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.

크론병에 대한 CoPPLX의 방어효과에 대한 연구

이호학,김유림,문창기,이재일,양병윤,김종수,이정민,정재혁,안석진,박상준,김윤권,김소연,김영중,조민구,최영자,장성조 圓光大學校 醫科學硏究所 2005 圓光醫科學 Vol.20 No.1

40세 이하 관상동맥 질환자에서 장기적 임상 관찰

이승욱,정명호,박종철,박형욱,조상희,김원,김계훈,이상현,강경태,조장현,김남호,김건형,안영근,조정관,박종춘,강정채 全南大醫大 2001 전남의대학술지 Vol.37 No.2

혈액투석 환자의 가성 고칼륨혈증

최창렬,조형도,강태영,이준수,한호,정청일,이동규,유준호,한상웅,김호중 대한신장학회 2001 대한신장학회잡지 Vol.20 No.5

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

비동맥류성 자발성 지주막하 출혈을 예측할 수 있는 뇌전산화 단층촬영 소견

조용은,허승곤,서정호,이규창 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5

Fourty-seven patients with non-aneurysmal spontaneous subarachnoid hemorrhage were reviewed retrospectively. Attention was directed to the distribution and amount of subarachnoid hemorrhage on computerized tomography scans. Though the hemorrage could be distributed in all cisterns, the frequency and amount of hemorrhage were higher in infratentorial cisterns than in supratentorial cisterns. Among infratentorial cisterns, the hemorrhage was distributed to cisterns around the brainstem mainly and it had a predilection for interpeduncular cistern. Also the telangiectasia of thalamoperforating artery might be one of the causes of non-aneurysmal spontaneous subarachnoid hemorrhage.

Human Immunodeficiency Virus (HIV) 感染者에서 血中 可溶性 Interleukin 2 受容體와 Neopterin의 變動

趙相椿,成在鉉,金政澈,鄭泰浩 慶北大學校 齒科大學 1991 慶北齒大論文集 Vol.8 No.1

Lymphocytes upon activation release a soluble form of interleukin-2 receptor. Increased serum levels of soluble IL-2R have been noted in a variety of lymphoproliferative disorders and in conditions associated with active T cell responses. Activated T-cells also release a interferon-gamma that is capable of activating in macrophages a guanosine triphosphate(GTP) cyclohydrolase leading to increased synthesis and excretion of neopterin. Thus, soluble IR-2R and neopterin can be utilized as markers for the clinical assesment of cell-mediated immune responses. This study has been conducted to investigate the immune responses in vivo of HIV seropositive individuals. Twenty-eight healthy subjects were also studied as controls. HIV-infected individuals had elevated soluble IL-2R and neopterin levels. A significant positive correlation was found between soluble IL-2R and neopterin levels in HIV-infected individuals. According to the ROC curves soluble IL-2R reflects more discriminating effect than neopterin. These data indicate that soluble IL-2R and neoptein might be useful parameters for screening of HIV-positives. Moreover, they might indicate the possible central role of T-cell and macrophage acivation in the progression of HIV infection. J. Kyungpook Nat. Univ. Sch. Dent. Vol.8, No.1, 127∼140, 1991.

투석 환자와 비투석 환자에서 고칼륨혈증의 원인 및 치료에 대한 고찰

조형도,최창렬,최성일,강태영,이동규,유준호,한상웅,김호중 대한신장학회 2001 대한신장학회잡지 Vol.20 No.5

Pd(Ⅱ)이온과 Linear Poly(ethyleneimine)간에 생성되는 고분자-금속 착물의 구조와 성질에 관한 연구

한정호, 전은덕, 조태섭 영남대학교 기초과학연구소 2000 基礎科學硏究 Vol.20 No.-

Pd(II) metal ion has attracted interest of many researchers because of its potential applications and of its similarity and difference in chemical properties. In this study, complex formation of Pd(II) metal ion with polymeric amine ligand namely, linear poly(ethyleneimine)(LPEI), was investigated utilizing spectroscopic and potentiometric methods as well as elementary analysis. From UV/VIS spectroscopic study, complexation of LEPI to Pd(II) ion exhibit an absorption band at 347nm at the low mole ratio (below 2.0). This species can be understood either as the binuclear complex bridged by chloride ions or a complex of Pd(II) ion with three chloride ions and an amine group. At the high mixing ratio, absorption spectrum centered at 300nm was apparent, which is due to the complexation of LPEI to the Pd(II) ion. Mole ratio analysis for the LPEI-Pd(II) system revealed that complex formation was most stable at the LPEI ratio of 4.0 relative to metal ion. This result was confirmed by elementary analysis. From the potentiometric titration, successive and overall stability constants were measured and the results were analyzed by a modified Bjerrum method.

중학교 가정 교과 중 식습관 단원에 실천적 문제 해결과정을 적용한 수업 연구

조호정,안숙자 한국 가정과 교육 학회 2000 한국가정과교육학회지 Vol.12 No.2

The Purpose of this study is (1) to develop the teaching plan based on Practical Problems solving on the area of food habits in home economics class and (2) to investigate the participation of teaching. the attitude of teaching method and food life. The subject of this study was two classes consisted of 66 students(male 26, female 40, 33 for each class) who are the first grade of middle school. The comparison group was taught by lecturing, while the experiment group by cooperative learning. The period of this experiment was three weeks: from June 7th to June 23th. 1999. The experiment was conducted through 5 classes. First of all students identify the problem of food habits. and seek and evaluate information. Students evaluate actions and potential consequence and select the best actions and then students take action and reflect on decision and evaluate action. The statistical method for the study was a paired T-test. The results of this study are as follows : 1.After experiment. the participation of teaching(P<.05) and the attitude of teaching method(p<.01) in the experiment grouts showed a statistically significant difference. Therefore, the students in the class based on the practical problems solving took an active part in teaching. 2.The practical problems solving is more effective than the lecturing in doing guide the positive attitude of teaching. 3.Through the experiment, the attitude of food life in the experiment group showed a statistically significant difference(p〈 05) . Therefore, the practical problems solving is more effective than the lecturing in changing Positive attitude of food life.