사회적 음주자에서 날트렉손 투여가 급성 음주 반응에 미치는 영향

김종현,김성곤,신성현,박제민,김명정 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.6

Objectives : We investigated the effects of naltrexone on acute alcohol response, stimulant and sedative, in healthy social drinkers using two doses of alcohol intake. Methods : Twenty four healthy male medical students were voluntarily participated. The experimental method was Cross-over design, Subjects received 25 mg/day or 50 mg/day of naltrexone on the experimental days. Biphasic Alcohol Effects Scale (BAES), alcohol craving, and blood alcohol concentration (BAC) were measured before drinking and at 15, 30, 45, 60, 90,and 120 min after drinking. Results : 1) Group of 0.6 mg/kg of alcohol intake. When the scores of stimulative subscale of BAES were compared bet-ween the naltrexone and control group, the scores were significantly lower in the naltrexone group at 15 and 90 min after drinking. Alcohol induced sedative effect was significantly higher in the naltrexone group at 90 min after drinking. The alcohol induced alcohol craving at 45 and 60 min after drinking was significantly lower in the naltrexone group as compared to the control. 2) Group of 0.3 ing/kg of alcohol intake. The alcohol induced stimulative effect evident in the control group seen in the time span of 15 to 45 min after drinking was not seen in the naltrexone group. The increase of alcohol induced alcohol craving noticed at 30 min after drinking in the control group was not seen in the naltrexone group. BAC at 15 min after drinking was lower in the naltrexone group compared to the control. Conclusion : Naltrexone is suggested to attenuate stimulative effect, to intensify sedative effect, and to block alcohol induced alcohol craving. These triple actions might be utilized for treatment and prevention of relapse of alcohol dependence.

주정중독 환자에서 Fluoxetine이 혈중 알콜 농도와 음주효과에 미치는 영향

김명정,박제민,정봉주 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.1

The effect of chronic administration of fluoxetine on blood alcohol concentration and on a number of alcohol induced physical and psychological effects was studied. The subjects were 14 hospitalized alcoholics without significant depression. After 21 days of 60mg daily fluoxetine and placebo administration. 2.5ml/kg body weight of 40% alcohol was administrated in a single dose and blood alcohol concentrations were measured 10, 20, 40, 60, 120, and 240min, after the alcohol intake. Mania Rating Scale score(MRS), pulse rate, respiratory rate and subjective physical condition were measured before and 30min, after alcohol intake. The results were as follows: 1) Blood alcohol concentrations were significantly higher after fluoxetine administration than placebo administration at 40min, and 60min, after alcohol intake. 2) Fluoxetine suppressed the increase of pluse rate induced by alcohol intake. However, no significant difference was noted in the alcohol induced changes in the scores of MRS, respiratory rate, and subjective physical condition between the drug and placebo administrations. 3) After fluoxetine administration, a significant negative correlation was shown between blood alcohol concentration, 10min after alcohol intake and MRS. In contrast, however, a significant positive correlation was seen between the two variable after placebo administration. From these results, it is suggested that fluoxetine increases blood alcohol concentration only during higher alcohol concentration and that the reduction of alcohol intake after chronic administration of fluoxetine may be due, at least in part, to an attenuation of positie reinforcement of alcohol effect, rather than to an enhancement of the aversion reaction to alcohol.

대두요구르트제조를 위한 두유에서의 젖산균의 산생성과 침전에 관한 연구

강성태,정종민,김제중,정병옥,이흠숙,정석진 서울産業大學校 1999 논문집 Vol.49 No.2

전지두유에 시유를 각각 다른 비율로 혼합하여 제조하여 L. bulgaricus를 접종한 후 산생성에 미치는 효과를 조사하였다. 우유의 첨가량을 늘릴수록 24시간 후의 적정산소가 증가하여 두유에 유유를 혼합시키는 것이 L. bulgaricus에 의한 산생성에 유리함을 알 수 있었다. 전지두유를 100℃에서 30분, 60분, 90분간 가열하고 121℃에서 15분간 열처리하여 L. bulgaricus와 L. casei를 단독으로 접종하거나 1:1(v/v)로 혼합하여 접종하고 두유의 열처리가 산생성과 커드의 침전에 미치는 영향을 평가하였다. 두유의 열처리는 전반적으로 열처리되지 않은 두유보다 산생성을 촉진하였으며 산생성은 가열처리 정도에 비례하였다. 또한 모든 배양에서 121℃ 15분간의 열처리는 100℃ 90분의 열처리보다 낮은 산생성을 보여주었다. 또한 두유의 열처리는 제조된 두유요구르트의 커드의 침전을 지연시키는 효과가 있었다. Soy milk was added with different ratio of market milk. Acid production of L. bulgaricus in mixtures were investigated. Acid production by L. bulgaricus increased in proportion to concentration of milk added to soy milk. And the effects of various heat treatment of soy milk on acid production by L. bulgaricus and L. casei alone or combined were investigated. Sedimentation characteristics of soy yogurt prepared from heat treated soy milk were also evaluated. Heat treatment of soy milk stimulated acid production by all cultures. Acid production was generally proportional to the degree of heat treatment. However, Heat treatment of soy milk at 121℃ for 15min showed rather lower acid production than that at 100℃ for 90 min. Heat treatment of soy milk generally retarded sedimentation of curd in soy yogurt beverage.

관상동맥내 스텐트 삽입후 발생한 관상동맥류 2례

제인수,허민영,문치숙,이재호,정수룡,조길현,이영민,김대경,김두일,김동수 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Coronary artery aneurysms are detected with increasing frequency because of the routine use of coronary angiography in the diagnosis and management of coronary artery disease. Although some coronary artery aneurysms are congenital or inflammatory, most are atherosclerotic. The prognosis of atherosclerotic coronary artery aneurysm may depend on the morphology of the aneurysm or the presence of coexisting obstructive disease. Coronary artery aneurysms have been also reported to occur after ballon angioplasty, directional athrectomy, laser angioplasty, and stent implantation with a frequency of 2% to 4%. The long-term outcome of post-intervention coronary artery aneurysm is unknown. We report two cases of the development of a coronary aneurysm 6 months after stent implantation as a treatment of severe obsructive coronary artery disease.

자외선 소독과 소독설비

염철민,조순행,정해웅,윤제용 대한상하수도학회 2002 상하수도학회지 Vol.16 No.2

알코올 의존 환자에서 갈근이 혈중 알코올 농도와 음주 효과에 미치는 영향

김명정,정영인,박제민,김성곤,최영길 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

갈근의 장기 투여가 혈중 알코올 농도와 음주 효과에 미치는 영향을 알아 보기 위하여 알코올 의존으로 입원하여 급성 알코올 중독과 금단 증상에서 회복된 남자 환자를 대상으로 갈근 투여군과 대조약 투여군으로 나누어 갈근과 대조약을 4주간 투여하였다. 갈근 혹은 대조약 투여 전후에 우울과 불안을 측정하고, 알코올 함량이 25%인 소주를 체중 kg당 ml를 음주하게 한 후 음주 전, 음주 후 10, 30, 60, 90, 120분에 각각 혈중 알코올 농도와 음주 효과를 측정하고 4주 동안의 일일 음식 섭취량을 측정하여 다음과 같은 결과를 얻었다. 1) 갈근 투여 전후 사이 그리고 실험군과 대조군 사이에 음주 후 혈중 알코올 농도에 유의한 차이가 없었다. 2) 갈근 투여 전에 비하여 투여 후에 음주 후 수축기 혈압은 음주 후 10, 30, 60, 90분에 그리고 이완기 혈압은 음주 후 10, 30, 60, 90, 120분에서 유의하게 낮았다. 갈근 투여 전의 수축기 혈압은 음주 후 10분에서 그리고 이완기 혈압은 음주 후 10, 30, 60분에서 음주 전에 비해 유의하게 상승하였으나 갈근 투여 후에는 알코올에 의한 위의 혈압 상승 효과가 차단되었다. 3) 갈근 투여 전에 비하여 투여 후에 운동량은 음주 60, 90분에서 유의하게 낮았고 목소리는 음주 후 10, 30, 60, 90분에서 유의하게 작았다. 갈근 투여 전의 운동량은 음주 후 10분부터 음주 전에 비하여 유의하게 상승하였으나 갈근 투여 후의 운동량은 음주 후 60분부터 유의하게 상승하여 알코올에 의한 상승 효과가 지연되었다. 4) 우울과 불안은 갈근 투여 전과 위약 투여 전 그리고 갈근 투여 후와 대조약 투여 후 간에는 유의한 차이가 없었다. 5) 음식 섭취량은 갈근 투여군과 대조약 투여군 모두에서 실험 기간 동안 유의한 변화가 없었다. Effect of radix puerariae on blood alcohol concentration and on alcohol effect in alcoholic patients was studied. The subjects were 57 hospitalized male alcoholics recovered from acute intoxication and withdrawal symptoms. They were divided into two groups of 29 subjects of experimental group and 28 control group. The experimental group was adminitrered with 10g/day of powder of radix puerarize and the control group with mixture of 4g/day of radix glycyrrhizae and 6g/day of flour for 4 weeks, respectively. Before and after treatment of the drugs, blood alcohol concentration, vital signs, and mania rating scale were measured at -5, 10, 30, 60, 90 and 120 minutes after administration of 25% alcohol at a dose of 6ml/kg b.w.p.o. The results were as follows: 1) Blood alcohol concentration was not changed by four weeks of radix puerariae treatment and no difference in the blood alcohol concentration was noted between the radix puerariae and the control groups. 2) Radix puerariae significantly lowered systolic blood pressures at 10, 30, 60 and 90 minutes after alcohol intake and diastolic blood pressures at 10, 30, 60, 90 and 120 minutes after alcohol intake as compared to the corresponding pre-treatment levels. Moreover, before radix puerariae treatment, alcohol-induced elevation of systolic blood pressure was significant at 10 minutes after alcohol intake and that of diastolic blood pressure was significant at 10, 30 and 60 minutes after alcohol intake. But after radix puerariae treatment, such elevation was abolished. 3) Radix puerariae reduced significantly levels of motor activity at 60 and 90 minutes after alcochol intake and levels of voice at 10, 30, 60 and 90 minutes after alcohol intake as compared to the respective pre-treatment levels. Alcohol-induced enhancement of motor activity was significantly increased from 10 minutes after alcohol intake before radix puerariae treatment. But after the drug treatment, it was significantly increased from 60 minutes after alcohol intake. Thus radix puerariae delayed the development of alcohol-induced enhancement of motor activity. 4) No significant differences were noted in the levels of anxiety and depression between the index group and the control, either before or after respective drug treatment. 5) Food intake was not changed during the experimental period in both groups.

비선형 캐리어 제어 부스트 정류기 특성에 관한 연구

이제환,전기영,조정민,한홍일,한경희 明知大學校 産業技術硏究所 2000 産業技術硏究所論文集 Vol.19 No.-

Average-current mode controlled boost rectifier is most universally used at present, While the method gives high power factor, low harmonics distortion, has drawbacks such as 3-feedback loop, complex component, difficulty of control-circuit design, and high cost. Research for improving these problem has been carried out, and Nonlinear Carrier(NLC) Control method is representative. This control method has easy algorithm for control, and its feedback loop and control components are reduced. In this paper, the control method was evaluated by simulation through Matlab/Simulink, and experimented with 550W boost rectifier. As the result, that can get high power factor above 0.95 and low harmonic distortion was confirmed. Also, a good dynamic response on line and load variation was confirmed.

원형 Cavity를 이용한 펄스형 Nb:YAG 레이저의 출력특성 및 병렬메쉬 회로의 최적화

홍정환,송금영,양동민,김휘영,김희제 부산대학교 생산기술연구소 2001 生産技術硏究所論文集 Vol.60 No.-

본 연구에서는 기존의 타원형 cavity가 아닌 원형 cavity를 설계 및 제작하여 그 동작특성에 관하여 연구하였다. 그 결과 타원형 cavity 보다 다소 적은 레이저 출력 효율 2.1%를 얻었다. 원형 cavity는 타원형 cavity 보다 컴팩트하며 제작하기가 용이하고, 제작 단가가 저렴하다는 장점이 있다. 입력에너지, 입력전압 및 펄스 폭을 동일하게 했을 경우 주회로 병렬 메쉬회로수를 최적화하고자 한다. PFN 회로를 1단에서 8단까지 PSPICE로 모의시험한 전류파형과 실제 실험한 전류파형이 거의 일치하였다. 그 결과 500㎲이상의 펄스 폭에서 6단 메쉬가 최적의 병렬 메쉬라는 결론을 얻었다. In this study, we have deigned and manufactured not only a present elliptic cavity but also a circular cavity, and experimented the operational characteristics. As a result, we obtained the maximum efficiency of 2.1% that was not less than that of an elliptic cavity. A circular cavity is much more compact and is easier to be manufactured than an elliptic cavity. And it can be made at a low cost. When the input energy, input voltage, and pulse width were in the same condition, we tried to decide the optimization of the mesh number of a parallel-mesh circuit which was connected with main power supply. The PSPICE simulation waveform of PFP(Pulse Forming network) circuit ranging from 1-mesh to 8-mesh nearly corresponded with the real current waveform obtained through a practical experiment. From these experimental results, we obtained the result that 6-mesh was the optimal parallel-mesh circuit in case that the pulse width was more than 500㎲.

중증 재생불량성 빈혈 환자의 동종골수이식 후에 병발한 간정맥폐색질환(Hepatic Veno-Occlusive Disease)의 임상 경과 및 혈액응고 인자들의 변화

이제환,이규형,최성준,민영주,김신,이정신,김상희,박찬정,지현숙,김우건 대한조혈모세포이식학회 1999 대한조혈모세포이식학회지 Vol.4 No.2

연구배경: 재생불량성 빈혈 경우에는 조혈모세포 이식 후 VOD의 발생에 관한 보고가 거의 없는 실정이다. 저자 등은 cyclophosphamide와 antithymocyte globulin으로 전처치 후에 동종골수이식을 시행한 재생불량성 빈혈 환자들을 대상으로 하여 VOD의 발생과 임상 양상, 혈액응고 인자들의 변화에 관하여 분석하여 보았다. 방법: 재생불량성 빈혈로 동종골수이식을 시행 받은 13예 환자를 대상으로 하였다. 임상적 기준에 따라 VOD를 진단하였으며 임상 경과에 따라서 경중을 분류하였다. Protein C, protein S, antithrombin Ⅲ, tPA, PAI-1 등의 혈액응고 인자들을 전처치 투여전, 골수 주입당일, 이식 후 제7, 14, 21일에 측정하였다. 결과: 7예(53.8%)에서 VOD가 발생하였으며, 경증 5예, 중등도 2예였다. VOD군에서 혈소판치가 20.000/㎕ 이상을 유지하는 데까지 걸리는 시간이 더 길었다(p=0.026). 또한 VOD군에서 적혈구 및 혈소판의 수혈 요구량이 각각 유의하게 많았다(p=0.025, 0.015). 혈액응고 인자들의 변화를 보면, 제 0일에 VOD군에서 PAI-1의 혈중 농도가 유의하게 더 높았다.(p=0.034). 결론: 재생불량성 빈혈환자에서도 조혈모세포 이식 후에 VOD의 높은 발생률을 관찰하였으며, 대부분이 경증이었다. VOD 환자에서의 혈액응고 인자들의 변화는 PAL-1이 VOD의 감별 진단을 위하여 이용될 수 있음을 시사하고 있다. Background: There are few reports about the occurrence of hepatic veno-occlusive disease(VOD) after bone marrow transplantation (BMT) for severe aplastic anemia (SAA). We analyzed the incidence and clinical outcomes of VOD and changes of coagulation factors in patients with SAA who were conditioned with cyclophosphamide plus ATG and underwent allogeneic BMT. Methods: Thirteen patients with SAA who underwent allogeneic BMT were included. A diagnosis of VOD was made according to clinical criteria, and severity of VOD was classified according to clinical course. Plasma levels of protein C, protein S, antithrombin Ⅲ, t-PA, and PAI-1 were determined before preparative chemotherapy, in the day of marrow infusion, and days 7, 14, and 21. Results: VOD occurred in 7/13(53.8%). Five were mild VOD and two were moderate VOD. Time to platelet ≥20,000/L was slower (p=0.026) and red cell and platelet transfusion requirements were higher (p=0.025,0.015) in patients with VOD . The mean plasma level of PAI-1 at 0 were higher in patients with VOD (p=0.034). Conclusion: We observed the high incidence of VOD after allogeneic BMT in patients with SAA. A majority of cases of VOD were mild. The changes of PAI-1 after BMT may be useful marker of hepatic VOD

정상 성인에서 갈근(Radix puerariae)의 장기투여가 혈중 알콜 농도에 미치는 영향

박제민,김지훈,김명정,김성곤,정영인 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

알콜 의존에서 알콜 소비량을 감소시키고 음주 재발을 방지하는데 효과가 있다는 약물들이 몇 가지 있으며 갈근이 알콜 의존증의 치료에 효과가 있다는 자료들이 있다. 저자들은 정상 성인을 대상으로 알콜을 섭취하게 한 후 갈근 투여 전, 후의 혈중 알콜 농도를 비교함으로써 갈근이 알콜 대사를 방해하여 혈중 알콜 농도를 상승시키는지를 검증하고자 하였다. 알콜을 비롯한 약물 남용이나 의존증이 있거나 기타 정신 질환이 없고 주요 신체질환이 없는 20∼29세 남자 의과 대학생들을 대상으로 하였다. 대상자는 모두 25% 알콜을 3ml/kg(100%알콜 0.75ml/kg)을 마시게 한 후 투여 전, 투여 후 10, 30, 60, 90, 그리고 120분에 혈중 알콜 농도를 측정하게 한 다음 14일간 갈근 하루 6g을 투여한 후 첫날과 같은 방법으로 알콜을 복용하게 한 후 알콜 혈중 농도를 측정하여 약물 투여 전, 후의 알콜 혈중 농도를 비교한 결과 갈근 투여 후에 음주시 30, 60, 90, 그리고 120분에 혈중 알콜 농도가 유의하게 상승하였다. In alcohol dependence, some drugs reduce alcohol consumption and prevent the recurrence of alcohol drinking. There were some evidences that Radix puerariae was effective in the treatment of alcohol dependence. We studied the effect of Radix puerariae on blood alcohol concentration in healthy adults. The subjects were medical students, who did not have major physical disorders, drug abuse or dependence including alcohol, and other psychiatric disorders. After drinking 25% alcohol 3ml/kg, all subjects were measured for blood alcohol concentration at 0, 10, 20, 30, 45, 60, 120 minutes by Alco-sensor Ⅳ. Next day, all subjects were made to take Radix puerariae 6g/day(3g bid) for 14 days. And then blood alcohol concentration were measured by the same method. The results were significant increase in blood alcohol concentration at 30, 60, 90 and 120 minutes.