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.

인삼 선발계통의 지역적응성 검정

Bong Jae Seong,Sun Ick Kim,Ka Soon Lee,Moo Geun Jee,Su Dong Kim,A Reum Kwon,Hyun Ho Kim1,Young Chang Kim 한국약용작물학회 2017 한국약용작물학술대회 발표집 Vol.2017 No.05

Background : For cultivation of varieties of ginseng, the pure line selection method, which is to select the best among those cultivated in farms for pedigree breeding, replicated yield trials and regional adaptation trials before registering as a new variety, is widely used. Although there are 25 registered varieties of ginseng in Korea, the quality of ginseng is declining together with the amount of harvest being decreased by 15 - 20% due to the heat injuries and diseases from the warming & abnormal climate. Thus, the needs for development of disaster-resistant varieties with better chances of surviving through high temperature, salts and disease are increasing. Therefore, this study is to cultivate disaster-resistant varieties among those selected for their disaster tolerance and salt tolerance through regional adaptation trials. Methods and Results : As a result of examining the growth characteristics of the selected 2 - 5 year old varieties used in the study, among the 5-year old crops, Goryeo 4 and Eumseong 5 showed superior growth in both above and below aerial parts, and among the 4-year old crops, Eumseong 11 and Cheonryang showed superior growth while the growth in the below aerial parts were satisfactory in the order of Cheonryang > Eumseong 10 > Eumseong 11 > Eumseong 9. Among the 3-year old crops, the most superior growth in both above and below aerial parts was observed in Eumseong 14 with the weight of the below aerial part, root diameter and taproot length at 13.8 g, 11.8 ㎝ and 6.2 ㎝ respectively. Among the 2-year old crops, Eumseong 10 showed the most superior growth in both above and below aerial parts. Conclusion : Based on the above results, Goryeo 4 and Eumseong 5 among the 5-year old crops, Eumseong 11 among the 4-year old crops, Eumseong 14 among the 3-year old crops and Eumseon 10 among the 2-year old crops showed the most superior growth among the selected varieties. The growth characteristics of both above and below aerial parts in each year will continuously be monitored.

녹비작물재배에 따른 고려인삼의 생육특성

Bong Jae Seong,Sun Ick Kim,Ka Soon Lee,Moo Geun Jee,Hyun Ho Kim,Jun Yeon Won 한국약용작물학회 2016 한국약용작물학술대회 발표집 Vol.2016 No.05

Background : The authors of this study analyzed the effect of the green manures cultivated in the soil of the preparation field in order to select the green manures suitable for ginseng cultivation and the effect of the green manures on the variation of ginseng growth development, the content of crude saponin and yield ability with the aim to use the results as the primary data for improving the quality of ginseng. Methods and Results: To analyze the effect of the application of green manures on the growth of ginseng, the authors cultivated 4 varieties of green manures and installed blue polyethylene sheet and one-layered black polyethylene net+three-layered blue polyethylene net(OBPNTB) and sun-shading material on the managed soil by re-applying green manures and then cultivated ginseng. The results suggested that the growth of ginseng was excellent in the barley+hairy, barely and rye cultivation plot in the plot treated with OBPNTB rather than the cultivation plot teated with Blue polyethylene sheet(BPS) and two-layered blue & two-layered black polyethylene net(TBTBPN), and the growth of leaf length and stalk diameter was excellent in barely + hairy vetch material. For the underground root weight, the growth was the most excellent(30.19g) in the barley+ hairy vetch cultivation plot treated with OBPNTB. For the underground red discoloration and root rot, the incidence rate was the lowest in the plot treated with BPS in which the water leak in a levee was small than in the test plot treated with sun-shading net. For the ginsenoside content in the cultivation plot treated with TBTBPN, the ginsenoid content was the highest in the rey cultivation plot, and it was the highest in the cultivation plot treated with OBPNTB. Conclusion : The results of study suggested rye among green manures is the most suitable for the growth of ginseng; underground growth was the most prominent in the plot treated with sun-shading net material (black 1 + blue 3) and the underground ginsenoside content was the most prominent in the rye cultivation plot and the plot treated with the sun-shading sheet.

다양한 잡초로부터 생리활성물질의 탐색

김창진,강병화,유인자,박동진,이현선,김영호,유익동 충남대학교 약학대학 의약품개발연구소 1996 藥學論文集 Vol.12 No.-

다양한 잡초로부터 유용 생리활성물질을 탐색하고자 46종 잡초의 methanol 추출액을 대상으로 50~100 ㎍/㎖ 농도로 실험한 결과, 항균 활성에 있어서는 파리풀, 까실쑥부쟁이, 중머리대가리, 큰엉겅퀴, 부처꽃 등이 antobleb 활성에 있어서는 낙지다리, 밭뚝외풀, 까실쑥부쟁이, 술패랭이꽃 등이 항암활성에 있어서는 파리풀, 골풀, 밭뚝외풀, 까실쑥부쟁이, 술패랭이꽃, 겨우살이 등이 항산화활성에 있어서는 골풀, 물레나물, 청비녀골풀, 금불초, 방울고랭이, 좀고추나물 등이 비교적 강한 활성을 나타내었다. (1996년 4월 12일 접수, 1996년 8월 8일 수리) To search for bioactive compounds from plant resources, 80% methanol extracts of 46 species of weeds were screened for their activities of antimicrobial, antioxidative, antiblebing, antitumor and herbicidal. Among extracts tested, some showed activities at the concentration of 50 to 100 ㎍/㎖. Phryma leptostachya var. asiatica, Aster ageratoides, Centipeda minima, Cirsium pendulum. Lythrum anceps showed antibacterial activity. Penthorum chinense, Lindernia procumbens, Aster ageratoides, Dianthus superbus var. longicalycinus showed antiblebing activity. Phyma leptostachya var. asiatica, Juncus effusus var. decipiens, Lindernia procumbens, Aster ageratoides, Dianthus superbus var. longicalycinus, Viscum album var. coloratum showed antitumor activity. Juncus effusus var. decipiens, Hypericum ascyron, Juncus papillosus, Inula britannicar var. chinensis, Scirpus wichurae, Hypericum laxum showed antioxidant activity.

질소-산소계 시프염기 리간드의 합성과 전이금속(Ⅱ) 착물의 안정도상수결정

김선덕,송찬익,김준광,김정성 한국환경과학회 2004 한국환경과학회지 Vol.13 No.9

N,N-bis(2-salicylaldehyde)dipropylenetriamine(5-Hsaldipn), N,N-bis(5-bromosalicyl-aldehyde) dipropylenetriamine (5-Brsaldipn), N,N-bis(5-chlorosalicylaldehyde)dipropylene-triamine(5-Clsaldipn), N,N-bis(2-hydroxy-5-methoxybenzaldehyde)dipropylenetriamine(5-OCH₃saldipn) and N,N-bis (2-hydroxy-5-nitrobenzaldehyde)dipropylenetriamine (5-NO₂saldipn) were synthesized and characterized by elemental analysis, infrared spectrometry, NMR spectrometry and mass spectrometry. Their proton dissociation constants were determined in 70% dioxane/30% water solution by potentiometric. Stability constants of the complexes between these ligands and the metal ions such as Cu(Ⅱ), Ni(Ⅱ) and Zn(Ⅱ) were measured in dimethyl sulfoxide by a polarographic method. Stability constants for the ligands were in the order of 5-OCH₃> 5-H > 5-Br > 5-Cl > 5-NO₂saldipn. Enthalpy and entropy changes were obtained in negative values.

精神科 患者를 信賴한 非精神과 醫師의 精神障碍 診斷分類의 樣態와 이에 關한 見解

李符永,金善娥,李相益 서울醫大 1990 精神醫學 Vol.15 No.3

분자유전학 검사로 확진된 Hereditary Neuropathy with Liability to Pressure Palsy 환자 1 례

변재환,이원영,박성익,기창석,공선영,김종원,김선희 대한근전도전기진단의학회 2003 대한근전도 전기진단의학회지 Vol.5 No.1

인삼 병해 방제를 위한 약제 방제력 개발

Sun Ick Kim,Bong Jae Seong,Ka Soon Lee,Moo Geun Jee,Su Dong Kim,Hyun Ho Kim,Dong Woo Jang,Hong Gi Kim 한국약용작물학회 2017 한국약용작물학술대회 발표집 Vol.2017 No.05

Background : Ginseng is a perennial plant and damaged by various diseases and insect pests. The damage lowers harvest and quality. In particular, gray mold rot occurs to plants of every year, growth duration, and hibernating stage, and decays leaves, stems, and roots, lowering the amount of harvest. This experiment was conducted with the aim of effectively preventing gray mold rot, and other major diseases such as anthrax and spotting disease, and establishing chemical control system. Methods and Results : This experiment was conducted in three areas including Geunsan-gun, Yesan-gun, and Sejong city. As for the procedure of medical treatment, from the end of April to early May of germination period, Fludioxonil and Pyraclostrobin were used. From the mid-May to the end of July of growth period, Difenoconazole, Iminoctadine tris (albesilate), Cyprodinil, Metconazole, Fluazinam, and Pyrimethanil were used. From August to September, non residualizing polyoxinB + mancozeb was used. In November of hibernating stage, Fenhexamid and Carbendazim/diethofencarb were used. As for the interval, from the end of April to the end of July the interval was 10 days, in August and September once a month, and twice in every ten days in November. The chemical control system effect was compared with conventional prevention. When chemical control system was used, stem spotting disease occurred at a lower rate of 0.34% than 1.2% of the conventional method. Leaf spotting disease occurred at a lower rate of 1.4% compared with 7.1% of the conventional method, and anthrax occurred at a lower rate by more than 10% than the conventional method. Stem gray mold rot occurred at a rate of 4.1% when the conventional method was used, but the rate stood at 5.3% in Geumsan, 8.9% in Yesan, 2.3% in Sejong when the prevention method was used, which suggest the chemical control system was effective. Conclusion : When chemical control system was applied to prevent major diseases of ginseng, spotting disease, anthrax, and gray mold occurred at lower rates compared with the case where the conventional method was used. The finding is that the chemical control system can be utilized to prevent major diseases of ginseng.

Development of Chemical Spray Calendar for Control of Ginsneg Diseases

Sun Ick Kim(김선익),Bong Jae Seong(성봉재),Ka Soon Lee(이가순),Moo Geun Jee(지무근),Su Dong Kim(김수동),Hyun Ho Kim(김현호),Dong Woo Jang(장동우),Hong Gi Kim(김홍기) 한국약용작물학회 2017 한국약용작물학회 학술대회논문집 Vol.2017 No.1

인삼 잿빛곰팡이병 약제저항성 발현 억제를 위한 방제체계

Sun Ick Kim,Bong Jae Seong,Ka Soon Lee,Moo Geun Jee,Su Dong Kim,Hyun Ho Kim,Dong Woo Jang,Hong Gi Kim 한국약용작물학회 2017 한국약용작물학술대회 발표집 Vol.2017 No.05

Background : Ginseng is a perennial plant and damaged by various diseases and insect pests. The damage lowers harvest and quality. Accordingly, a chemical control system was made with the aim of effectively control gray mold, anthrax, and spotting disease which occur during growth period. fungicide resistance of gray mold rot was examined to find out whether the chemical control system can be used over the long term. Methods and Results : This experiment was conducted in three areas including Geumsan-gun, Yesan-gun, and Sejong city. The chemical control system was done to the plants of two years old or older. As for the order of the treatment, from the end of April to May Fludioxonil (A) and Pyraclostrobin (B) were used; from the mid-May to the end of July of growth stages Difenoconazole (C), Iminoctadinetris (albesilate) (D), Cyprodinil (E), Metconazole (F), Fluazinam (G) and Pyrimethanil (H); from August to September nonresidualizing polyoxinB + mancozeb (K); in November of hibernating period, Fenhexamid (I) and Carbendazim/diethofencarb (J) were used. As for the interval, from the end of April to the end of July the interval was 10 days, in August and September once a month, and twice in every ten days in November. The isolation of Botrytis cinerea for examination into mycelial growth inhibition rate was conducted to 4-year old ginseng in Geumsan, 5-year old in Yesan, and 3-year old in Sejong. In Geumsan, the mycelial growth inhibition rate to Botrytis cinerea was 75.5% - 100%. Every fungicides showed good rate of mycelial growth inhibition. The lowest rate was seen in fungicide B at 75.5%. K showed the prevention rate at 76.8%, D at 82.7%, and I at 82.2%, and other fungicides at 100%. In Sejong area, the hyphal prevention rate of Botrytis cinerea was 71.0% - 100%, indicating all fungicides show good rate of mycelial growth inhibition. The lowest rate was recorded by fungicide B at 71.1%, D at 81.1%, K at 85.4%, and I at 95.4%. Yesan area also showed similar results to those of Geumsan and Sejong. Conclusion : Botrytis cinerea was isolated from ginseng and mycelial growth inhibition effect was examined in concentration of 11 kinds of fungicides. In all three areas where chemical control system were applied, resistance was not found, suggesting that the chemical control system can be applied to control diseases of ginseng.