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

복합재료 내의 V-노치 균열의 혼합형에 대한 응력특이성

조상봉,김진광 慶南大學校 附設 工業技術硏究所 1998 硏究論文集 Vol.15 No.2

복합재료 내의 V-노치 균열의 혼합형(개수형과 면내 전단형)에 대한 응력특이성과 계수벡터를 구하기 위하여 복소응력함수의 형태를 제안하고 특성방성식을 유도하였다. 상용 수치해석 프로그램, MATHEMATICA를 이용하여 특성방정식으로부터 고유치를 구하였고 응력특이성에 관하여 고찰하였다. The form of complex stress function was proposed to obtain stress singularities and coefficient vectors V-notched cracks in a composite material. It was discussed about stress singularities of V-notched cracks in a composite material for mixed mode after obtaining the eigenvalues from the characteristic equation by a commercial numerical program, MATHEMATICA.

등방성 이종재료 내의 Ⅴ-노치 균열에 대한 응력강도계수 결정에 관한 연구

조상봉,정휘원,김진광 경남대학교 신소재연구소 1999 論文集 Vol.11 No.-

접합계면 V-노치 균열 문제는 고유치와 고유벡터 문제로 수식화할 수 있다. V-노치 균열첨단에서 응력특이성을 가지는 고유치가 존재한다. 상반일 등고선 적분법(RWCIM)은 고유치와 관련된 고유벡터의 계수를 구하는 한 가지의 방법이다. 상반일 등고선 적분법을 이용하여 접합계면 균열의 응력확대계수를 구하도록 시도하였다. 상반일 등고선 적분법으로 구한 응력확대계수와 경계요소법과 변위외삽법을 이용하여 구한 결과를 비교하였다. An inteiface 17-notched crack problem can be formulated as a eigenvalue problem. there are the eigenvalues which give stress singularities at the V-notched crack tip. The RWCIM is a method of calculating the eigenvector coefficients associated with eigenvalues. Obtaining the stress intensity factors for an interface crack in dissimilar materials was examined by the RWCIM. The results obtained for stress intensity factors using RWCIM were compared with those obtained by using the displacement extrapolation method and the BEM.

[논문]도시생활폐기물과 저품위 무연탄의 혼합 열분해시 반응특성에 관한 연구

박경진,박규만,정영헌,조기철,오광중 부산대학교 환경문제연구소 2004 環境硏究報 Vol.22 No.-

A Study on the Characteristics of the Reaction in Blends of Municipal Solid Wastes with Poor Anthracite on Pyrolysis

컴포머 충전과정에 따른 상아질 투과도의 변화

조혜진,이경하,이세준,이광원 大韓齒科保存學會 2002 Restorative Dentistry & Endodontics Vol.27 No.4

Compomer is composed of matrix and filler; matrix is made of the combination of resins and polycarboxylic molecules that are light-cured. and a filler is a glass component which is capable of ion-release. The resin content of compomers produces polymerization shrinkage which can adversely affect marginal adaptation. Pretreatment is a fundamental step which is treated with conditioner or primer in the use of these materials. Microleakage of restorative materials has been investigated mostly by dye penetration method. Dye penetration method was not quantitative and not measured repeatedly. Fluid filtration method. introduced and developed by Pashley's group, has been extensively used for 20 years for research purpose to understand the physiology of dentin, as well as the effects of various restorative treatments on dentin permeability. It permits quantitative, nondestructive measurment of microleakage in a longitudinal manner. The purpose of this study was to evaluate the change the change of dentin permeability according to the process of compomer restoration. In this study, CI Ⅴ cavities were prepared on buccal surface of thirty extracted human molars. The prepared cavities were etched by 37% phosphoric acid. The experimental teeth were randomly divided into three groups. Each group was treated with following materials; Group 1 : Prime & Bond NT/Dyract AP, Group 2: Single Bond/F2000 compomer, Group 3 : Syntac Single Component/Compoglass. The bonding agent and compomer were applied for each group following manufactures information. Dentin permeability of each group was measured at each process by fluid filtration method; Step 1 : preparation(smear layer), Step 2 : etching(smear layer removal), Step 3 : applying the bonding agent, Step 4 : filling the compomer. Dentin permeability was expressed by hydraulic conductance(㎕ min^-1cmH_2O^-1). The data were analysed statistically using One-way ANOVA and Sheffe's method. The results were as follows : 1. Dentin permeability differences between each process were significant except between step 1 and step 2(p<0.01). 2. Dentin permeability after removal of smear layer was highly increased(p<0.01). 3. In most case, decrease of dentin permeability was obtained by applying bonding agent(p<0.01). 4. Dentin permeability differences among the experimental groups were not significant(p>0.05). 5. None of compomers used in this study showed perfect seal at the interface.

瓦松의 알콜 抽出物이 心筋 및 腸筋收縮에 미치는 影響

曺石鉉,金光鎭 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1

Orostachys malacophyllus F. is a kind of ,Chinese medicine to grow on the tiled roof of the house or on the rock of the mountain. The chemical compositions and actions have not been reported, but, sometimes, it was used as a folk remedy for the treatment of cancerous diseases. This study was attempted to investigate the effects of water fraction separated from alcohol extract of Orostachys malacophyllus F. on the contractilities of cardiac and intestinal muscles comparing with those of the water extract. The muscles used for this study were the ventricular muscle of turtle and the intestinal muscle of mouse, and their contractilities were represented as a change of the muscle tension detected by myograph. The results were summarized as follows: 1. The water fraction decreased the contractility of ventricular muscle, and increased the intestinal contractility. But the water extract was observed the opposite effects on the contractility of each muscle. 2. Sympathetic or parasympathetic blocker and alpha-or beta-blocker had no effect on the decreased or increased contractility of each muscle. 3. Calcium antagonist(verapamil) inhibited significantly the contractility in the case of the water fraction to the intestinal muscle and the water extract to the ventricular muscle. From the above results, it was suggested that the action of water fraction or the water extact affected to calcium transport: release into the sarcoplasmic fluid or active influx into the sarcoplasmic reticulum in the case of the cardiac muscle, and release from ECF or cisternae of reticulum into the muscle cell in the smooth muscle.

自律性 結節性 甲狀腺腫에 關한 硏究

曺敏銶,崔仁永,金侊會,崔振學 한일병원 1975 한일병원 임상잡지 Vol.4 No.2

아드레날린 수용체 중개에 의한 Catecholamine의 Synaptosome을 통한 칼슘 이동의 조절

조성진,이정수,신용규,이광수 중앙대학교 의과대학 의과학연구소 1988 中央醫大誌 Vol.13 No.1

The presynaptic α-adrenoceptors medicate a negative feedback mechanism which leads to inhibition of neurotransmitter release probably by restricting the calcium available for the excitation-secretion coupling. It is reported that norepinephrine may shorten the duration of plateau phase in action potential by decreasing a voltage sensitive, slow inward calcium current and this action of norepinephrine is antagonized by α-adrenergic blocking agents. It is also suggested that there is a direct linkage between adrenoceptors and Na+-K+ ATPase. In the present study, therefore, effects of norepinephrine, dopamine an 5-hydroxytryptamine on the calcium uptake, Na+-Ca++ exchange and membrane potential in rat brain synaptosomes were investigated. The actions of neurotransmitters on the regulators for cellular calcium transport were also studied by investigation effects of catecholamines on synaptosomal Na+-k+ ATPase, Ca++ ATPase and Na+-Ca++ ATPase activities with or without adrenergic blocking agents. In the reaction mixture containing calcium without potassium, the addition of ATP induced the synaptosomal calcium uptake only slightly. The further addition of potassium is followed by a marked increase in calcium uptake with concomittent development of membrane depolarization. Amounts of calcium uptake were increased with increasing concentrations of potassium but decreased in the presence of extracellular sodium. Norepinephrine, dopamine and 5-hydroxytryptamine inhibited the potassium induced calcium uptake but had no effect on membrane potential. Na+-K+ ATPase, Mg++ ATPase and Ca++ ATPase activities were stimulated by these amines and stimulatory effects of catecholamines were antagonized by phentolamine and propranolol. Ouabain enhanced potassium induced calcium uptake but significantly inhibited Na+-K+ ATPase activity. Diltiazem and dibucaine effectively inhibited the depolarization induced calcium uptake, but had a variable effects on ATPase activities. Dibucaine significantly inhibited Ca++ ATPase. Among various agents tested, dibucaine alone was shown to slow down the development of membrane depolarization. Norepinephrine, dopamine and 5-hydroxytryptamine inhibited both the sodium dependent calcium efflux and Na+-Ca++ ATPase activity. The inactivation of Na+-CA++ ATPase by catecholamines was reversed by phentolamine and propranolol. These results suggest that there is a linkage between presynaptie adrenoceptors and regulatory apparatus for calcium transport across the synaptic membrane. Catecholamines appear to inhibit the calcium transport by the indirect effect on the ATPases, particulary Na+-K+ ATPase at plasma membrane which is mediated by adrenoceptors and also by possible action on the calcium conductance mechanism. On the other hand, adrenergic agonists may affect the Na+ dependent Ca++ efflux in synaptic membranes.

疲勞荷重을 받는 鐵筋콘크리트 보의 炭素纖維시트 補强에 따른 構造特性에 관한 硏究

조철희,김하진,김광섭,김정섭 朝鮮大學校 建設技術硏究所 1999 建設技術硏究 Vol.19 No.1

This study is an experimental study of reinforced-concrete beam with carbon fiber sheet under fatigue load and aims at utilizing it as the basic material of strengthening design of reinforced-concrete structure under the fatigue load by examining the structural characteristics according to the fatigue load. Non-strengthening and strengthening, kind of strengthening materials(non-resin carbon fiber sheet, resin carbon fiber sheet) and the loading size (80%, 100%, 120% of static destruction load) in static and fatigue experiment are designed as the variables of experiment. The experimental results are as follows. 1. The strengthening test specimen shows the increase of yield strength of 208% in comparison with non-strengthening test specimen in the static experiment which is the standard of fatigue experiment. 2. The strengthening test specimen of non-resin CFS of K company and of resin CFS of M company indicate the increase of yield strength of 228% and 183% respectively in static experiment. 3. It is found that the strengthening test specimen in fatigue experiment has the increase of fatigue strength according to that of static yield strength. The strengthening test specimen with the loading of 120% of static load secures the fatigue yield strength of greater cycle than non-strengthening test specimen with 80% of static destruction load. Accordingly, it is judged that it is suitable to use CFS for the strengthening of reinforced-concrete due to the lack of fatigue load and structural yield strength. 4. It is shown that non-resin CFS strengthening test specimen of K company tested under the same condition secures the fatigue yield strength of greater cycle than resin CFS strengthening test specimen of M company. Initial deflection and elastic behavior have a similar form. Therefore it is thought that non-resin CFS produced at home is the strengthening material with the quality of international standard. 5. The test specimen reinforced with CFS has greater effects at static and fatigue yield strength, prevention of initial deflection and elastic deflection. So, it is considered that the reinforcement of CFS structure in actual structure may have the similar reinforcement effect to this experiment