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.

반복적인 실신 및 실신전환자의 기립경사 검사시 뇌혈류 변화

조수진,김준수,이광호,정진상,송희정,이상철,서정돈,이원로 대한신경과학회 1999 대한신경과학회지 Vol.17 No.3

北韓山 森林群落의 植物社會學的 硏究

진희성,김광래,안봉원 경희대학교 부설 식량자원개발연구소 1982 硏究論文集 Vol.3 No.-

The vertical distribution of the canopy trees in Mt. Bukhan was studied by quadrat method. In this mountain, there were distributed about 126 species of main trees and forest communities consist of Quercus mongolica, Pinus densiflora, Alnus hirsuta var. sibirica, Acer pseudo-sieboldianum var. koreanum, Sorbus alnifolia, Quercus acutissima and so on. The change of forest communities according to the elevation of this mountain was not conspicious. As the elevation heightened of this mountain, the importance value and summed dominance ratio of Fraxinus rhynchophlla and Acer pseudo-sieboldianum var. koreanum increased, while those of Quercus variabilis lowered. Through all the area of this mountain, mean importance value of Quercus mongolica was high. There appeared difference type of vegetation between valley and ridge area but no directional recognize in the kind of plant species though very few species were limited in a limitted part, such as Celtis aurantica of the ridge area, and Quercus acutissima × variabilis of Jeongnung valley. In each study area, Pinus densiflora on the floor was abundant and the summed dominance ratio of Sorbus alnifolia, Quercus serrata and Quercus aliena were high to the elevation range for 250-350m. As the elevation hghtened, the mean of total base value of soil samples in study area was high but the mean of O,M. and available phosphate value of those did not show a fixed tendency. The relationship of the importance value of Fraxinus rhynchophylla and the mean of total base value of soil in study area showed a significant and positive correlation. The index of similarity of the forest communities to the valley and ridge area, and to the southeast and northwest side of Mt. Bukhan were 63.7, 67.7% respectively.

北漢山 森林群落의 植物社會學的 硏究

진희성,김광래,안봉원 慶熙大學校 1982 論文集 Vol.11 No.-

The vertical distribution of the canopy trees in Mt.Bukhan was studied by quedrat method. In this mountain, there were distributed about 126 species of main trees and forest communities consist of Quercus mongolica, pinus densiflora, Alnus hirsuta var. sibirica, Acer pseudo-sieboldianum var. koreanum, Sorbus alnifolia, Quercus acutissima and so on. The change of forest communities according to the elevation of this mountain was not conspicious. As The elevation heightened of this mountain, the importance value and summed dominance ratio of Fraxinus rhynchophlla and Acer pseudo-sieboldianum var. koreanum increased, while those of Quercus variabilis lowered. Through all the area of this mountain, mean importance value of Quercus mongolica was high. There appeared difference type of vegetation between valley and ridge area but no directional recognize in the kind of plant species though very few species were limited in a limitted part, such as Celtis aurantica of the ridge area, and Quercus acutissima x variabilis of Jeongnung valley. In each study area, Pinus densiflora on the floor was abundant and the summed dominance ratio of Sorbus alnifolia, Quercus serrata and Quercus aliena were high to elevation range for 250-350m. As the elevation hghtened, the mean of total base value of soil samples in study area was high but the mean of O,M. and available phosphate value of those did not show a fixed tendency. The relationship of the importance value of Fraxinus rhynchophylla and the mean of total base value of soil in study area showed a significant and positive correlation. The index of similarity of the forest communities to the valley and ridge area, and to the southeast and northwest side of Mt.Bukhan were 63.7, 67.7% respectively.

Microwave Absorption Characteristics of U-Type Ferrite Powders According to Substitution Elements and Its Compositions

Kwang‑Pil Jeong,Su‑Won Yang,Jin‑Hyuk Choi,Jeong‑Gon Kim 대한금속·재료학회 2021 METALS AND MATERIALS International Vol.27 No.8

In this study, partially substituted U-type ferrite (Ba4MexCo2-xFe36O60, Me: Mn, Ni, Zn, x=0.5 and 1.0) powders weresynthesized by sol–gel method. The powders were analyzed for phase formation, morphology and magnetic properties byXRD, FE-SEM and VSM respectively. The synthesized ferrite powders were pressed into a series of toroidal shaped samples,in which the weight ratio of parafn to powder was 1:5. The complex scattering parameters were measured by using vectornetwork analyzer in the frequency range of 2–18 GHz and were employed in the calculation of refection loss with variousthicknesses. The minimum refection loss was observed in the substituted nickel sample as−24.4 dB (absorption rate 99.6%)with a thickness of 2.5 mm and the bandwidth was achieved 4.8 GHz (from 7.5 to 12.3 GHz) for refection loss≤ −10 dBin the substituted zinc sample.

Risperidone 조기 중단군 및 장기 유지군의 임상적 특성 비교

김광수,박원명,전태연,배치운,김대진,백인호,이철,김정수,한상익,최보문,장계호,고효진 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.3

연구목적 : Risperidone 투여후 조기 중단한 환자들과 장기적으로 계속 risperidone을 복용하고 있는 환자의 임상적 특성을 평가하고 나아가 risperidone장기 유지와 조기 중단의 요인을 분석하고 정신병리가 약물 투여에 미치는 영향을 조사하고자 하였다. 방 법 : 연구 대상자는 1996년 1월부터 1996년 12월까지 가톨릭대학교 의과대학 부속 8개 병원 정신과에서 risperidone을 투여 시작한 환자 580명중 DSM-IV기준에 의해 정신분열병으로 진단받고 투여 기간이 6개월 미만(조기 중단군)이거나 2년 이상(장기 유지군)을 경과하였으며 의무기록의 누락이 없는 210명을 선정하였다. 두 군간 임상적 특성을 조사하기 위하여 인구학적 변인, 정신병리학적 변인, 약물 투여기록 및 부작용 등을 과거 의무기록을 근거로 평가하였다. 결 과 : 대상환자 210명 중 조기 중단군이 67명(31.9%)이었고 장기 유지군은 143명(68.1%)이었으며 두 군간 인구학적 변인과 정신병리학적 변인에 따른 특징에는 두 군간 차이가 없었다. 두 군간 risperidone의 시작 용량과 변인과 정신병리학적 변인에 따른 특징에는 두 군간 차이가 없었다. 두 군간 risperidone의 시작 용량과 최대 용량은 유의한 차이가 없었으나 유지용량은 조기 중단군에서 4.49(±1.44)mg,장기 유지군에서 3.67(±1.50)mg으로 유의한 차이가 있었다(t=3.698, p<0.05). 또한, 이전 항정신병약물의 사용 기왕력 변인에서 조기 중단군은 기왕력이 없는 환자가 39명(58.2%), 고역가 항정신병약물을 사용한 기왕력이 있는 환자는 27명(40.3%), 저역가 항정신병약물을 사용한 기왕력이 있는 환자는 1명(1.5%)이었고, 장기 유지군은 기왕력이 없는 환자가 58명(40.6%), 고역가 항정신병약물을 사용한 기왕력이 있는 환자는 77명(53.8%), 저역가 항정신병약물을 사용한 기왕력이 있는 환자는 8명(5.6%)으로 유의한 차이가 있었다.(x²=6.559, df-=2, p<0.05). 결 론 : 본 연구결과에 의하면 가급적 환자 상태에 따라 낮은 최적 치료 용량을 투여하는 것이 장기잔의 투여를 바람직한 것으로 생각된다. 본 연구와 같은 대규모의 후향적 자연적 연구는 일반 실제 진료에서 risperidone의 효과 및 기타 다른 측면에서의 유용한 정보를 얻을 것으로 기대된다. Objective : This retrospective naturalistic study was designed to compare the clinical characteristics including psychopathology of two groups of patients, long-term maintenance group and short-term drop-out group, who were taking risperidone. Method : Datas were collected for 210 schizophrenic patients with complete medical records among 580 patients who were enrolled with risperidone administration from January 1996 to December 1996 in 8 affiliated hospital of the Catholic University. The short-term drop-out patients group were assigned to whom treatment period was less than 6 month, and the long-term maintained patients group, treatment period was more than 2 years. We assessed demographics, psychopathology, and other variables related with medication based on past medical records. Results : Among subjects of 210, short-term drop-out patients group were 67(31.9%) and long-term maintained patients group were 143(68.1%). Demographics and psychopathology were not significantly different between two groups. The stating and maximal dosage of risperidone was not significantly different between two groups but the maintenance dosage of risperidone was lower in long-term medicated patients group than short-term drop-out patients group(t=3.698, p<0.05). Additionally, the result of this study showed differences in experiences of past antipsychotic use as following. The number of no previous use of antipsychotic was 39(58.2%), the number of high potency amtipsychotic use was 27(40.3%), and the number of no previous use of antipsychotic was 58(40.6%), the number of high potency ntipsychotic use was 77(53.8%), the number of low potency antipsychotic use was8(5.6%) in long-term maintained group.(x²=6.559, df-=2, p<0.05). Conclusions : According to these results, administration of low therapeutic dosage should be recommended for long-term maintenance as if possible. Multi-center based retrospective naturalistic study like this would be useful for getting informations about efficacy and some other aspects of antipsychotic administration in practial field.

Optode형 glucose 센서의 개발

강신원,고광락,이수미,김수진 경북대학교 센서기술연구소 1997 연차보고서 Vol.1997 No.-

인간의 미각은 단맛 (甘味, sweet taste), 신맛 (酸味, sour taste), 짠맛(鹽味, saline taste), 쓴맛 (苦味, bitter taste)의 4가지 기본요소와 우마미 (Umami)^1)로 이루어져 있다. 본 연구에서는 그 중 글루코오스를 감지할 수 있는 당도 (糖度)센서인 초보적인 미각센서의 개발을 위하여 광섬유를 이용한 optode형의 센서소자를 제작하여 glucose의 농도 1×10 exp (-7) ∼ 1×10 exp (-2) M의 범위에 대해 측정하였다. 본 센서의 측정원리는 광섬유를 통한 광의 전달시 감지막의 글루코오스에 대한 반응에 따른 흡광 특성에 의해 일어나는 출력광의 감소 즉, 소산파의 흡수를 측정하는 원리를 이용하였다. The taste is composed of five fundamental tastes, sweet, sour, saline, bitter taste and umami. This research purposed to develope a glucose sensor, sweet taste sensor. The glucose sensor device used five kinds of dye/PMMA polymer sensing membranes containing five dyes. All experiment processor is based on the pH 7.4, 0.05 M tris-HCl buffer solution and glucose concentration from 1×10 exp (-7) to 1×10 exp (-2) M range. The fiber optode of the sensor device is made of skipped cladding in the fiber's middle site and then coated by dye/PMMA membrane. The principle of the sensor is based on the absorbance change of the evanescent wave of the sensing membrane according to glucose concentration change. In this experiments, we made a response pattern of the glucose sensor system using the evanescent wave.

입원한 입시 스트레스 증후군 환자의임상양상에 관한 정신의학적 연구

신광철,진태원,이영식,이재우,이재광,이길홍 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.3

상악골절단술 후 외전신경마비를 동반한 경동맥 해면정맥돌루

이원학,김동률,홍광진,이정구 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.2

Carotid cavernous sinus fistula(CCSF) is an abnormal communication at the base of the skull between the internal carotid artery and the cavernous sinus. Fistula is almost associated with extensive facial trauma as a result of direct or indirect forces. Most fistulas of traumatic origin develop as a result of fractures through the base of the skull, which cause the laceration of the internal carotid artery near the cavernous sinus. The signs and symptoms of CCSF are pulsating exophthalmosis, orbital headache, pain, orbital or frontal bruit, loss of visual acuity, diplopia and ophthalmoplegia. Angiography reveals a definite CCSF and a detachable balloon embolization is known to be the treatment of choice. Even though carotid cavernous sinus fistula is an uncommon complication after orthognathic surgery, several cases of CCSF due to congenital anomalies, pre-existing aneurysms and abnormally thickened maxillary posterior wall have been reported in the literature. We have experienced a case of CCSF after Le Fort I osteotomy for maxillary advancement in skeletal class III patient and the cause, pathogenesis, diagnosis and treatment of this case.

모멘트 변화에 따른 브라켓과 교정용 선재 사이의 마찰력 변화

정혜진,임성훈,김광원 대한치과교정학회 2007 대한치과교정학회지 Vol.37 No.2

본 연구의 목적은 모멘트 변화에 따른 건조 환경과 타액 환경에서의 스테인리스강 브라켓과 여러 종류의 교정용 선재 사이의 마찰력을 비교하는 것이었다. 실험에는 0.022" × 0.028" 스테인리스강 브라켓과 0.019" × 0.025" 스테인리스강, 베타-티타늄, 니켈-티타늄 선재가 사용되었다. 활주 이동될 브라켓에는 0.9 mm 직경의 스테인리스강 선재로 제작된 길이 10 mm의 레버를 부착하였으며 레버에 100 g, 200 g의 추를 부착함으로써 브라켓에 각각 1000 g·mm (100 g × 10 mm), 2000 g·mm (200 g × 10 mm)의 모멘트를 가하고 만능시험기를 이용하여 마찰력을 측정하였다. 모든 조건에서 스테인리스강 선재가 가장 작은 마찰력을 보였으며 베타-티타늄과 니켈-티타늄 선재 사이에서는 2000 g·mm 모멘트의 인공타액 하의 조건에서를 제외하고는 마찰력의 유의한 차이가 없었다. 모든 선재에서 모멘트가 1000 g·mm인 때보다 2000 g·mm일 때 마찰력이 더 컸다. 건조 환경과 타액 환경의 비교에 있어서 1000 g·mm의 모멘트 하에서 인공타액에 의해 스테인리스강 선재의 마찰력은 증가하였으나 베타-티타늄과 니켈-티타늄의 마찰력은 증가하지 않았으며, 2000 g·mm의 모멘트 하에서 인공타액에 의해 모든 종류의 선재에서 마찰력이 증가하였다. Objective: The purpose of this study was to compare changes in frictional resistance between the bracket and wire under dry and wet conditions according to a change in moment. Methods: A stainless steel bracket of 0.022" × 0.028" slot, and 0.019" × 0.025" stainless steel, beta-titanium, and nickel-titanium wires were used. A 10 mm length lever was attached to the test (sliding) brackets to generate a moment. The experimental model was designed to allow tipping until contacts were established between the wire and the mesiodistal edges of the bracket slot. The moment was generated by suspending a 100 g or 200 g weight on the end of the lever. The moments applied were 1000 g·mm (100 g × 10 mm) and 2000 g·mm (200 g × 10 mm). The test brackets were ligated with elastomeric ligature for a constant ligation force and the fixed brackets were ligated with stainless steel ligature. Brackets were moved along the wire by means of an universal testing machine, and maximum frictional resistances were recorded. Results: Stainless steel wire showed least frictional resistance and there was no significant difference between beta-titanium and nickel-titanium except at 2000 g·mm moment in wet conditions. Frictional resistance of all wires increased as the moment increased from 1000 g·mm to 2000 g·mm. Under wet conditions, the frictional resistance of stainless steel wires increased in both 1000 g·mm and 2000 g·mm moment conditions, but frictional resistance of nickel-titanium and beta-titanium increased only in 2000 g·mm conditions. Conclusion: These results indicated that various conditions influence on frictional resistance. Therefore, laboratory studies of frictional resistance should simulate clinical situation.