스트레스의 정도와 정동장애

심상호 大韓神經精神醫學會 1982 신경정신의학 Vol.21 No.3

Many psychiatrists have been convinced that stresses play an important role in the precipitation of affective disorders. The purpose of the present study was to investigate the contribution of stresses to the first attack of affective disorders by comparative studies, that four paired affective disorder groups were examined by x₂-test in terms of the severity of stresses. Following results were obtained from 47 patients of bipolar disorder, 39 patients of major depression, and 38 patients of dysthymic disorder, who visited the neuropsychiatric department of Seoul Red Cross Hospital during the period from November 1978 to October 1981. 1. In comparison of major depression and dysthymic disorder, significant difference was not noted in terms of the seveity of stresses. But major depression had relatively many severe & moderate stresses, whereas dystymic disorder had many mild stresses. 2. There was no significant difference between bipolar disorder and major depression in terms of the severity of stresses. 3. There was no significant difference between bipolar disorders with and without psychotic features in terms of the severity of stresses. 4. There was no significant difference between major depressions with and without psychotic features in terms of the severity of stresses.

불황기의 노사관계의 개선방안에 관한 연구

심상호 경영행정대학원 1997 최고경영자과정 논문집 Vol.7 No.-

당뇨병성 족부 합병증에 따른 하지 절단술의 위험 인자에 대한 분석

정홍근,김유진,심상호,김희진,Jung, Hong-Geun,Kim, You-Jin,Shim, Shang-Ho,Kim, Hee-Jin 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.2

Purpose: To evaluate the possible risk factors of lower extremity amputations in diabetic foot patients. Materials and Methods: The study is based on 37 patients who received lower extremity amputations from April, 1997 to February 2005 due to diabetic foot complications with at least 1 year follow up. As for the control group, 49 diabetes patients who had been treated at the endocrinology department for at least 1 year without any diabetic foot complication were evaluated. As for the possible risk factors, age, gender, duration of diabetes mellitus, body mass index, Hb A1c, blood glucose level, total cholesterol, s-creatinine, C-peptide, smoking, alcohol, hypertension, cardiovascular disease, CVA, retinopathy and neuropathy were investigated. Results: Among the possible risk factors evaluated, age, Hb A1c, smoking, neuropathy and blood glucose level factors showed statistically significant difference between the diabetic amputation and the control group. Conclusion: In reducing the risk of the lower extremity amputations in the diabetic patients due to diabetic foot complications, strict control of blood glucose level and cessation of smoking were found to be utmost important.

당뇨병성 족부 합병증에 따른 하지 절단술

정홍근,김유진,심상호,백호동,Jung, Hong-Geun,Kim, You-Jin,Shim, Shang-Ho,Paik, Ho-Dong 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.1

Purpose: To evaluate the clinical manifestations, the patterns and the functional outcome of the amputations due to the diabetic foot complications. Materials and Methods: Fifty patients (50 feet) of diabetic foot amputations were followed for more than 1 year. The mean age was 62.5 years, and the mean follow-up period was 46 months. Retrospective analysis was performed using chart review and interview with the patients. The outcome was assessed with modified AOFAS scale. Results: The diabetic foot lesions were infection in 45 feet, gangrene in 35 feet and ulcer in 15 feet. Toe amputation was most commonly performed procedure (23 cases) followed by below knee and ray amputation. Postoperative modified AOFAS score was average 51.5 points, and 94% were satisfied with outcome. Minor amputations showed better outcome than the major amputations. Conclusion: Overall postoperative functional outcome was encouraging with high patient satisfaction rate (94%). Better outcome was obtained with the minor amputations.

Omeprazole 수지염의 흰쥐와 토끼에서의 위장관내 산도변화에 따른 흡수변화 및 교차시험법에 의한 약물동태연구

권광일(Kwang Il Kwon),심상호(Sang Ho Shim) 대한약학회 1995 약학회지 Vol.39 No.4

Pharmacokinetic profiles of omeprazole enteric coated granules including Ramezole(R), Losec(R), omeprazol-Na and omeprazol-resin salt were studied using the crossover design in rats and rabbits. The absorption variance of the preparations at the altered pH condition of the gastrointestinal tract was also studied. After oral administration of four omeprazole enteric coated pellets (10mg/kg) with and without concomitant administration NaHCO3 (5mg/ml, 60mM) in the rats, the differences of absorption rate and extent were evaluated. In the NaHCO3 administration group, the Tmax appeared to be 2~10 times shorter than water administration group, and the Cmax also increased to about 4 times, and the AUC increased to about 2.5 times. Pharmacokinetic parameters of four omeprazole enteric coated pellets in rats showed no statistical significance (ANOVA, P>0.05) in both groups. In the crossover study, the second dosed drug showed 4~5 times increased bioavailability than first dosed drug, which shows the strong carry-over effect of acid secretion of the first dosed drug. The differences of the pharmacokinetic parameters of the two test formulations (Losec(R) and omeprazole-resin) showed no statistical significance.

PG1)공기청정기 사용에 따른 실내 공기질 및 건강영향평가에 관한 연구

김윤신,이철민,이태형,심상호,김중호,이재권 한국대기환경학회 2003 한국대기환경학회 학술대회논문집 Vol.- No.-

경골 Inlay 방법을 이용한 후방 십자 인대 재건술의 합병증

김명호,박희곤,유문집,변우섭,심상호,Kim Myung-Ho,Park Hee-Gon,Yoo Moon-Jib,Byun Woo-Sup,Shim Shang-Ho 대한정형외과스포츠의학회 2004 대한정형외과스포츠의학회지 Vol.3 No.2

목적: 경골 Inlay 방법으로 자가 골-슬개건-골을 이용한 후방 십자 인대 재건술의 합병증을 알아 보고자 하였다. 대상 및 방법: 1994년 9월부터 2004년 1월까지 경골 Inlay방법으로 후방 십자 인대 재건술을 시행한 57명 58예를 대상으로 수술의 합병증에 대해 분석하였다. 남자가 50명, 여자는 7명이며, 평균 연령은 35세(15$\~$73세)였다. 후방 십자 인대 단독 손상은 28예, 슬관절내 동반 손상이 있는 경우가 30예였다. 원인 별로는 교통 사고가 39예로 가장 많았고, 운동 손상이 7예, 넘어진 손상이 7예, 기타 5예였다. 추시 검사는 술 후 4주, 3개월, 6개월, 1년째 외래 방문을 하게 하였다. 분석 방법은 슬관절의 안정성을 측정하기 위해서 KT-2000TM 슬관절 계측기 및 긴장 방사선 촬영을 사용하였고, Lysholm Knee Score와 임상적 합병증을 평가하였다. 결과: 수술 전 Lysholm Knee Score는 평균 43.2점에서 최종 추시상 87.9점으로 향상되었다 $KT-2000^{TM}$ 슬관절 계측기 검사 상 수술 전 평균 8.75 mm(6.2$\~$l4.3 mm)에서 최종 추시상 3.41 mm (2.1$\~$l0.6 mm)로 향상되었다. 수술 중 합병증으로 슬와 동맥 파열과 동반된 구획 증후군이 1예에서 발생되었으며, 슬개골 골절 1예, 20$^{\circ}$ 이상의 굴곡 운동 범위 감소가 2예, 근위 경골부의 고정 나사가 경골 전면부에 돌출되는 경우가 2예에서 있었다. 수술 후 합병증으로 동요 관절이 11예, 슬개골 골절이 1예, 슬관절의 신전 운동 범위 제한이 5예 및 굴곡 운동 범위 제한이 13예에서 관찰되었으며, 슬관절 주위 통증 21예, 무릎을 꿇을 때 통증이 8예 관찰되었다 결론: 경골 Inlay 방법으로 자가 골-슬개건 -골을 이용한 후방 십자 인대 재건술의 다양한 합병증이 발생되어 수술 및 수술 후 재활시 세심한 주의가 요구된다. Purpose: This study was planned to evaluate complications? of posterior cruciate ligament (PCL) reconstruction with tibial inlay technique using autogenous bone-patellar tendon-bone graft. Materials and Methods: From September 1994 to January 2004, we analyzed surgical complications in fifty-seven patients with fifty-eight cases who underwent PCL reconstruction. Fifty of them were male and seven female. The mean age of the patients was 35(15$\~$73). Twenty eight cases of injury were isolated PCL, while thirty cases had associated injury of knee. The causes of injury were thirty-nine cases of traffic accident, seven sport injuries, seven fall down injuries, and five of others. The follow-up study was done at 4 weeks, 3 months,6 months and 1 year after surgery. KT-2000 arthrometer and posterior stress X-ray were used to examine the stability of the knee joint and the Lysholm Knee Score and a variety of clinical complications were evaluated. Results: Although the mean score of the preoperative Lysholm Knee Score was 43.2, the postoperative score was increased to 87.9. The preoperative mean value of knee stability using KT-2000 arthrometer was 8.75 mm(6.2$\~$14.3 mm) but the postoperative mean was 3.41 mm(2.1$\~$10.6 mm). The intraoperative complications were: one case of popliteal artery injury with compartment syndrome, one case of patellar fracture, two cases of 20$^{\circ}$ flexion loss, and two cases of anterior cortical penetration of the screw through proximal tibia during screw fixation. The postoperative complications were: eleven cases of knee instability, one case of patellar fracture, five cases of extension loss, thirteen cases of flexion loss, twenty-one cases of around knee pain and eight cases of kneeling pain. Conclusion: After PCL reconstruction with tibial inlay technique using autogenous bone-patella tendon-bone graft, complications were observed in this study. Careful attention during and after the operation, as well as rehabilitation must be required.

제 3 회 신약개발 연구발표회 초록집 ( 1994 . 4 . 15 ~ 16 ) : 구두발표 제 2 분과 ( 생명공학 , 약효검색 , 약리대사 ) ; OMZ 염의 약물동태 및 직장좌제 개발연구

심창구,권광일,이계주,황성주,박성배,심상호,이창현 한국응용약물학회 1994 학술대회 Vol.1994 No.1

신원방우황청심원액의 심혈관계에 관한 약효

조태순,이선미,김낙두,허인회,안형수,권광일,박석기,심상호,신대희,박대규 성균관대학교 약학연구소 1999 成均藥硏論文集 Vol.11 No.-

Abstract-In order to investigate the pharmacological properties of New Wonbang Woohwangchungsimwon Liquid (NSCL), effects of Wonbang Woohwangchungsimwon Liquid (SCL) and NSCL were compared. In isolated rat aorta, NSCL and SCL showed the relaxation of blood vessels in maximum contractile response to phenylephrine (10^-6 M) regardless to intact endothelium or denuded rings of the rat aorta. Furthermore, the presences of the inhibitor of NO synthase and guanylate cyclase did not affect the relaxing effect of NSCL and SCL. NSCL and SCL inhibited the vascular contractions induced by acetylcholine, prostaglandin endoperoxide or peroxide in a dose-dependent manner. In conscious spontaneously hypertensive rats (SHRs), NSCL and SCL significantly decreased heart rate. NSCL and SCL, at high doses, had a negative inotropic effect that was a decrease of left ventricular developed pressure and (-dp/dt)/(+dp/dt) in the isolated perfused rat hearts, and also decreased the contractile force and heart rate in the isolated rat right atria. In excised guinea-pig papillary muscle, NSCL and SCL had no effects on parameters of action potential such as resting membrane potential, action potential amplitude, APD_90 and V_max at low doses, whereas inhibited the cardiac contractility at high doses. These results suggested that NSCL and SCL have weak cardiovascular effects with relaxation of blood vessels and decrease of heart rate, and that this effect is no significant differences between cardiovascular effects of two preparations.

I-Muscone의 심혈관계에 관한 약리연구

조태순,김낙두,허인회,권광일,박석기,심상호,신대희,박대규 충남대학교 약학대학 의약품개발연구소 1997 藥學論文集 Vol.13 No.-

In order to investigate the pharmacological properties of l-muscone, effects of l-muscone and musk were studied on the cardiovascular system with various experimental models. In isolated rat aorta, l-muscone and musk made the relaxation of blood vessels in maximum contractile response to phenylephrin (10^-6M) in endothelium-containing rings of the rat aorta, but not in endothelium-denuded rings. However, l-muscone and musk in the presence of the inhibitor of NO synthase and guanylate cyclase did not make the relaxation of blood vessel. In spontaneously hypertensive rats (SHRs), l-muscone and musk slightly reduced blood pressure but significantly decreased heart rate. In the isolated perfused rat hearts. l-muscone and musk did not affect significantly on LVDP, contractile force, coronary flow and (-dp/dt)/(+dp/dt). These results suggest that l-muscone and musk have weak cardiovascular effects with relaxation of blood vessel and decrease of heart rate, but without significant cardiac functions.