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.

노인의 대사성 증후군의 위험 요인에 체구성, 심폐기능 및 근력과의 상관관계

윤규태,최기수,강현주 순천향대학교 기초과학연구소 2004 순천향자연과학연구 논문집 Vol.10 No.2

We investigated the association of body composition, cardiorespiratory fitness and muscle strength to the metabolic syndrome risk factors in elderly persons. 53 elderly persons aged 65-75 years evaluated the metabolic syndrome risk factors(centeral obesity, high blood pressure, HDL-cholesterolemia, hypertriglyceridemia, hyperglycemia), as defined by the criteria given in the Adult Treatment Panel Ⅲ. In the relation of body composition among the metabolic syndrome risk factors, WC had a positive correlation with weight, BMI, and WHR, and DBP had a negative correlation with WHR,FBG had a positive correlation with weight, BMI, and WHR, and HDL-C had a negative correlation with weight, BMI, and WHR. In the health related physical fitness, WC had a positive correlation with UMS, LMS, and TMS, LMS, and TMS, TG had a negative correlation with VO_(2)max and HDL-C had a positive correlation with VO_(2)max, UMS, LMS, and TMS. This study suggest that the metabolic syndrome risk factors are affected by body composition, cardiorespiratory fitness and muscle strength.

계열별 고등학생집단의 뇌기능특성화 경향에 대한 연구

윤규태,최기수,안의태,고정식,양남길,박경호 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.2

본 연구에서는 계열에 따른 고등학생들의 대뇌반구기능의 특성화 또는 편재화의 경향을 알아보고, 전공분야에 대한 적응력과의 상관관계를 검토하고자 했다. 일반고등학교 인문계열 학생 359명, 자연계열 학생 371명, 음악과 미술전공 학생을 포함한 예능계열 196명, 체육특기자를 포함한 체육계열 학생 151명 등 1,077명을 대상으로 각 계열별, 남녀별, 성적별 고등학생 집단들의 대뇌반구의 특성화, 편재화 경향을 시나가와(품川)질문지법을 이용하여 분석하였으며, 다음과 같은 결과를 얻었다. 1. 인문계열 고등학생의 뇌기능의 편재화 경향은 우뇌형 54.3%, 양쪽뇌형 32.6% 및 좌뇌형 13.1%였다. 남녀별로는 남학생은 우뇌형 62.9% 양쪽뇌형 27.9% 및 좌뇌형 9.5%로 나타났으며, 여학생은 각각 43.7%, 38.6% 및 17.7%로서 여학생이 남학생에 비하여 죄뇌화 경향을 보였다. 2. 자연계열 고등학생의 경우는 우뇌형 56.9%, 양쪽뇌형 29.9% 및 좌뇌형 13.2%로서 인문계열 고등학생과 비슷한 분포를 보였다 이를 남녀별로 구별하여 보면 남학생은 62.2%, 27.1% 및 10.2%, 여학생은 51.5%, 32.5%및 16.0%의 분포를 보여, 역시 여학생의 좌뇌화 경향이 뚜렷했다. 3. 예능계열 고등학생의 경우는 우뇌형 56.1%, 양쪽뇌형 35.2% 및 좌뇌형 8.7%의 분포를 보였으며, 이를 전공별로 세분해서 살펴보면 음악전공학생의 경우 53.7%, 35.5% 및 10.7%로서 전체 평균과 거의 비슷한 분포를 보였으나, 미술전공학생의 경우 60.0%, 34.7% 및 5.3%로서 , 특히 좌뇌형의 경우 음악전공에 비해 절반수준에도 못 미치는 경향을 보였다. 4. 체능계열 고등학생 집단의 경우 우뇌형 50.3%, 양쪽뇌형 37.7% 및 좌뇌형 11.9% 분포를 보였다. 5. 성적별로 보면 일반고등학교 학생 가운데 성적 우수 집단은 뚜렷하게 좌뇌형 경향(25.6% 및 25.0%)을 보였다. 6. 예능계열의 우수집단은 양쪽뇌형의 분포비율(50.0% 및 44.4%)이 특히 높았다. 7. 체육계열의 우수집단은 좌뇌형 분포(21.6%)가 높았다. According to the advanced study on differential theory of brain function, the left hemispheric functions are concerned more on the verbal, logical, sequential and arithmetic abilities, whereas the right hemisphere has characteristics of non-lingual, general, creative and aesthetic abilities. The authors compared the tendency of hemispheric specialization in high school students with different educational condition and facilities. Sinakawa's questionnaire method was the instrument for this study. The results obtained were as follows: Among 1,077 of whole subjects, right hemispheric dominant type was 55.0% (59.1% in male, 51.0% in female), bilateral type was 32.9% (10.6% in male, 35.1% in female) and left hemispheric dominant type was 12.2% (10.4% in male, 13.9% in female). 1. Of the 359 subjects in the field of humanity science, right hemispheric dominant type was 54.3% (62.9% in male, 43.7% in female), bilateral type was 32.6% (27.9% in male, 38.6% in female) and left hemispheric dominant type was 13.1% (9.5% in male, 17.7% in female). 2. Of the 371 subjects in the field of natural science, right hemispheric dominant type was 56.9% (62.2% in male, 51.5% in female), bilateral type was 29.9% (27.1% in male, 32.5% in female) and left hemispheric dominant type was 13.2% (10.2% in male, 16.0% in female). 3. Of the 196 art school students, 56.1% was regraded as right hemispheric dominant type, students majoring music was 53.7%, 35.5% and 10.7%, respectively, whereas the frequency for students majoring find art was 60.0%, 34.7% and 5.3%. 4. In students majoring physical education, 50.3% were shown in right hemispheric dominant type, 37.7% were bilateral type and 11.9% were left hemispheric dominant type. 5. Laterality patterns of students who adapt more successfully to their specific studying fields show following characteristics; Successful students of general high school show pronounced left shift in their laterality pattern, whereas successful students of art school exhibit more bilateral type. And successful students of physical education school show left shift in their laterality patterns.

無酸素性 運動能力과 生理學的 變因의 關聯性

김기진,윤성원,김학열,정정진,우도영,노성규,손태열,안의수 江原大學校附設 體育科學硏究所 1991 江原大學校附設體育科學硏究所論文集 Vol.- No.16

Wingate test 및 Supramaximal exercise를 이용한 무산소성 운동능력의 측정시 나타난 변인의 관련성을 살펴본 본 연구를 요약하면 다음과 같다. Wingate test시 혈중젖산농도 최고치는 9.04±0.62mM로서 Supramaximal exercise시 보다 유의하게 높았으며, 혈장 LDH 및 CPK활성도는 두가지 운동부하후 모두 유의한 변화는 나타나지 않았다. 근전도상의 적분치, 중간파형빈도 및 평균파형빈도도 유의한 변화는 없었다. 등속성 수축시의 최대토오크는 양쪽 다리 모두에서 초당 60도의 각속도에서가장 높았다. Wingate test시의 최대파워는 등속성 수축시 최대토오크 및 Wingate test시 중간파형빈도의 직접적인 영향을 받는 것으로 나타났으며, 평균파워는 Wingate test시의 적분치 변화, 듣는 쪽 슬관절의 등속성 수축시최대토오크 및 Supramaximal exercise시 혈장 LDH 활성도의 직접적인 영향을 받는 것으로 나타났다. 이상의 결과에서 무산소성 운동능력과 관련지어 그 기전을 살피고자 할 때 체내 화학적 변화, 전기생리적 변화 및 발현능력의 복합성을 고려해야 하며 최대누적 산소결핍량의 활용가능성은 측정강도 결정방법을 중심으로한 계속적인 연구가 요구된다. The present study examined the relationship of variables related to anaerobic capacity with Wingate test and supramaximal exercise. Peak value of blood lactate concentration with Wingate test showeda significantly higher than suprammaximal exercise, and plasma LDH & median power frequency and mean power frequency were not any difference between two tests. Peak torque of isokinetic contractionh on knee joint showed a highest value in 60 degrees of angular velocity among a various angular velocity. Peak power of Wingate test was related to peak torque of isokinetic contraction and median power frequency of EMG with Wingate test, and mean power of Wingate test was related to integrated EMG with Wingate test, peak torque with isokinetic contraction of dominant knee joint and plasma LDH activity with supramaximal exercise. In this result, when it analyzed the mechanism of anaerobic capacity, ti was required the consideration of complexity according to biochemical alteration, electrophysiological alteration and revelation of performance, Appicapability of maximal accumulated O₂deficit was demaned a continuous study with the focus of exercise intensity.

중추신경계에 침범한 속립성 결핵 : 증례보고

이태환,김헌주,허철,한용표,홍순기,변진수,김명순,조미연,김윤미 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.11

in recent times, central nervous system(CNS) tuberculosis has been rare and the prevalence of the focal form, the tuberculoma, varies from 1 per 200 to 1 per 1000. CNS tuberculosis occurs as a result of hematogenous spread from a primary focus. mostly pulmonary tuberculosis. It can be diffuse exudative leptomeningitis or a localized tuberculoma ; the former is more common. We report a case of miliary cerebral tuberculosis in a 24-year-old female who had been having headaches for 4 months. Magnetic resonance imaging showed numerous small round Gadolinium-enhanced supratentorial and infratentorial lesions scattered throughout the brain. Histologic examination confirmed well defined tuberculous granulomas with central caseous necrosis in open biopsy, containing several acid-fast bacilli, the patient was treated with isoniazid, rifampin, ethambutol, pyrazinamide in combination with prednisolone.

Cu/ZnO 촉매에 의한 Acrylonitrile의 水化反應

金基泰,尹奇俊,鄭泰秀 成均館大學校 科學技術硏究所 1987 論文集 Vol.38 No.1

Acrylamide was prepared by catalytic hydration of acrylonitrile. In the process of hydration of acrylonitrile, ethylene cyanohydrine was produced as a by-product. Cu/ZnO was used as the catalyst for the reaction. Cu/ZnO was prepared by reduction of Cu/ZnO with hydrogen flowing at 350℃. The reaction was carried out in the suspension of the pretreated catalyst. A simple batch reactor was used with reaction times of several hours at 70℃, 60℃, and 50℃. The results of this study are as follows: 1. The catalytic hydration of acrylonitrile is a pseudo first-order reaction. 2. The reaction products were acrylamide and ethylene cyanohydrin. The selectivity of ethylene cyanohydrin with the Cu/ZnO used in this experiment was higher than those with such catalysts as Cu, Cu/ZnO, Cu/MgO, and copper chromite which had been used by other workers. 3. The reaction rate equations are as follows: -r_AN = 9.42 x 10 exp(4)·e^[(-13,000)/RT]·C_AN(mole/l·min) r_AM = -8.68 x 10 exp(6)·e^[(-17,500/RT]·C_AN(mole/l·min) r_ECH = 4.29 x l0 exp(3)·e^[(-11,200/RT]·C_AN(mole/l·min)

Methicillin-Resistant Staphylococcus aureus 감염에 있어서의 국내에서 제조된 반코마이신의 임상적 효과와 안전성에 관한 연구

김태형,최상호,이미숙,김남중,김양수,류지소,우준희,염윤기 대한화학요법학회 2002 대한화학요법학회지 Vol.20 No.4

배경 : 1980년대에 methicillin-resistant Staphylococcus aureus (MRSA)가 출현한 이래 반코마이신은 MRSA 감염증에 있어 선택적 약물로 널리 쓰여 왔다. 반코마이신과 관련된 부작용으로 알려져 있는 것으로는 red-man syndrome, 신 독성, 이 독성 등이 있다. 저자들은 MRSA감염증의 치료에 있어 국내에서 제조된 반코마이신의 임상적 효능과 안전성을 검증하고자 본 연구를 시행하였다. 방법 : 1999년 4월부터 2001년 9월까지 MRSA 감염증이 증명되거나 의심되어 반코마이신을 사용한 79명의 환자를 전향적으로 추적하여 반코마이신의 효능과 부작용을 평가하였다. 결과 : 총 42명의 환자가 MRSA 감염증으로 확진되어 평가 가능하였다. 폐렴(14/42 ; 33.3%)이 가장 흔한 MRSA 감염증이었으며 그 외의 원인으로는 피부와 연조직 감염(9/42: 11.9%), 원발병소미상의 패혈증(5/42: 11.9%), 중심정맥도관감염증(5/42; 11.9%)의 순이었다. Favorable clinical response (cure or improved)는 31명(75.6%)의 환자에게서 나타났고, favorable bacteriological response (eradicated or presumed eradicated)는 28명(68.3%)에서 나타났다. MRSA 감염증과 관련된 사망률은 14.3%였다. 반코마이신과 관련된 부작용으로는 피부발진, red-man syndrome, 신독성, 백혈구감소증이 각각 2명이었고 혈소판 감소증이 1명에서 발생하였다. 결론 : 제한적인 수의 환자를 대상으로 한 결과이기는 하나 국내에서 제조된 반코마이신은 다양한 종류의 MRSA 감염증에 있어 비교적 효과적이고 안전한 치료제로 평가되며 보다 대규모의 비교연구가 필요할 것이다. Background : Since the emergence of methicillin-resistant Staphylococcus aureus (MRSA) in 1980s, vancomycin has been widely used as the antibiotic of choice for MRSA infections. Adverse events known as related with vancomycin are red-man syndrome, ototoxicity, and nephrotoxicity. We studied the clinical and bacteriological efficacy and safety of generic vancomycin (Cheiljedang vancomycin®) in the treatment of infections caused by MRSA. Methods : During the period between April 1999 and September 2001, we prospectively enrolled 79 patients with established or suspected MRSA infection and evaluated the clinical and bacteriological efficacy and adverse events. Results : Total 42 patients were evaluable for MRSA infections. MRSA pneumonia (14/42; 33.3%) was the most common diagnosis, followed by skin &. soft tissue infection (9/42: 21.4%), primary bacteremia (5/42; 11.9%), and catheter-related infection (5/42; 11,9%). A favorable clinical response (cure or improved) occurred in 31 patients (75.6%) and a favorable bacteriological response (eradicated or presumed eradicated) occurred in 28 (68.3%) patients. MRSA infection related case fatality was 14.3%. The adverse events related to vancomycin were as follows; 2 patients (4.8%) with skin rash, 2 (4.8%) red-man syndrome, 2 nephrotoxicity, 2 leukopenia, and 1 thrombocytopenia. Conclusion : These results suggest that Cheiljedang vancomycin hydrochloride could be effective and safe as treatment for severe infections caused by MRSA.

대학생집단의 뇌기능 특성화 경향에 대한 연구

최기수,윤규태,안의태,양남길,고정식,박경호 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.2

체육학과 학생 163명과 국가대표선수 211명을 포함한 체육 전공자들과 의과대학생 282명, 문과대학생 101명, 신학전공학생 96명 그리고 간호학과 전공학생 100명, 계 953명을 대상으로 남녀 대학생들의 대뇌반구의 특성화, 편재화 경향을 시나가와 ( 品川)질문지 법을 이용하여 분석한 결과 다음과 같은 결과를 얻었다. 1. 체육과 남학생은 우뇌형 45.6%, 좌우뇌형 47.4%, 좌뇌형 7%로 나타났으며, 여학생의 경우 우뇌형 41.6%, 좌우뇌형 44.3%, 좌뇌형 14.2%로 나타났다. 2. 대표선수의 경우 우뇌형과 좌우뇌형에서 일반 체육학과 학생과 유사한 분포를 보였으나, 좌뇌형이 남자 12.9% 여자 12.6%로 남녀 고른 분포를 나타냈다. 3. 의과대학생의 경우 남학생은 우뇌형 63.5% 좌우뇌형 24.9% , 좌뇌형 11.6%인 반면, 여학생은 우뇌형 50%, 좌우뇌형 22.9%, 좌뇌형 27.1%로 나타났다.. 4. 문학은 전공하는 남녀학생과 신학을 전공하는 학생은 우뇌형, 좌우뇌형, 좌뇌형의 순으로 유사하게 나타났다. 5. 간호학전공 학생의 분포는 우뇌형42.0% 좌우뇌형 38.0% 좌뇌형 20%였다. Many Studies have demonstrated that the two hemispheres are functionally specialized in the majority of individuals, so that the left hemisphere regulates verbal-analytic cognitive abilities while the right hemisphere predominates in spatial-synthesis abilities. This research program have proceeded about the tendency of hemisphere specialization in sportsmen and variable subject classes in university. Sinagawa's questionnaire method was used as the instrument for this study . The results obtained were as follows: 1. In the physical education class(163subjects) 45.6%(male) and 41.6%(female) of the subjects were regarded as the left hemisphere dominant type, 47.4%(male) and 44.3%(female) of them were bilateral and 7%(male) and 14.2%(female) of them were regarded as left hemisphere dominant type. 2. In the representatives (mational players) group, very similar frequencies were shown except in the left hemisphere dominant type, whose percentile distributions appear as 12.9% in males and 12.6% in females. 3. Extremely higher frequency was shown in right hemisphere dominant type in the male students of medical science class : 63.5% of them were right, 24.9% were bilateral and 11.6% were left hemisphere dominant type. 4. The frequencies of the literature class also were shown very similar patterns with those of other female classes.

함수 언어에 기반을 둔 구조적 분석의 정형적 명세와 실행

신윤식,김태남,임은기,이기수 金烏工科大學校 1993 論文集 Vol.14 No.-

An executable specification language for Structured Analysis specification and its execution model are presented. The model is based on Applicative State Transition system and the interpretation of data flow diagram in a viewpoint of data availability. AST system receives at most one input and does not accept until an output is issued. Our model is extended with availability list so that concurrency inherent in DFD can be treated.

개에서 발생한 자궁축농증 1례

서수원,손정민,윤기영,최호정,박성준,이영원,정성목,신상태,조종기 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2006 動物醫科學硏究誌 Vol.14 No.-

A 12-year-old, female miniature pinscher dog with history of fever and vaginal discharge 3 days ago was referred to the Veterinary Medical Teaching Hospital of Chungnam National University. A diagnosis of pyometra was made by survey of abdominal radiographs and ultrasonography. The uterus appeared as convoluted and tubular appearance filled with anechoic to hypoechoic fluid. Ovariohysterectomy was the choice of cervical patency. Medical therapy for pyometra may be appropriate in bitches that were of breeding age and that were not systemically ill. The surgery was fine. After 1 week, the dog was getting better.