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.

고온 접촉식 탐상용 초음파 탐촉자 개발 및 평가

김기복,김병극,이승석,윤남원,윤동진,안윤국 한국비파괴검사학회 2003 한국비파괴검사학회지 Vol.23 No.1

고온(500℃) 환경에서 접촉식 탐상이 가능한 초음파 탐촉자를 개발하고 평가하였다. 고온용 탐촉자는 Curie 온도가 600 ℃ 이상인 bismuth titanate 계열의 압전세라믹 소자, 텅스텐 분말과 inorganic binder를 혼합한 후면재, 알루미나 튜브, 전면재, 하우징 등으로 구성되었다. 기본 공진주파수가 각각 1.04 및 2.08 ㎒의 2 종류 탐촉자를 제작하였으며 각종 고온용 커플런트의 온도특성을 시험하였다. 개발된 고온용 탐촉자를 이용하여 강재 시편을 대상으로 시편에서의 초음파 반사신호를 측정한 결과 시편의 온도가 증가함에 따라 반사신호의 크기는 감소하였다. 고온에서 반복측정 실험결과 500℃에서 연속적인 접촉식 초음파 탐상이 가능한 것으로 나타났다. Piezoelectric ultrasonic transducers for high temperature contact measurement were developed. These high temperature ultrasonic transducers (HTUT) consisted of bismuth titanate piezoceramic element whose Curie temperature is higher than 600℃, a backing material of the mixture of tungsten powder and inorganic binder, an inner alumina tube, a wear plate and a housing. The operational frequencies of the HTUT were 1.04 and 2.08 ㎒, respectively. Various commercially available couplant for high temperature were evaluated and compared. As a couplant for high temperature ultrasonic testing between HTUT and test specimen, gold epoxy was selected. The peak amplitude of pulse-echo signals from steel test specimen decreased with increasing temperature. The operational temperature of the HTUT reached up to 500℃ at which the continuous contact measurement was possible.

정신장애인 치료에 중요 역할 담당자의 정신질환에 대한 태도조사

김병후,정선욱,강연화,김윤,김창엽,홍진표,한오수,조맹제,김용익 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.5

Objectives : Attitudes of families of mentally ill, health personnels and community leaders to the mentally ill after the development and utilization of the community mental health program and reintegration of the chronically ill patients into society. This study was designed to compare the attitudes toward the mentally ill patient of the persons who have important role in treating the mentally ill and to find the variables influencing the attitudes. Methods : We measured attitudes toward mental illness in psychotic patients' families(N=139), community leaders(N=180) and health personnels(N=324) including mental health personnels before the implementation of community mental health services in Yonchon county and Seodaemun district area. The instrument used to measure attitudes was Opinion about Mental Illness(O. M. I.) scale. Results : 1) Health personnel showed lower Authoritarianism(Factor A) and higher Benevolence(Factor B) scores on the average than community leaders and psychotic patients families. 2) Current residence affect the attitudes in psychotic patients' families, not in community leaders and health personnels. Families in urban area showed lower Authoritarianism(Factor A) and Social Restrictiveness(Factor D) and higher Benevolence(Factor B) scores than in the rural areas. 3) Many patient variables were correlated to the attitudes of families. Duration of illness, number of recurrence, number of admission, age of patient and family burden were positively correlated mainly to Social Restrictiveness(Factor D). 4) Sex and religion of respondents showed no or weak relationship with the factor scores. Conclusions : Education for community leaders and families is required to achieve successful community mental health services. Community support program should be developed for chronic, recurrent and burdensome psychiatric patients in the first place.

와동의 형태가 상아질과 복합레진 사이의 미세인장결합강도에 미치는 영향

김예미,박정원,이찬영,송윤정,서덕규,노병덕 大韓齒科保存學會 2008 Restorative Dentistry & Endodontics Vol.33 No.5

이 실험의 목적은 동일한 깊이의 상아질에서 제 6세대의 self-etching system을 사용하여 C-factor가 상아질과 복합레진 사이의 미세인장결합강도에 미치는 영향을 알아보는 것이다. 건전한 대구치 80개를 선정하여 와동의 바닥면적은 각각 16㎟로 동일하게 하고 깊이를 조절하여 C-factor가 각각 0.25, 2, 3, 4인 4개의 군으로 나누었다. 각 군별로 총 20개의 치아를 할당하였으며 접착제와 복합레진의 조합에 따라 다시 4개의 소군에 치아 5개씩을 배정하였다. 상아질 접착제는 AQ Bond Plus또는 Xeno III를 사용하였고, 복합레진은 Fantasista또는 Ceram-X mono를 사용하였다. 제조사의 지시대로 상아질 접착제를 도포한 후 60초간 광중합하였다. 24시간 동안 증류수에 보관 후 단면적이 1.0 x 1.01㎟인 복합레진-상아질 beam을 형성하여 1 mm/min의 속도로 미세 인장결합강도를 측정하였다. One-way ANOVA와 Tukey test, 그리고 Pearson correlation test로 통계처리하여 다음과 같은 결과를 얻었다. l. Xeno III와 Ceram-X mono군에서는 C-factor가 증가할수록 미세인장결합강도가 유의하게 감소했으나 (p < 0.05), 나머지 재료군에서 C-factor군간에 미세인장결합강도의 유의한 차이가 없었다. 2. C-factor 3군에서는 AQ Bond Plus와 Fantasista군이 XenoIII와 Ceram-X mono군에 비해 높은 결합력을 보였으나 (p < 0.05), C-factor 0.25군, 2군, 4군에서 4가지 접착제와 수복 레진의 조합 간에 유의한 차이가 없었다. 3. Fantasista군에서 C-factor와 미세인장결합강도 사이에 일정한 상관관계를 발견할 수 없었고, Ceram-X mono군에서 C-factor가 증가할수록 미세인장결합강도가 감소하는 경향을 보였다 (p < 0.05). 이번 연구의 결과로 상아질의 깊이가 동일하고 6세대의 self-etching system을 사용하여 복합레진을 충전하는 경우와동의 C-factor가 수복물의 미세인장결합강도에 크게 영향을 미치지 않음을 알 수 있었다. This study was conducted to evaluate the influence of the C-factor on the bond strength of a 6th generation self-etching system by measuring the microtensile bond strength of four types of restorations classified by different C-factors with an identical depth of dentin. Eighty human molars were divided into four experimental groups, each of which had a C-factor of 0.25, 2, 3 or 4. Each group was then further divided into four subgroups based on the adhesive and composite resin used. The adhesives used for this study were AQ Bond Plus (Sun Medical, Japan) and Xeno III (DENTSPLY, Germany). And composite resins used were Fantasista (Sun Medical, Japan) and Ceram-X mono (DENTSPLY, Germany). The results were then analyzed using one-way ANOVA, a Tukey's test, and a Pearson's correlation test and were as follows. 1. There was no significant difference among C-factor groups with the exception of groups of Xeno III and Ceram-X mono (p < 0.05). 2. There was no significant difference between any of the adhesives and composite resins in groups with C-factor 0.25, 2 and 4. 3. There was no correlation between the change in C-factor and microtensile bond strength in the Fantasista groups. It was concluded that the C-factor of cavities does not have a significant effect on the microtensile bond strength of the restorations when cavities of the same depth of dentin are restored using composite resin in conjunction with the 6th generation self-etching system.

에너지 절약과 환경보전을 위한 초등교육 방안 연구

윤병욱,김시욱 조선대학교 환경연구소 1999 環境硏究 Vol.15 No.1

This study was performed to improve the methods for elementary education to save energy and preserve the environment. To obtain lots of data, domestic and foreign references and articles which are related to the education for the environmental preservation were analyzed. At the same time, the curriculum and the present situation of the elementary education were also studied. From these studies, several suggestions were proposed. First, a number of stories and animations relating to save energy and preserve the environment should be contained in the curriculum. The curriculums containing the above contents were only Natural Science, Social Studies, and Practical Course. However, the composition was very simple and was not systematic. Second, lots of references and textbooks were required to teach and study the environmental situation. The elementary schools only had several student textbooks, and the teachers also had several video tapes recorded from television. Third, several practical education should be reinforced to make a new life style for saving energy. Only a limited number of posters and television programs explaining environmental problems were given to the students, and practical motivations to make a real life pattern were not prepared so far. Fourth, the environmental education in the school should be closely related to home education. To obtain maximum effect, the home education was absolutely required because home is the best place to practice a good life style to save energy and preserve the environment.

Carbamate계 살충제에 의한 Cholinesterase활성의 저해

김정호,박홍재,박병윤 한국환경과학회 2002 한국환경과학회지 Vol.11 No.4

Carbamate 농약에 대한 cholinesterase(ChE)활성 저해 관계를 규명 하고자 in vivo와 in vitro 실험을 하였다. ChE의 최적 pH는 8.0이었다. 병아리 혈장의 ChE 활성은 기질로 acetylcholin를 사용할 경우 24.6 μmol/min/g protein이었다. in vivo에서 BPMC을 0.32 mg/kg 경구 투여한 15분 후에 ChE 활성이 60% 까지 저해되었으며 그후 12시간 후에 97% 까지 회복이 일어났다. in vitro에서 효소 활성이 50%로 저해되는데 필요한 농도인 I_50이 Phenyl N-methylcarbamate계에 XMC는 329 ㎍/l였고, metolcarb은 214 ㎍/l였다. BPMC는 111 ㎍/l, propoxur는 107 ㎍/l, isoprocarb는 104 ㎍/l 이었다. Aromatic N-methylcarbamate계에 속하는 carbaryl의 I_50은 280 ㎍/l이었고, carbofuran 114 ㎍/l이었다. This study was carried out with the inhibition of the cholinesterase activity by carbamate insecticides in the chicken in vivo and in vitro. The optimum pH of cholinesterase was 8.0. The cholinesterase activity used the acetylcholin as substrate in plasma was 24.6 μmol/min/g protein. After oral administration with 0.32 mg/kg of BPMC as carbamate pesticide, the cholinesterase activity was inhibited to 60% of control after 15min in vivo. Then the recovery of cholinesterase activity followed to 97% of control after 12hr. I_50, such as concentration required for 50% inhibition of enzyme activity, of phenyl N-methylcarbamate were 329 ㎍/l of XMC, 214 ㎍/l of metolcarb, 111 ㎍/l of BPMC, 107 ㎍/l of propoxur and 104 ㎍/l of isoprocarb. I_50 of aromatic N-methylcarbamate were 280 ㎍/l of carbaryl and 114 ㎍/l carbofuran.

DP-Matching과 HMM을 이용한 온라인 필기 한자 인식

윤병훈,김형태,하진영 강원대학교 정보통신연구소 2007 정보통신논문지 Vol.11 No.-

On-line handwritten Chinese character recognition systems should be fast and yield accurate results in order to be practical systems. DP-matching method for variable length input requires building several allographs (multiple models) per class, which inevitably reduces the recognition speed. HMM is a good alternative, since one HMM per class is usually sufficient to model large variation of data. We proposed a recognition system in which HMM and DP-matching method are combined to improve the recognition speed and recognition accuracy at the same time. The HMM method using structure code features produces recognition candidates, then DP-matching method using chain code features reorders the candidates to get more accurate results. In doing so, we accomplished fast and accurate recognition results for 2,362 Chinese character classes. We also adopted result verification method to discriminate confusable character classes. We got 97.44% recognition accuracy using the proposed method in 113 ms per character in average.

심인성 뇌색전 환자에 있어서의 일차적 또는 이차적 뇌졸증 예방실태

윤병우,김병건,노재규 대한신경과학회 1996 대한신경과학회지 Vol.14 No.1

메탈라스와 와이어메쉬로 횡구속된 철근 콘크리트 기둥의 내력 및 연성에 관한 연구

김병철,이우진,정덕우,윤승조,김성수,한천구 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

Generally, transverse steel in reinforced concrete column serves the three-fold function of confining the compressed concrete, preventing lateral buckling of the longitudinal reinforcing steel, and acting as shear reinforcement. However, the amount of confining steel required in the form of rectangular hoops is still argument. This paper summarizes the results of an experimental program where 10 short columns with compressive strength 21MPa are designed with variable lateral confinements such as Metal Lath and Wire Mesh were tested under monotonic axial compression to failure. The columns were 300mm square and 750mm high. The purpose of this study is to investigate the ductility and strength of columns with variable lateral confinement. Test results indicate that specimen confined by metal lath and hoop, and wire mesh and hoop show 1.89 times ductility than NO.I specimen using hoop only. However, effect of lateral confinement by metal lath and wire mesh is how or same than NO.I specimen in maximum strength.

STI571 (Glivec^(�))에 의하여 빠른 치료 반응을 보인 불응성 Gastrointestinal stromal tumor

윤경원,이제중,김여경,황호인,이병환,조상희,정익주,김형준 全南大醫大 2001 전남의대학술지 Vol.37 No.4