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        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.

      • KCI등재후보
      • KCI등재

        鹽生植物 나문재의 生育特性과 利用可能性

        이봉호,문윤호,정병춘,김관수,류수노 한국국제농업개발학회 2002 韓國國際農業開發學會誌 Vol.14 No.2

        기능성식품 원료, 채소, 식물성 소금 재료 및 제염식물 등으로 개발이 유망시되는 염생식물인 나문재의 육지부 재배 가능성을 조사하고, 내륙지방에서의 작물화 가능성을 검토코자 전남 서해안의 염전 부근에 자생하는 나문재의 종자와 식물체를 공시하여 내륙지방인 전남 무안군 소재의 『목포시험장』포장에서 시험하였던 바 그 결과를 요약하면 다음과 같다. 가. 나문재는 식물체를 이식하여도 생육이 양호할 뿐만 아니라 2년 묵은 종 자에서도 발아가 잘되었으며 발아소요 기간은 9일 정도 였고, 나문재의 생육은 소금기가 부족한 내륙에서도 비교적 양호하였으며, 병충해나 기타 재해도 거의 없어 내륙에서의 재배화 가능성이 높은 것으로 인정되었다. 나. 나문재의 생육에 미치는 소금물의 공급 효과를 검토하기 위해 1주일 간격으로 바닷물 농도의 소금물을 공급한 결과, 초장은 소금물을 공급한 것이 공급하지 않은 것 보다 양호하였으나 줄기의 굵기와 분지발생 수 는 소금물 공급효과가 크지 않았다. 다. 나문재의 생체중과 건물중은 종자파종의 경우 7월 10일 현재 소금물 처리구는 각각 주당 33.75g, 2.62g인데 비해 무처리구는 각각 23.52g, 1.84g으로서 소금물 처리구가 무겁고, 생체중에 대한 건물중의 비율은 대체로 7.14∼11.58% 범위로서 수분함량은 92.86∼88.42%정도 되는 다육식물 이었다. 라. 결론적으로 나문재는 소금기가 많은 곳에서 잘 생육할 뿐만 아니라 소금 기가 적은 곳에서도 생육이 비교적 양호하며, 식물전체에 짠맛을 가지고 있으므로 식물성 소금, 기능성 식품, 채소, 그리고 간척지나 음식물쓰레기의 염분제거 식물로서의 이용 가능성 등에 대한 보다 면밀한 검토가 필요하다고 보여진다. The plant of halophyte, Suaeda asparagoides MIQ, which is mainly inhabit on tidal flat was investigated on their growth characteristics and cultural traits on inland condition, in order to get some informations on it's possible use for functional food, vegetables, medicinal herb, and salt removing plant from tideland, or food-waste. The plant, Suaeda asparagoides M_IQ., is well grown on inland condition. But the salt applicated plants were better than those of the non-treated plants in its vegetable growth. The plant height is about 78.5cm in salt application, compared to the 64.5cm in non-treated plot. But the stem diameter and the number of branches are not better in salt application compared to the non-treated ones. However, the fresh weight and dry weight of the plant in salt-application are better than those of the non-treated ones, which means the total biomass is more productive by the salt application. As a conclusion, the plant Suaeda asparagoides M_IQ, seems to be an available plant and need to more discussion for possible use mentioned in the above sectors, from the results of inland cultivation of which well grown and characteristics.

      • 수학과 열린교육 실천을 위한 교수-학습 방법 고찰

        손원호,전병임 부산 외국어 대학교 2000 外大論叢 Vol.20 No.1

        The further will be decided by mathematics and science education and we need a revolutionary conversion in our country's education. In this study, it is aimed to perform open education in mathematics education field. In additional, all elementary fields will have to seek the education for supporting creativity. These whole courses will be arranged after the elementary fields are compounded by mathematical ability or communication. Observing the problem of mathematics education in the parts of the management theory of school and teaching methods, I studied various educational approaching processes and instructing methods in changing mathematics attitudes and interesting. These methods will be perform by positive promotion in mathematics education. Open education will play a great role in our country's education in the view of free education course which students become the center of it.

      • 버들치(Phoxinus oxycephalus) 仔稚魚의 골격 발달

        한경호,노병율 여수대학교 2001 論文集 Vol.16 No.-

        Twenty individuals of the Phoxinus oxycephalus (Sauvage et Dabry) were caught in Kyeongho River, Kyeongsangnam-do and were reared in the laboratory. During the rearing, they spawned 5 times in April, 1998, and their larvae and juveniles were reared. The osteological development of Phoxinus oxycephalus was studied based on them. At the cranium, parasphenoid was firstly ossified in the larvae (6 days after hatching), mean 6.44㎜ in total length (TL), and ossification of the cranium was completed in the juveniles (80 days after hatching), means 18.76㎜ in TL. At the visceral, opercle and dentary were firstly ossified in the larvae (13 days after hatching), mean 6.82㎜ in TL, and ossification of the visceral was completed in the juveniles (80 days after hatching). The ossification of the vertebral columns began posteriorly and was completed in the juveniles (80 days after hatching). The caudal skeleton was firstly ossified in the larvae (16 days after hatching), mean 7.02㎜ in TL and comleted in the larvae (44 days after hatching), 13.72㎜ in TL.

      • 말쥐치 가공중 향기성분에 관하여

        이종호,최병대,이강호,이근태,김태수 國立統營水産專門大學 附設 水産科學硏究所 1989 수산과학연구소보고 Vol.1 No.-

        쥐치의 향기성분을 동정하기 위하여 Likerson형의 연속증류추출 및 탄산가스추출법을 이용하여 휘발성 성분을 동정하였다. 그 결과 중성획분에서 55 성분, pherol성획분에서 4 성분, 염기성획분에서 13 성분 및 ㅅ산성획분에서 10 성분이 분리·동정되었고 중성획분에서는 가열·배소 후 propanol, butanol, octanol, dodecanol등의 alcoholfb 그리고 pentanal, hexanal, 2-methyl-l-propanal, heptenal등의 aldehyde의 함량이 크게 증가하여 flavor 형성에 크게 기여할 것으로 생각되어 진다. 분리·동정된 phenol류는 분자량(m/e) 100~160 정도로 나타났으며, 염기성획분에서는 2-methylpyrazine, 2,5-dimethylpyrazine, 2-ethyl=3,5-dimethylpyrazine 등과 2-methylpyridine등이 동정되었다. 이들과 함께 중성획부에서 동정된 furan류가 가열온도의 증가와 함께 그 함량이 증가하였다. 산성획분에서는 배소시료 구분에서 isoaproic acid 및 caproic acid의 함량이 많았다. Volatile compounds were collected by simultaneous distillation extraction and carbon dioxide method, and analyzed by GC and GC-MS. The neutral fraction obtained from the whole steam volatile concentrate 55 kinds of components, phenolic fraction had 4 kinds of components, basic fraction had 13 kinds of components and 10 kinds of components were in acidic fraction. Alcohols, propanols, butanols, octanols, dodecanols etc. and aldehydes, pentanals, hexanal, 2-methyl-1-propanal, heptenal etc. were highly increased after boiled and roasted. And these compounds were contributed to formation of filefish flavor. The molecular ion peak of phenolic fraction was generally appeared in the range 100 to about 160. From the basic fraction, 2-methylpyrazine, 2,5-dimethylpyrazine, 2-ethyl-3,5-dimethylpyrazine and 2-methylpyridine were identified. The contents of basic compounds and furans obtained from the neutral fraction were increased at the higher heating temperature. The flavor of acidic fraction was influenced by the low molecular as isovaleric and valeric acid.

      • 백금과 이리듐을 첨가한 zeolite촉매를 사용한 린번엔진으로부터의 질소산화물 제거

        배재호,서해근,신병선,정석진 慶熙大學校 材料科學技術硏究所 1998 材料科學技術硏究論集 Vol.11 No.-

        Under lean burn condition region, main hazard exhaust components are NOx and abundant hydrocarbons. Therefore, NOx abatement using hydrocarbon reductant was most desirable. During last twenty years, NO direct decomposition reaction by Cu-ZSM-5 was suggested with strong possibilities. However, at actual engine exhaust condition(i.e. hydrothermal atmosphere) that wasn't work its own function. In this paper, we tried in order to overcome these disadvantages, other precious metal, especially Pt, Ir, Rh ion exchanged zeolite catalysts were used for lean deNOx catalysis.

      • 한국에서 동물간호사제도의 필요성과 자격시험에 대한 분석 및 평가

        이성호,박영석,박병권,곽명순,강종일,조성진,김선균,김병수 충남대학교 형질전환복제돼지연구센터 2007 논문집 Vol. No.10

        The study examined qualification test of the 1st term Animal Nurse Technician and conducted questionnaire survey as well as site investigation to settle Animal Nurse Technician system in Korea. The objects were undergraduates, graduates and director of animal hospital. 115 applicants applied to the qualification test of animal specialists, and 50 applicants passed the test to record 43.47% of ratio of successful applicants. The subjects having relative difficulty were anatomy physiology and public hygiene to record 19 points in average: In particular, the anatomy physiology recorded 35 points of the highest score and 6 points of the lowest score to have the highest deviation and to require adjustment of difficulties. 89.2% of the interviewee supported needs of animal nurse technician system in Korea to show positive response. At the survey of actual conditions of recruitment of animal nurse technicians at animal hospitals, 28.6% of the interviewee was employing the technicians, and 35.7% had employment plan, and 32.1% wanted to employ them under good conditions. In other words, 96 4% of the interviewee responded positively, while no more than 3.6% did negatively. In Korea, the animal nurse technicians had roles as follows: The animal hospitals gave priority to reception service and customer controls followed by medical examination support,whilethecollegesdidtomedicalexaminationsupport. To differentiate hospitals in accordance with the increase of number of animal hospitals, the animal hospitals should employ animal nurse technicians having specialty and qualifications on animal nurse technician examination. In particular, the roles and demand of animal nurse technicians were expected to grow because of developed technologies of veterinary medical science, development of medical supplies and instrument, and the increase of aged animals, etc. Therefore, job analysis on animal nurse technicians should be done to adjust the subjects of qualification test and to develop questions.

      • 저장조건에 따른 Leucaena 화분의 발아력

        정병룡,박의호 대구대학교 과학기술연구소 1996 科學技術硏究 Vol.3 No.1

        Leucaena is the common name for Leucaena leucocephala which is a tropical leguminous tree with a potential value as a source of wood production, high quality forage, and revegetation of hillslopes. In spite of the plant's value, both the differences of pod setting ratio among Leucaena species and the differences of flowering period limited breeding of high quality species of Leucaena plant. To overcome these problems this study was conducted to find the possibility of long term storage of Leucaena pollen by using vacuum and low temperatures. Pollen viability decreased after 1.5 days after storage at room temperature. The same trend was observed for the pollen stored at refrigerator (91℃). Pollen viability, however, was maintained longer with decreasing storage temperature to that of freezer (-17℃). Vacuum treatment also helped to maintain pollen viability either at room or refrigerator temperatures. The ratio of exploded pollen showed the same pattern as the percentage of normally germinated pollen stored under different conditions except the pollen stored at refrigerator. Average tube lengths of germinated pollens were 4.3 and 3.6 mm for the pollen stored at freezer and refrigerator with vacuum, respectively. In conclusion, the viability of Leucaena pollen could be extended by storing under vacuum at freezing temperatures.

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