉이 추출물 배합세치군이 대조군에 비해 유의할만한 Streptococcus mutans 억제효과를 나 타내었다. 이상의 결과들로 보아 고추냉이 추출물을 배합한 세치제는 치면세균막 억제와 치은염의 감소 그리고 우식활성도 억제에 중 요한 역할을 하여 구강환경 개선에 뛰어난 효과를 보이는 것으로 사료된다.

응급실 내원 환자의 만족도 평가 및 관련 요인에 대한 연구

서강석,감신,박정배,이정헌,김종근,윤영국,곽경숙,이원기,우석정 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

Background: To examine the influencing factors on patients' satisfaction in the emergency department(ED) for quality assurance. Methods: Patients who visited to the ED were prospectively investigated from November 1 to December 31, 1997. Authors developed questionnaire to investigate influencing factors on patients' satisfaction. A Chi-square test and LISREL 7.0 were applied for statistical analysis. Results: Patients' satisfaction was significantly related to physical environment variables, accessibility variables, kindness of hospital personnel variables, and patient's trust for doctors variables. In path analysis, willingness for revisit was influenced by patients' satisfation, accessibility, physical environment, patients' trust for doctors in order, and willingness for recommendation was influenced by accessibility, patients' satisfaction, and kindness of hospital personnel in order. Conclusions: The influencing factors on patients' satisfaction are physical environment, accessibility, kindness of hospital personnel, and patient's trust for doctors. Willingness for revisit and willingness for recommendation are influenced by patients' satisfation. In spite of some limitations, the results of this study can be used as a baseline information for exploring the influencing factors on patients' satisfaction. Further comprehensive research efforts should be made on the study of patients' satisfactoin in the ED.

미세알부민뇨를 동반한 인슐린 비의존성 당뇨병 환자에서 혈장 Endothelin의 변화

서예경,정상원,남직화,신병호,전종민,김정국,김동희,하승우,김보완 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.3

목적 : 혈관내피세포에서 생성되는 endothelin(ET)는 강력한 혈관수축작용을 가진 펩타이드로 당뇨병 환자에서 혈관내피세포의 손상여부에 따라 혈중 농도가 증가할 수 있으며 혈관합병증과 관련이 있다는 보고가 있다. 그러나. 혈중 ET치의 상승과 당뇨병성 합병증의 상관성에 대해서는 논란이 많다. 이에 저자들은 인슐린 비의존성 당뇨병 환자에서 미세알부민뇨의 동반유무에 따른 혈중 ET치의 변화 및 혈장 ET치와 요중 알부민 배설률과의 상관성을 검토하였다. 대상 및 방법 : 인슐린 비의존성 당뇨병 환자중 미세알부민뇨를 보인 22명과 정상알부민뇨를 보인 43명을 대상으로 하였으며 혈장 ET를 측정하여 요중 알부민 배설률, 당뇨병성 망막증 및 당뇨병 관련인자들과의 관계를 비교하였다. 결과 : 당뇨병성 망막증이 합병된 군에서 망막증이 합병되지 않은 군에 비하여 혈장 ET치가 유의하게 높았던 반면 (각각 1.9±0.66, 1.5±0.76pg/㎖, p<0.05) 미세알부민뇨를 보인 군과 정상알부민뇨를 보인 군사이에 혈장 ET치는 통계학적으로 유의한 차이가 없었다(각각 1.9±1.14, 1.7±0.69pg/㎖). 또한 요중 알부민 배설률과 혈장 ET치 사이에 유의한 상관관계는 없었으며 미세알부민뇨를 동반한 인슐린 비의존성 당뇨병 환자군에서 혈장 ET치는 당뇨병의 관련인자들과도 유의한 상관관계가 없었다. 결론 : 인슐린 비의존 당뇨병 환자에서 혈장 ET치가 초기 당뇨병성 신증의 합병여부나 미세알부민뇨의 정도를 반영하기는 어려울 것임을 시사한다. Background : Endothelin(ET), a potent vasoconstritor peptide released from vascular endothelial cells, is known to be increased in diabetic patients with vascular damage and related with diabetic angiopathy. However, whether plasma ET levels may be related to diabetic complications is controversial. We studied the change of ET levels in non-insulin dependent diabetics with microalbuminuria and relation between ET and urinary albumin excretion rate. Methods : Plasma ET levels of 22 non-insulin dependent diabetics with microalbuminuria and 43 patients with normoalbuminuria were measured and relations of plasma ET to diabetic complications such as urinary albumin excretion rate, retinopathy and other associated factors were studied. Results : Plasma ET levels were significantly higher in patients with diabetic retinopathy than those without retinopathy(1.9 ± 0.66 vs 1.5 ± 0.76 pg/㎖. p<0.05). The difference, however, between diabetics with and without microalbuminuria was not significant(1.9 ± 1.14 vs 1.7 ± 0.69 pg/㎖). There were no correlations of plasma ET to urinary albumin excretion rate and to the other associated factors in non-insulin dependent diabetics. Conclusion : These results suggest that plasma ET levels may not seem to act as a predictor of diabetic nephropathy or microalbuminuria in non-insulin dependent diabetics.

개에서 발생한 이혈종의 임상적 관리

이우철,윤기영,서경원,최호정,정성목,송근호,조종기,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2012 動物醫科學硏究誌 Vol.19 No.1

A 14-year-old male pomeranian was present with swollen left ear. The swelling occurred from base to apex of pinna. Otitis externa persisted for two years. Hematological and serum biochemistry values were not remarkable. The surgery treatment was the most appropriate method among indwelling drain, surgical, and steroid treatment in the aural hematoma because the dog was very sensitive to touching pinna and the size of aural hematoma. Longitudinal incision was applied after general anesthesia. Cefovecin was injected to prevent secondary infection. The outcome of surgery was good. There was no evidence of recurrence for one year.

폐비닐여재를 적용한 부착성장식 공법의 유기물 및 영양염 제거 특성

서종환,김진우,안철우,이철승,박진식,김수생 동아대학교 환경문제연구소 2003 硏究報告 Vol.25 No.2

This study was carried out to demonstrate the removal characteristics of organic materials & nutrients in attached growth process applied Synthetic Wasted Polyethylene Media which is reused from wasted vinyl in rural. The results are as follows: 1. Removal efficiencies were indicated COD_(cr), 91.4, 92.4, 93.9%, T-N 56.9, 61.4, 65.1% and all T-P 45% or more with HRT 10, 12, 14 respectively. 2. It is indicated BOD volume load 0.18~0.40kg/ ㎥ ·d, COD volume load 0.28~0.53kg/ ㎥ ·d and NH₄-N volume load 0.12kg/ ㎥ ·d respectively. In conclusion, It is showed activated sludge process is replaced with this process applied Synthetic Wasted Polyethylene Media and this process is considered the methods that solve wasted vinyl troubling in a rural.

HIV 감염/AIDS을 처음 진단받은 환자들의 특성과 임상에서 보편적인 HIV 검진의 가치

김종화,김태형,추은주,전민혁,서성우,이용관,최문한 순천향의학연구소 2008 Journal of Soonchunhyang Medical Science Vol.14 No.2

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고속도로 휴게소 오수의 특성(I)

김종오,서성규,김상채,이우범 木浦大學校 沿岸環境硏究所 1999 沿岸環境硏究 Vol.16 No.1

The sewage characteristics in the highway service area were investigated according to an interval of 2hrs for 24hrs. and seasonal variation to use them as the basic data for operating and maintaining those sewage treatment units. The range of temperature, pH and DO as physical characteristics were 15.1 ∼ 23.6℃, 6.6 ∼7.4 and 1.1 ∼ 2.2 mg/L, respectively, and found to be appropriate to the biological treatment. The sewage concentrations were larger than those of the general domestic sewage but analogous to those of shopping center and office. Specially, BOD and SS concentraions among them were analogous to those of Japan. The variation of sewage characteristics for 24hrs were insignificant except at high-demand time. It was observed that those concentrations were insignificantly changed with seasonal variation(spring, summer, autumn, winter) except temperature.

Tocopherol 投與가 家兎의 增體 및 飼料利用性에 미치는 影響

林鍾佑,尹昌鉉,河正基,朴琦緖 진주농과대학 1970 진주농과대학 연구논문집 Vol.- No.9

本 試驗은 Tocopherol이 家兎의 增體 및 飼料利用性에 미치는 影響을 究明하기 위해 雌兎 20頭, 雄兎20頭 計 40頭를 8週間 試驗하였던바 다음과 같은 結果를 얻었다. 1. 日當 增體量에 있어서는 處理區間에 1% 水準의 有意性이 認定되었으며 T₂區가 14.68g, T₁區가 13.17g로서 對照區보다 優秀하였으나 T₃區는 對照區보다 좋지 않았다. 2. 飼料攝取量에 있어서는 處理區間과 性別間에 1%水準의 高度의 有意性이 認定되었고 T₂區, T₁區가 對照區보다 飼料攝取量이 많았으나 T₃區는 對照區보다 不良했다. 3. 飼料利用率에 있어서는 處理區에 있어서 別다른 差가 認定되지 않았다. This experiment was conducted to study the effects of Tocopherol on gain weight, feed consumption and feed conversion of growing rabbits. Twenty male and twenty female rabbits of Japanese white breed used for 8 weeks. The results obtained from this study may be summarized as follows: 1. There was found a highly significant difference(P<0.01) for daily gain weight between treatments. T₂lot with 14.68g and T₂lot with 13.17g had higher daily gain weight than its of control lot. But T₃lot had lower daily gain weight than its of control lot. 2. In feed consumption there were highly significant differences (P<0.01) between treatments and sex. T₂lot and T₁lot had more feed intake than its of control lot. But T₃lot had lower feed intake than its of control lot. 3. The difference in feed conversion was found insignificant between treatments.

마사지 요법이 고혈압 환자의 혈압에 미치는 영향

김종우,서현규,박윤기 대한정형물리치료학회 2003 대한정형도수물리치료학회지 Vol.9 No.2

To closely examine the effects of the massage treatment as one method of curing hypertension by exploring the effects that one-time circulation-centered massage has on a hypertensive's blood pressure, this study selected as the subject ten among fifty-yea-old essential hypertensives visiting N clinic, and measured and compared their blood pressures before and after I gave them massage. After stabilizing them, I measured their b l d pressures. In their prone and supine postures, I gave them rubbing massage for twenty minutes from positions proximal to their hearts to ones distal from their hearts to help their artery circulation and circulation-centered strong massage for ten minutes from positions distal from their hearts to ones proximal to their hearts to help their vein circulation. After the massage, I had them rest for five minutes and measured their blood pressures. Regarding each item analyzed, I calculated the mean and standard deviation before and after the massage. The difference before and after the massage was tested by corresponding t-test and the level of significance was made p<0.05. The findings are as follows. First, systolic pressure was 157.70±7.48 before the massage and 143.00±9.39, which is less than before the massage, after the massage, showing statistically significant difference (p<.05). Secondly, diastolic pressure was 97.80±6.56 before the massage and 95.20±5.18, which is less than before the massage, after the massage, not showing statistically significant difference (p <.05).