주의력결핍과잉행동장애와 Alpha-1C-Adrenergic 수용체 유전자와의 연관성에 대한 연구

조수철,김재원,김붕년,황준원,박미라,김순애,조대연,유희정,정운선,손정우,박태원 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1

Objectives : Neurobiological and pharmacological research has suggested that the dysregulation of the central noradrenergic systems might be involved in the pathophysiology of ADHD. The aim of this study was to examine the association of the alpha-1C-adrenergic receptor gene (ADRA1C) with ADHD in Korean subjects. Methods : In a case-control study, we assessed 186 DSM-IV ADHD probands and 150 normal controls. One hundred and eight trios were studied in a family-based association analysis. Psychiatric diagnoses were derived through structured diagnostic interviews. For the clinical evaluation of the ADHD subjects, the Child Behavior Checklist (CBCL), the ADHD Rating Scale-IV (ARS) and the Junior Temperament and Character Inventory (JTCI) were administered. A computerized continuous performance test (CPT) was used to measure the inattention and impulsivity of the ADHD children. Results : There were no significant differences in the genotype or allele frequencies of the ADRA1C PstI polymorphism between the ADHD and control group (p>0.05). The transmission disequilibrium test (TDT) analysis observed no evidence for biased transmission of any of the alleles of the PstI polymorphism. There were no significant differences in the CPT or JTCI profiles between those ADHD subjects with the CC genotype and those with the other (CT+TT) genotypes at the PstI polymorphism. Conclusion : The results of this study do not support the ADRA1C as a major genetic susceptibility factor in ADHD.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

백서와 기니픽의 대뇌피질에서 Opioid Kappa 수용체의 특성에 관한 연구

김기원(Kee-Won Kim),노혜원(Hye-Won Rho),김형일(Hyoung-Il Kim),은재순(Jae-Soon Eun),소수미(Soo-Mi Soh),조규박(Kyu-Park Cho) 대한약리학회 1994 대한약리학잡지 Vol.30 No.2

In this study, we tested the influences of several κ opioid ligands on the [³H]diprenorphine binding in rat and guinea pig cortex membrane preparations. Using paradigm to block μ and δ opioid receptors with DAMGO(1μM) and DPDPE(1μM), [³H]diprenorphine labeled κ sites. Competition analysis in both rat and guinea pig cortex has shown a single population of [³H]diprenorphine binding site with different Kd values, respectively. There is a significant difference in Ki values of (-) WIN44441 and (+)WIN44441 in both rat and guinea pig cortex. Bremazocine, (-)ethylketocyclazocine, (-)cyclazocine, nor-binaltorphimine effectively inhibited the [³H]diprenorphine binding with different Ki values in rat and guinea pig cortex. U-69,593, U-50,488H and dynorphine-A (1-8) did not inhibit the [³H]diprenorphine binding in rat but in guinea pig cortex. Nor-binaltorphimine was a ligand discriminate the κ₁, and κ₂ receptor most effectively. We, also, examined the influence of Na ion and GTPγS, a nonhydrolyzable guanine nucleotide analog, on the inhibition of [³H]diprenorphine binding by diprenorphine, (-)ethyl-ketocyclazocine, U-69,593 and bremazocine. By the replacement of NaCl with N-methy-D-glucamine or addition of GTPγS, Ki values of diprenorpnine were not changed and that of ethylketocyclazocine were changed significantly in both rat and guinea pig cortex. The Ki value of bremazocine was decreased by removal of Na ion, and increased by GTPγS, however, was not changed by any one of either. These results suggest that there are 2 kinds of subtypes of κ opioid receptor, κ₁, and κ₂, showing different Ki values for various κ opioid ligands, also, bremazocine possess the antagonistic property at κ₂ site which is dominant subtype of K receptor in rat cortex.

알레르기 ; 알레르기 환자에서 한방 이외의 대체 요법의 사용 현황에 대한 다기관 조사

이현정 ( Hyun Jung Lee ),이재현 ( Jae Hyun Lee ),이용원 ( Yong Won Lee ),김철우 ( Cheol Woo Kim ),동헌종 ( Hun Jong Dhong ),박해심 ( Hae Sim Park ),조영주 ( Young Joo Cho ),조진희 ( Jin Hee Cho ),조상헌 ( Sang Heon Cho ),편복양 ( 대한내과학회 2011 대한내과학회지 Vol.80 No.1

목적: 한국에서 알레르기 질환 치료를 위한 한방 치료뿐만 아니라 대체 요법이 많이 이용되고 있으며, 그 현황에 대하여 다기관 조사를 시행하였다. 방법: 10개의 대학병원 외래로 내원한 647명의 알레르기 환자를 대상으로 설문조사를 시행하였으며, 이 중 510명이 한방 이외의 대체 요법에 응답하였다. 이환되어 있는 알레르기 질환은 천식(50.0%), 알레르기 비염(36.0%), 아토피 피부염(36.0%), 그리고 두드러기(9.3%)였다. 각각 환자들에게 12 문항의 설문조사를 시행하였으며, 한방 이외의 대체 요법의 사용 빈도 및 종류, 대체 요법에 의지하게 된 이유, 비용, 그리고 치료효과에 대한 의견을 물어 보았다. 결과: 16.7%의 알레르기 환자에서 한방 이외의 다른 대체 요법을 받았으며, 평균 1.6종의 한방 이외의 대체 요법을 받았다. 가장 많이 의지하는 대체 요법은 민간 식이요법 (48.6%)이었고, 그 다음이 아로마 요법(23.8%), 지압(14.3%), 건강 호흡법(7.6%), 마인드 컨트롤(5.7%), 목욕요법(5.7%) 순이었다. 대체 요법을 받은 환자 중 마인드 컨트롤(50%), 식이요법(50%), 그리고 건강 호흡법(75%)의 경우 치료 효과가 만족스럽다는 응답이 높았으며, 목욕요법, 아로마 요법, 그리고 지압은 만족도가 각각 33.3%, 28.0%, 26.7%로 저조하였다. 대체 요법 사용자의 63.6%가 5회 미만의 대체 요법을 받았고, 91.8%가 1년 이내로 치료받았으며, 1인당 평균 연 37 만원을 지출하였다. 대체 요법을 선택한 가장 큰 이유는 체질이 개선될 수 있을까 해서(44.2%)였으며, 대체 요법이 몸에 부담이 없어서(31.4%), 면역기능이 강화되어서(22.9%) 순으로 나타났고, 15.7%는 양약치료가 도움이 되지 않아서 대체 요법을 선택하였다고 응답하였다. 결론: 한국에서 알레르기 환자의 상당수가 한방뿐만 아니라 여러 가지의 대체 요법을 사용하고 있음을 알 수 있었다. 대체 요법의 사용 빈도가 증가하고 그 종류가 다양함을 고려할 때, 의료진은 대체 요법의 현황에 대하여 정확히 인지하고 이에 대해 관심을 가지고 환자를 대하여야 하며 올바른 알레르기 질환 치료법에 대해 환자뿐만 아니라 의료인에게 교육하는 것이 필요하다. Background/Aims: The use of unproven complementary/alternative medicine (CAM) to treat allergies is popular in Korea. We conducted a multicenter survey of the current use of CAM other than herbal medication in Korean allergy patients. Methods: This study enrolled 510 adults with allergic diseases, including asthma, allergic rhinitis, atopic dermatitis, and chronic urticaria, from ten hospitals. They underwent a structured questionnaire interview and clinical assessment of the prevalence, motivation, costs, and subjective assessment of CAM. Results: Of the patients, 16.7% used at least one type of CAM to treat their allergic diseases. Common types of CAM were diet (48.6%), aroma therapy (23.8%), massage (14.3%), breathing exercises (7.6%), baths (5.7%), and mind control (5.7%). The therapeutic effects of CAM included improved in patients using mind control (50%), diet (50%), breathing exercises (75%), and baths (33.3%), but worse in patients using aroma therapy (28%), and massage (26.7%). About 36.4% of the patients used CAM more than four times per year, and the average cost per CAM user was 370,000 won/year. The main reason for trying CAM was `hope to improve my constitution`. Conclusions: CAM is used widely for treating allergic diseases in Korea. Detailed knowledge of CAM and patient education are important. Further studies of the clinical efficacy of CAM are needed. (Korean J Med 2011;80:68-77)

Phase-Shift를 이용한 시분할형 부하병렬 고주파 인버터의 특성해석에 관한 연구

조규판,원재선,김동희,노채균,원규식,심광열 영남대학교 공업기술연구소 2000 工業技術硏究所論文集 Vol.28 No.2

A half bridge time sharing type load parallel high frequency resonant inverter to give VVVF function in the inverter used as power source of induction heating at high frequency is presented in this paper. This proposed inverter can reduce distribution of the switching current because of using the current of serial resonant circuit to the input current of the parallel one and this paper also realize the output control of independence irrespective of the switching frequency using Phase-Shift. The analysis of the proposed circuit is generally described by using the normalized parameters. Also, the principle of basic operation and the its characteristics are estimated by the parameters, such as switching frequency, the variation of phase angle(φ) of Phase-Shift. It is certain that the proposed circuit will be used and expanded in the high frequency power supplies like induction heating systems.

시분할 방식 고주파 공진 인버터의 특성해석

조규판,원재선,김동희,노채균,배영호 영남대학교 공업기술연구소 2000 工業技術硏究所論文集 Vol.28 No.1

In this paper, we propose the high frequency resonant inverter of the time sharing type which has the effects that the duty cycle of each elements and the thermal loss can be reduce. The analysis of the proposed circuit is described generally by using the normalized parameters. Also, the principle of basic operation and the characteristics of drive were estimated by the switching frequency and the load parameters. And we got the data for designing by the characteristic values obtained at the estimate of characteristic. At the same time, the example of the design's method was proposed and the waveforms of simulation were compared with theoretical waveforms. It is certain that the proposed circuit will be used and expanded in the high frequency power supplies like induction heating systems.

수소손상 검출과 평가기술

원순호,현양기,이종오,조경식,이재도 한국비파괴검사학회 2002 한국비파괴검사학회지 Vol.22 No.1

산업현장에서 수소는 설비를 손상시킬 수 있는 주원인 중의 하나이며, 종종 설비를 파괴시키는 사고를 발생시킨다. 수소손상에 의한 결정립계의 공동 또는 미세균열은 강재의 파괴인성과 강도를 떨어뜨리는 원인이 되고, 따라서 과거 제한적인 방법으로 수소손상을 평가하기 위한 시도가 수행되었다. 본 연구에서는 초음파를 적용하여 수소손상을 검출하고 평가하기 위한 연구를 수행하였다. 미세조직시험에 의해 확인된 시험편을 이용하여 초음파의 속도와 감쇠계수를 구한 결과, 수소손상에 의해서 초음파 속도는 감소하고 감쇠는 현저하게 증가하는 것으로 나타났다. 이러한 결과를 바탕으로 수소손상을 검출하기 위한 신뢰성 있는 평가법을 제시하였다. The presence of hydrogen in industrial plants is a source of damage. Hydrogen attack is one such form of degradation and often causing large tube ruptures that necessitate an immediate shutdown. Hydrogen attack may reduce the fracture toughness as well as the strength of steels. This reduction is caused partially by the presence of cavities and microcracks at the grain boundaries. In the past several techniques have been used with limited results. This paper describes the application of an ultrasonic velocity and attenuation in hydrogen damage. Ultrasonic tests showed a decrease in wave velocity and an increase in attenuation. Such results demonstrate the potential for ultrasonic nondestructive testing to quantify damage. Based on this study, reliable recommendation is suggested to detect hydrogen attack.

한국형 소아 공포 조사 목록의 요인 구조

조 현,김지혜,앙재원,홍성도,정유숙 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.1

Objectives : The purpose of this study is to assess the psychometric properties and to investigate factor structure of the Korean version of Fear Survey Schedule for Children (FSSC-K). Methods : 397 male and 366 female students in elementary, middle, and high school completed the FSSC-K, a anxiety scale, and a self-esteem scale to assess psychometric properties. 403 male and 175 female outpatients completed FSSC-K for Confirmatory factor analysis. Results : First, psychometric properties of the FSSC-K compared favorably with that of the FSSC-R. Second, students in elementary school were significantly higher in total score of the FSSC-K than in high school and females significantly higher than males. Third, a seven-factor solution provided the best conceptual fit for responding on the FSSC-K. Fourth, seven-factor model was most appropriate in result of confirmatory factor analysis in clinic-referred sample. Conclusion : It is suggested that the FSSC-K have a good reliability and validity and seven-factor model was most appropriate in Korean children and adolescents.

크랭크샤프트의 기상 계측 시스템 개발

조현용,이원재,조재완,김석일 한국공작기계학회 2008 한국공작기계학회 추계학술대회논문집 Vol.2008 No.-

On-machine measurement (OMM) is considered as an effective approach to increase productivity in small batch production. This paper presents a specialized OMM system based on a touch probe, which can be used to measure and estimate the accuracies of crankshaft machined by a 5-axis multitasking machines. Measurement paths were created based on the CAD model of crankshaft and probe radius compensation, and were verified by virtual measurements. An NC program was created by performing the postprocessing of measurement paths, and was transferred to the multitasking machine, directly via RS232C interface. And the accuracies of crankshaft were measured through the touch probe controlled by the NC program. Especially, this specialized OMM system is more effective in case of measuring a large crankshaft because of handling difficulty due to its huge size and heavy weight.

구개골내 정중치에서 발생한 함치성낭종 1례

조원표,김재영,서경식 건국대학교 의과학연구소 1995 건국의과학학술지 Vol.5 No.-

Dentigerous cyst may occur any place around jaw. Dentigerous cyst can develop from unerupted tooth, and cyst from supernumerary tooth is rare. Among dentigerous cyets, palatal dentigrous cyst from a mesiodens is a very rare case. So we report a large(2.5×2.5㎝) dentigerous cyst arising from a mesiodens which was found at left premaxillary area eroding palate, premaxilla, nasal floor and roots of left upper central and lateral incisors. En bloc enucleation of the cyst was performed and the large bony defect was filled with antibiotic and thrombin-impregnated Gelfoam. The incision site was closed with meticulous water-tight interrupted 5-0 nylon sutures. We report with follow up CT scans after 4 months. So far as we have followed up the patient, filling the bony defect with thrombin and ??, a absorbable gelatin sponge revealed a good tissue replacement material.