Impacts and Countermeasures of Climate Change on Food Supply

Kim Chang-gil,Jeong Hak-kyun,Han Suk-ho,Kim Jeong-seung,Moon Dong-hyun 한국농촌경제연구원 2013 한국농촌경제연구원 기본연구보고서 Vol.- No.-

Climate change has become a megatrend that will lead to significant changes in future society. Korean and overseas agencies specializing in climate forecasts predict that average global temperatures will continue to rise. While climate change may potentially have certain positive impacts for crop yields, the overall impact is predicted to be negative for environment and food security. In this context, our study aims to suggest a plan for systematically establishing a stable food supply system in Korea in respose to climate change. Various analytical models were employed, including: a response analysis based on questionnaire for farmers, panel-based analysis of the causes of pests and diseases in rice production, a random-effects model for panel data of extreme weather impact, and an analysis of food supply effects using the Simulation Model for Climate-Agriculture Relations (SIMCAR) integrated model in conjunction with the Crop Estimation through Resource and Environment Synthesis (CERES) model of the Korea Agricultural Simulation Model (KASMO). An analysis was made of major grain yields by means of the KREI-KASMO. This revealed reduced yields and area in comparison with the baseline in 2050, resulting in a reduction of rice production by 17.8%p in the RCP8.5 scenario, and reduction of soybean by 21.2%p and reduction of barley by 13.7%p in the A2 scenario. Self-sufficiency ratio of major grains in 2050 drawn from the SIMCAR revealed that the climate change scenario for rice showed 55.0% to be reduced by 18.3% in comparison with the baseline. It is predicted that selfsufficiency ratio in rice will drop to 50% which means a half of consumed rice should be imported. Key tasks for building a stable food supply system to cope with climate change were developed based on the domestic production capacity, the buffering capacity to climate change, import capacity from other countries, and policy performance capacity with reference to the empirical analysis. First, the suggested key tasks for improving the domestic production capacity include developing and disseminating adaptation technology, conserving farmland and expanding arable land, practicing climate-smart agriculture by using fusion technology, and modernizing infrastructure for agriculture. Second, key tasks for improving buffering capacity to climate change are improving resilience and biodiversity, building a risk management system, and further improving storage of food in Korea and other countries. Third, major tasks for improving the import capacity from other countries are constructing overseas food bases, effectively using the international grain market, and enhancing international cooperation with relevant countries. Finally, key tasks for improving policy performance capacity are refining and applying the climate change impact analysis model with respect to policies, expanding investments in research and development, building a vulnerability assessment system, enhancing education and training, and installing Climate Change Response Center for Agriculture (tentative). In this study, several key challenges were presented in the four different areas related to building a stable food supply system which can help overcome the challenges of climate change. It is expected that the nature of the policies that need to be prioritized and promoted, given the constraints of budget, organization and information will be addressed in future research. Also, in order for the solutions for key challenges to work properly in the field such that policy outcomes will be maximized, a consortium of research bodies in the related fields of agriculture, agricultural meteorology and agricultural economics should be created. As preparation for specific action programs. Furthermore, follow-up studies should be conducted to verify the expenses required for developing reliable climate change impact assessment models and the effectiveness of the enforced policies. Such fie

아세틸 콜린 유발 검사시 허혈성 심전도 변화와 흉통의 발생이 내피세포 기능장애에 미치는 영향

최철웅(Cheol Ung Choi),나승운(Seung-Woon Rha),김선원(Sun Won Kim),나진오(Jin Oh Na),임홍의(Hong Euy Lim),김진원(Jin Won Kim),김응주(Eung Ju Kim),한성우(Seong Woo Han),박창규(Chang Gyu Park),서홍석(Hong Seog Seo),오동주(Dong Joo Oh) 대한임상노인의학회 2010 대한임상노인의학회지 Vol.11 No.4

연구배경: 아세틸 콜린 유발 검사시 발생하는 흉통과 허혈성 심전도 변화가 아세틸 콜린에 의해 발생하는 관상동맥의 내피세포 기능에 어떤 영향을 주는지 알아보고자 했다. 방법: 흉통으로 내원하여 관상동맥 조영술과 아세틸 콜린 유발검사를 시행받은 1,085명의 환자를 대상으로 하였다. 아세틸 콜린 유발 검사를 하는 동안 허혈성 심전도 변화 및 흉통의 발생 유무에 따른 관상동맥 내피세포 기능의 특징을 비교하였다. 결과: 539명의 환자에서 아세틸 콜린 검사시 내피세포 기능 장애가 발생 하였다. 허혈성 심전도 변화가 있었던 그룹이 심전도 변화가 없었던 그룹보다 흉통이 더 많았고(78.1% vs. 60.8%, P=0.007), 관상동맥 조영술상 다발성 관상동맥 경련이 빈번하였고(59.4% vs. 40.6%, P=0.004), 관상동맥의 경련 정도도 더 심하였다(64.1% vs. 46.5%, P=0.006). 흉통이 있었던 그룹이 흉통이 없었던 그룹보다 허혈성 심전도 변화의 빈도가 더 높았다(14.7% vs. 7.5%, P=0.007). 또한 흉통이 있었던 그룹이 관상동맥 경련이 다발성으로 발생하는 경우가 많았고 (50.7% vs. 29.5%, P<0.001), 미만성으로 발생하는 경우가 많았고(87.1% vs. 75%, P<0.001), 관상동맥의 경련의 정도도 더 심하였다(51.6% vs. 43.5%, P=0.041). 결론: 아세틸 콜린 유발검사시 발생하는 허혈성 심전도 변화와 흉통은 관상동맥 경련의 정도와 경련이 발생하는 관상동맥 개수와 연관이 있다. Background: ECG changes and chest pain during acetylcholine (Ach) provocation tests may constitute important clinical parameters for Ach-induced endothelial dysfunction. We investigated the association between ischemic ECG changes and chest pain during the Ach-provocation test and angiographic characteristics of Ach-induced endothelial dysfunction. Methods: A total of 1,085 patients with anginal symptoms underwent diagnostic coronary angiography (CAG) and Ach-provocation tests. We compared angiographic characteristics of Ach-induced endothelial dysfunction according to the presence of ECG change and chest pain. Results: A total of 539 patients experienced Ach-induced endothelial dysfunction. Patients who experienced ECG change group suffered more frequent chest pain (78.1% vs. 60.8%, P=0.007), angiographically more frequent multiple coronary artery spasm (59.4% vs. 40.6%, P=0.004), and more severe coronary artery spasm (64.1% vs. 46.5%, P=0.006) than patients without ECG change. However, there was no difference in the length of endothelial dysfunction between the groups. The incidence of ischemic ECG changes in patients with chest pain was higher than in patients without chest pain (14.7% vs. 7.5%, P=0.007). Patients who experienced chest pain more often experienced multiple (50.7% vs. 29.5%, P<0.001), diffuse (87.1% vs. 75%, P<0.001), and severe coronary artery spasm (51.6% vs. 43.5%, P=0.041) than patients without chest pain. Conclusion: Ischemic ECG changes and chest pain during the Ach-provocation test are associated with multi-vessel involvement and severe coronary artery spasm. Chest pain is associated with the length of endothelial dysfunction, but ischemic ECG change is not.

흰쥐에서 사염화 탄소(CCl4)에 의한 간섬유화의 유도

김병호,이정일,김효종,김영관,장린,동석호,장영운,송일한 대한소화기학회 1992 대한소화기학회지 Vol.24 No.6

Experimental model of hepatic fibrosis is importent contributions to the understanding of cellular and molecular mechanisms underlying excessive accumulation of extracellular matrix in the liver. Carbon tetrachloride (CCl₄) is one of the oldest and most widely used toxin for experimental induction of hepatic fibrosis in laboratory animals. In this study, We intended to induce the hepatic fibrosis in the rat by the intragastric CCl₄/ phenobarbtal treatment once a week for 12 weeks and the administration dosage of CCl₄ in each week was determined by the daily body weight change. Liver function and histologic change were examined just after 12-week treatment in group Ia (9 rats, Phenobarbital treatment only) and II (18 rats, CCl₄/phenobarbital treatment), and liver function and the irreversibility o histologic change were examined 12 weeks after 12-week treatment in group Ib (9 rats, phenobarbital treatment only) and III (18 rats, CCl₄/phenobarbital treatment). 1) Death rate after 12-week treatment was 11% in group Ⅰ, 56% in group Ⅱ and 50% in group Ⅲ. and the highest rate was at 1 week. that is 33 o each in group Ⅱ and Ⅲ. 2) Tatal protein, alkaline phosphatase, alanine aminotransferase and portal venous pressure were significantly increased in group Ⅱ compared with that in group Ⅰa, but it was only portal venous pressure that was increased in group Ⅲ than in group Ⅰb, 3) The gross finding of micronodular change was shown in 88% of group Ⅱ, 71% of group Ⅲ, but none of group Ⅰ. The microscopic finding of hepatic fibrosis was found in all of group Ⅱ and Ⅲ, but none of group Ⅰ. The severe form of hepatic fibrosis suggesting cirrhosis was found in group Ⅱ and Ⅲ, 12% and 29% respectively. In our study, mortality rate was high within 1 week after CCl₄ treatment, which resulted in half survival rate after 12-week treatment. We also experienced the loin rate of severe fibrotic changes in surviving rats. In the future, in order to produce a severe irreversible fibrotic change with low mortality in inducing hepatic fibrosis with CCl₄/phenobarbital treatment in the rat, adequate detemination of the initial dose of CCl₄ and appropriate choice of administration route of CCl₄ were thought to be needed.

급성 심근허혈에 따른 심실활성시간(Ventricular Activation Time)의 변화

한성욱,김윤년,김기영,남창욱,김기식,김권배 대한순환기학회 2001 Korean Circulation Journal Vol.31 No.3

RCP 8.5 기후변화 시나리오에 따른 소나무림과 굴참나무림의 산림 탄소 동태 변화 추정 연구

이종열 ( Jong Yeol Lee ),한승현 ( Seung Hyun Han ),김성준 ( Seong Jun Kim ),장한나 ( Han Na Chang ),이명종 ( Myong Jong Yi ),박관수 ( Gwan Soo Park ),김춘식 ( Choon Sig Kim ),손영모 ( Yeong Mo Son ),김래현 ( Rae Hyun Kim ),손요환 한국농림기상학회 2015 한국농림기상학회지 Vol.17 No.1

산림은 많은 양의 탄소를 저장하고 있으며, 산림 탄소 동태는 기후변화에 따라 변화할 것으로 예상된다. 본 연구는 우리나라 산림에서 가장 우점하는 침엽수종과 활엽수종인 소나무림과 참나무림을 대상으로 최근 개발 및 개선된 한국형산림토양탄소모델(Korean ForestSoil Carbon model; KFSC model)을 이용하여 두 가지 기후변화 시나리오(2012년 기온이 2100년까지 유지되는 시나리오(CT), Representative Concentration Pathway(RCP) 8.5 시나리오) 하에서의 산림 탄소 동태를 예측하였다. 5차 국가산림자원조사 자료로부터 소나무림과 굴참나무림 조사구들을 추출한 뒤, 이를 행정구역(9개 도, 7개 특별·광역시) 및 영급(1-5영급, 6영급이상)별로 분류하여 탄소 동태 모의 단위를 설정하였다. 탄소 저장고는 2012년을 기준으로 초기화하였으며, 모의 기간인 2012년부터 2100년까지 모든 교란은 고려하지 않았다. 모의 결과 산림 탄소 저장량은 시간이 경과함에 따라 전반적으로 증가하지만, CT 시나리오에 비하여 RCP 8.5 시나리오 하에서 산림 탄소 저장량이 낮게 나타났다. 소나무림의 탄소 저장량(Tg C)은 2012년에 260.4에서 2100년에는 각각 395.3(CT 시나리오) 및 384.1(RCP 8.5 시나리오)로 증가하였다. 굴 참나무림의 탄소 저장량(Tg C)은 2012년에 124.4에서 2100년에는 219.5(CT 시나리오) 및 204.7(RCP 8.5 시나리오)로 각각 증가하였다. 5차 국가산림자원조사 자료와 비교한 결과, 고사유기물 탄소 저장량의 초기값은 타당한 것으로 나타났다. 모의 기간 동안 소나무림과 굴참나무림의 연간 탄소 흡수율(g C m-2 yr-1)은 CT 시나리오 하에서 각각 71.1과 193.5, RCP8.5 시나리오 하에서 각각 65.8과 164.2로 추정된다. 따라서 우리나라 소나무림과 굴참나무림의 탄소 흡수잠재력은 지구 온난화에 의하여 감소할 것으로 예상된다. 비록 모델의 구조와 파라미터로부터 불확실성이 존재하지만 본 연구는 미래 산림 탄소 동태 파악에 기여할 것으로 기대된다. Forests contain a huge amount of carbon (C) and climate change could affect forest C dynamics. This study was conducted to predict the C dynamics of Pinus densiflora and Quercus variabilis forests, which are the most dominant needleleaf and broadleaf forests in Korea, using the Korean Forest Soil Carbon (KFSC) model under the two climate change scenarios (2012-2100; Constant Temperature (CT) scenario and Representative Concentration Pathway (RCP) 8.5 scenario). To construct simulation unit, the forest land areas for those two species in the 5th National Forest Inventory (NFI) data were sorted by administrative district and stand age class. The C pools were initialized at 2012, and any disturbance was not considered during the simulation period. Although the forest C stocks of two species generally increased over time, the forest C stocks under the RCP 8.5 scenario were less than those stocks under the CT scenario. The C stocks of P. densiflora forests increased from 260.4 Tg C in 2012 to 395.3 (CT scenario) or 384.1 Tg C (RCP 8.5 scenario) in 2100. For Q. variabilis forests, the C stocks increased from 124.4 Tg C in 2012 to 219.5 (CT scenario) or 204.7 (RCP 8.5 scenario) Tg C in 2100. Compared to 5th NFI data, the initial value of C stocks in dead organic matter C pools seemed valid. Accordingly, the annual C sequestration rates of the two species over the simulation period under the RCP 8.5 scenario (65.8 and 164.2 g C m-2 yr-1 for P. densiflora and Q. variabilis) were lower than those values under the CT scenario (71.1 and 193.5 g C m-2 yr-1 for P. densiflora and Q. variabilis). We concluded that the C sequestration potential of P. densiflora and Q. variabilis forests could be decreased by climate change. Although there were uncertainties from parameters and model structure, this study could contribute to elucidating the C dynamics of South Korean forests in future.

Carotenoids 식이와 알코올이 혈액학적 성분과 간조직에 미치는 영향에 관한 연구

조만희,김연선,이상한,우기민,장예진,김창세 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Alcohol is well known agent which can damage the human tissues such as liver via stimulating lipid peroxidation and storage, denaturation of macromolecules, and inhibiting protein metabolism. On the other hand, carotenoids in addition to vitamins A, C, E and lipoic acid, play important roles in protecting these oxidative damages as well as preventing the production of free radicals. This study was carried out to elucidate the precise effects of alcohol administration into rats on the antioxidative functions of dietary carotenoids and isolated β-carotene, and to find out any parameters to uncover more detailed biochemical mechanisms of these agents. For these purposes, two different approaches were performed: 1) examination of the changes in hematological parameters (e.g., total proteins, A/G ratio, ALT/AST et. al) and statistical correlations among inter- and intragroups, 2) examination of the histopathological changes by an electron microscope. The results were analyzed and summarized as following; (1) Carrot diet for one week caused a slight increase in albumin. A/G ratio and AST levels, and a slight decrease in ALT, ALP, BUN and uric acid levels. Two-week alcohol administration following carrot diet increased total proteins, albumin A/G ratio and BUN levels. However, both groups were shown to have little significant changes in cholesterol concentrations. (2) Cheese diet for one week caused a significant increase in total proteins, albumin, AST, ALP, uric acid and total cholesterol levels, and a significant decrease in A/G ratio and glucose concentrations. However, two-week β-carotene diet following cheese intake increased total proteins albumin, A/G ratio, BUN and total cholesterol levels, whereas AST, ALT, ALP and uric acid levels were decreased. (3) Alcohol administration for one week caused an increase in AST activities and a decrease in total proteins, albumin, ALT, ALP and BUN levels. A successive β-carotene diet following alcohol administration increased total proteins, albumin, ALT, ALP and BUN levels, whereas decreased AST and uric acid levels. However, there were not significant changes in A/G ratio, glucose and total cholesterol levels in both groups. (4) β-carotene diet for one week caused a slight increase in albumin, glucose, AST and uric acid levels, and a slight decrease in ALP and BUN levels. Two-weeks alcohol administration following β-carotene diet increased albumin, glucose, BUN and total cholesterol levels, whereas decreased AST, ALT, ALP and uric acid levels. (5) Although the pathological investigation on the liver did not reveal significant changes, cheese diet group (CH-BC/1-CH) was shown to have some lipid deposits. Some results were unexpected and different from typical hematological changes shown by other researchers. Nonetheless, these results strongly suggest that the liver damage or hepatism caused by alcohol intake affects many kinds of biochemical metabolisms, which results in significant changes in many hematological parameters. In addition, dietary carotenoid and isolated β-carotene were shown to have protective roles against the biochemical changes by alcohol intake.

濟州道 改良草地에 있어서 띠(Imperata cylindrica)의 季節的 年次的 變化

趙南棋,金翰琳,宋昌吉 제주대학교 1983 논문집 Vol.16 No.-

本 硏究는 濟州道 中山間地帶의 自然草地(Imperata cylindrica/Zoysia japonica type)를 開墾한 後 1 ha當 Dactylis glomerata 17kg, Festuca arundinacea 7kg, Lolium multiflorum 2kg, Trifolium repens 2kg의 導入牧草를 混播(28kg)하여 家畜放牧에 利用되고 있는(1977∼1982年) 改良草地를 對象으로하여, 띠(Imperata cylindrica)植生의 季節的ㆍ年次的變化過程을 調査한 結果를 要約하면 다음과 같다. 1. 每年 季節에 따르는 草長ㆍ收量ㆍ密度ㆍ被度 等 植生의 季節的 變化에 있어서는 秋期에 가장 優勢하였고, 春期에는 低調하게 나타났다. 2. 改良後 年度別 草長의 變化는 1年草地에서 34.26cm이었으나 점차 增加되어 6年草地에서는 49.35cm이었는데, 이 變化狀態의 回歸方程式은 y=-0.13x²+4.41x+28.50이었다. 3. 年數의 經過에 따르는 密度의 變化는 1年草地에서 0.76%였던 것이 年數가 지남에 따라 급격히 增加되어 6年草地에 이르러서는 32.97%로 나타나고 있는데, 이 變化를 y=0.10x²+0.32x-2.30의 回歸方程式으로 表示할 수 있었다. 4. 草地造成 以後 年次別 被度의 變化는 1年草地에서 1.05%, 2年 1.38%, 3年 2.46%, 4年 17.11%, 5年 27.56%, 6年草地에서 36.66%로 每年 增加(y=1.40x²-2.36x+1.39)되었다. 5. 收量의 年次的 變化는 1年草地에서 1.95kg이었으나 年數가 지남에 따라 점차 增加되어 6年草地에서는 1,107.35kg으로 나타났는데, 이 變化狀態를 y=29.11x²+53.52x-154.67로 表示할 수 있었다. This study was conducted to examine the yearly and seasonal changes of Imperata cylindrica on the improved pasture of the mountain districts around Mt. Halla in Cheju Island. For this study, the researcher had investigated for six years from 1977 to 1982 the improved pasture which had been used for grazing from 1977 to 1982. The pasture was reclaimed from native grassland. The mixed seeds of 17kgs' Datylis glomerata, 7kgs' Festuca arundinacea, 2 kgs' Lolium multiflorum and 2kgs' Trifolium repens were sowed per 1 ha. The results of this study are the following : 1. The seasonal changes of Imperata cylindrica : its length, weight, density and coverage are heighest in Autumn, and are lowest in Spring every year. 2. The yearly change in the length of Imperata cylindrica : its length is gradually increased from 34.26 cm in the first year after the reclaimation to 49.35 cm in the 6th year. This change can be represented by the regression equation, Y=-0.13x²+4.41x+28.50. 3. The yearly change in its density : its density is rapidly increased from 0.73% in the first year to 32.97% in the sixth year. The results of this change can be obtained with the regression equation, Y=0.10x²+0.32x-2.30. 4. The yearly change in its coverage : its coverage is increased year by year (1.05% in the 1st year, 1.38% in the 2nd year, 2.46% in the 3rd year, 27.56% in the 5th year, and 36.66% in the 6th year). This change can be calculated with regression equation, Y=1.40x²-2.36x+1.39. 5. The yearly change in its weight : the weight is also increased year after year from 1.95 kg in the first year after reclaimation to 1107.35kg in the sixth year. This change can be calculated with the regression equation of y=29.11x²+53.52x-154.67.

이슈네트워크의 변화와 환경규제정책변동 - 황령산 개발 이슈의 분석

고한산(Koh Han-San),김창수(Kim Chang-Soo) 한국지방정부학회 2007 지방정부연구 Vol.11 No.1

  본 연구는 이슈네트워크의 변화와 환경규제정책변동과의 관계를 규명하기 위해 1992년 이후 현재까지 부산광역시 황령산 개발사례를 분석하였다. 본 사례에서 정책행위자들의 상호작용구조, 즉 이슈네트워크의 변화는 환경규제의 완화와 강화에 직접적인 영향을 미치는 것으로 나타났다. 특히 각 시기별 정책변동에 있어서 부산시와 기업의 관계가 매우 긴밀한 전략적 관계를 형성하고 다른 행위자들의 관계가 느슨하고 영향력이 약할 때, 이는 곧 개발의 진행을 가능하게 하는 환경규제완화에 영향을 미치는 것으로 나타났다. 그리고 환경단체와 주민모임이 긴밀하고 협력적인 관계를 형성하고 여기에 정치인이 가세할 때 개발을 보류시키는 환경규제 강화가 나타났다. 이처럼 이슈네트워크는 참여자들의 관계구조가 매우 유동적인 경우에 정책변동을 설명하는 유력한 분석틀이며, 민주화된 상황에서 관련 정보가 공개되고 공유되면서 사회적 합의를 이루어내는 유용한 도구로 평가되었다. 그리고 관련 정책이슈가 등장했을 때 이슈네트워크의 형성은 바람직한 정책변동을 유도할 가능성이 높기 때문에 정책행위자들은 개방적인 이슈네트워크의 형성에 관심을 가져야 함을 제안하였다.   This research looks at the relationship between the structures of interaction among policy actors, that is, the issue network and the environmental regulatory policy change. The cases which are used in this paper are the spa development and the interior ski dome construction on Hwanglyoung Mountain that took place from 1992 to 2006.<BR>  In this research, those cases are divided into three periods; the beginning of development, the suspension of development, and the time proceeding development at each period. What is analyzed is how the interaction structure change of policy actors affected the policy change.<BR>  We found that at each period, the changes in the issue network determined by the interaction degree of policy actors had considerable influence on the regulatory policy change. So we suggested that policy actors of issue networks should participate in policy issues positively for the desirable policy change.

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.

Finding key vulnerable areas by a climate change vulnerability assessment

Kim, Ho Gul,Lee, Dong Kun,Jung, Huicheul,Kil, Sung-Ho,Park, Jin Han,Park, Chan,Tanaka, Riwako,Seo, Changwan,Kim, Ho,Kong, Wooseok,Oh, Kyusik,Choi, Jinyong,Oh, Young-Ju,Hwang, Gangseok,Song, Chang-Keun Springer Netherlands 2016 Natural hazards Vol.81 No.3

<P>Extreme climate events such as typhoons, heat waves, and floods have increased in frequency with climate change. Many municipalities within the Republic of Korea (ROK) have experienced damage from these events, necessitating countermeasures. Vulnerability assessment has been suggested in the implementation of a national plan for reducing damage resulting from climate change. Thus, in this study, we assess the vulnerability of the ROK and identify key vulnerable municipalities in support of the national adaptation plan. We create a framework for assessing the vulnerability of all 232 municipalities of the ROK with respect to 32 items in 7 fields. The framework regards decision makers' comprehension and availability of data as important factors. We assess the vulnerability index of each municipality by using variables of climate exposure, sensitivity, and adaptation capacity. The weights of variables are determined by the Delphi method. We used the representative concentration pathways 8.5 climate scenario to reflect future climate exposure for the vulnerability assessment. From the analysis, vulnerability maps are prepared for the 32 items of 7 fields, and key vulnerable municipalities are identified by aggregating the maps. The distribution of vulnerable municipalities changes with the future climate conditions. These maps provide a scientific and objective basis for the ROK government to establish adaptation plans and allocate resources. The ROK government can utilize the results to identify the characteristics of highly vulnerable areas, and municipalities can use the results as a basis for requesting support from the national government.</P>