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.

용융염산화 반응기에서 기체체류량 및 기-액 흐름특성

조용준,양희철,은희철,유재형,김준형 한국화학공학회 2003 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.41 No.5

용융염산화는 혼성폐기물과 유해폐기물을 효과적으로 산화 및 분해할 수 있는 소각대체기술중 하나이다. 본 연구에서는 직경이 0.079 m이고 높이가 0.653 m인 용융염산화 반응기에서 기체체류량 및 기-액 흐름특성에 대한 연구를 수행하였다. 액상으로 용융탄산나트륨을 기상으로 건조된 공기를 사용하였으며 기체유속(0.05-0.22 m/s)과 용융염온도(870-970℃) 변화가 기체체류량 및 기-액 흐름특성에 미치는 영향을 규명하였다. 기체체류량은 용융염 온도가 상승함에 따라 증가하였는데, 이는 용융염 온도의 증가로 인해 용융된 탄산나트륨의 점도와 표면장력이 감소하였기 때문이다. 실험에서 얻어진 기체체류량 데이터를 drift-flux 모델에 적용하여 용융염반응기 내의 흐름특성을 규명할 수 있었으며, 이를 통해 흐름영역에 따른 기체체류량을 정확하게 예측할 수 있었다. Molten salt oxidation is one of the most promising alternatives to incineration that can be used to efficiently destroy the organic components of mixed wastes and hazardous wastes. In this study, the gas holdup and gas-liquid flow characteristics are investigated in the molten salt oxidation reactor (0.076 m D×0.653 m H.). Effects of input air velocity (0.05-0.22m/s ) and molten salt temperature (870-970℃) on the gas holdup and flow characteristics have been studied. Molten carbonate as the liquid phase and air as the gas phase have been used in this study. The gas holdup increases with increasing molten salt temperature due to the decrease of viscosity and surface tension of molten carbonate. The experimentally obtained gas holdups in the molten salt reactor have been well described and characterized by means of drift-flux model. The gas holdups with variation of the flow regime have been well predicted.

장기간 댄스스포츠가 혈중 지질 및 효소 활성도에 미치는 영향

조현철,김준희,한주희 龍仁大學校 體育科學硏究所 1999 體育科學硏究論叢 Vol.9 No.1

The purpose of this study was to assay effect on blood lipid and ezyme activity during 20 weeks of dance sport and acute exercise. Ten females participated in dance sport program(90min./day. 2day/week) for 20 weeks. The results were obtained as follow : 1. CHOL and TG were decreased during dance sport program but no significant, also no significant between before exercise and after. 2. Amylase, Lipase, GGT and LDH were slightly increased during dance sport program but no significant, however, GOT was significantly(p<.05) increased between after 10 weeks and after 20 weeks. Also, LDH was significantly(p<.05) increased before exercise and after 10 weeks only in acute exercise variance. Conclusively, it is showed that CHOL and TG were decreased and enzyme activity was increased induced 20 weeks of dance sport program and acute exercise. It is suggested that dance could be serviceable effectively not only leisure but also good for health.

강릉 연안에서 어획한 오징어의 간장 중 일반성분 및 지질 조성의 계절변화

조순영,전미정,주동식,전중균,이미희,정인학 강릉대학교동해안지역연구소 1999 東海岸硏究 Vol.10 No.2

연간 어획량으로 볼 때 오징어는 다른 어종 못지않게 중요한 종류이다. 오징어는 몸통뿐 아니라 내장과 간장 또한 이용가치가 매우 뛰어남에도 불구하고 그동안에는 사료용으로만 약간 사용되고 나머지는 대부분 폐기하였다. 본 연구에서는 이들 간장의 이용도를 넓힐수 있는 기초자료를 확보하고자 간장 중 일반성분과 지질 클래스의 변화를 월별로 조사하였다. 우선, 주문진항에서 4월에서 10월까지의 매월 한차례씩 살아있는 오징어를 구입하여 이들의 체중과 체장, 그리고 내장과 간장의 무게를 재고, 간장은 일반성분과 지질분석을 하였는데, 월별 체중 및 체장은 7월을 기점으로 여름철에 증가하며 체중도 같은 경향을 나타내었다. 그리고 간장의 무게도 체중의 증가와 비례하여 증가하였다. 비만도는 체장의 증가율에 비해 체중의 증가율이 높은 5월이 비만도가 가장 높았다. 같은 기간 중 일반성분의 변화를 보면, 수분은 대체로 감소하는 경향이고 단백질은 7월에서 9월 사이에 증가하는 경향을 보였다. 지질은 단백질과는 반대로 7월에서 9월 사이에 감소하는 경향을 보였으며, 회분은 매월 일정한 값을 나타내었다. 이러한 결과로 어체의 성장이 활발한 여름철에 단백질의 양이 증가하고 반면에 지질의 함량은 감소하는 것으로 나타났다. 한편, 지질 클래스에서 단순지질의 경우 NL은 봄철에서 가을로 가면서 점차 증가하는 경향을 보였고, 반면 S, PL은 감소하는 경향을 보였다. PL에서는 대부분 PC만이 검출되었으며, 계절적으로는 봄에서 가을로 갈수록 감소하는 경향을 보였다. Squid is one of the most popular species over the East coast of Korea and sold as raw or processed one at the market. However, the liver and intestine occupied more than 20% of whole body are discarded wastefully at present. At this point of view, we analyzed lipid classes and fatty acid composition of liver, and tried to develop the utilities on the useful components of liver and intestine of squid. Alive squids were collected at the port of Jumunjin, Kangwon-Do, Korea, from April to Oct., 1988, and measured the body length, body weight and liver weight. Chemical composition of liver was analyzed by general method. Moreover, lipid class of total lipid was analysed using Iatroscan. As a results of this study, body weight, body length and liver weight increased after July, and hepatosomatic index(HSI) increased after May. Moreover, condition factor was maintained at moderate level after May. Among chemical components, water content had negative correlation with lipid and concentrations of protein and ash were not changed remarkly. In analysis of lipid class, it was proved that neutral lipid(NL) fraction of total lipid(TL) contained triacylglyceride(TG), sterol ester(SE) and free fatty acid(FFA) while polar lipid (PL) fraction of TL contained phosphatidylcholine(PC) dominantly.

직선화된 와이어의 버 없는 전단기 개발에 관한 연구

조준원,김웅겸,김헌영,김병의 강원대학교 산업기술연구소 2005 産業技術硏究 Vol.25 No.B

Micro wires manufactured by the straightening process are used in the BT(Bio-Technology), IT(Information-technology), NT(Nano-Technology). We have developed a novel wire straightener which uses the direct heating method(DHM) for straightening the micro wire and shearing device for burr-less cutting. In this study, we confirm the tendency of micro wire after the shearing process. It is impossible to remove the burr in the shearing process. However, the embodiment of minimum burr size after the shearing process is the best in-process method. In order to minimize the burr size, we have accomplished the various experiment condition such as the U-groove, the effect of counter punch, the shear angle, clearance.

에틸 아크릴레이트 아이오노머의 성질에 미치는 양이온 크기의 영향

조규성,나연화,김희석,김준섭,박기주 조선대학교 생산기술연구소 1999 生産技術硏究 Vol.21 No.1

The effects of the size of cations on the properties of polyfethyl acrylate-co-metal acrylate) ionomers containing 3.8 mol% of ionic moiety were investigated. It was found that with changing cations, matrix T_(g)s seem to remain constant; however, cluster T_(g)s increase with decreasing the size of cations. Since ion-hopping occurs at a cluster T_(g) and the electrostatic force of ion pairs decreases with the size of ions increasing, it was suggested that the effect of the size of cation on a cluster T_(g) is operative, but not on a matrix T_(g). It was also found that activation energies for a cluster T_(g) were decreased with decreasing the size of cations; which means that the activation energy values for a cluster T_(g) are not directly related to the cluster T_(g)s. In the present study, the highest value of a cluster T_(g) for the Li ionomer may be one of the reasons why the Li ionomer has the lowest value for an activation energy.

MathCAD를 사용한 X-선 회절상의 계산

조태경,송인명,권영준,이희복 공주대학교 사범대학 과학교육연구소 1994 과학교육연구 Vol.25 No.1

물질의 결정구조를 연구하는 데에는 일반적으로 X-선 회절상의 분석방법을 가장 많이 사용한다. 따라서 대학교육과정에서 고체물리학, 결정학, 재료과학 등 여러 분야에서 X-선 분광법에 대하여 공부한다. 그러나 실제 강의에서 X-선 회절의 이론을 X-선 회절상의 분석 방법과 직접 대응시켜 설명하기란 쉽지 않다. 본 논문은 MathCAD란는 software을 써서 X-선 회절 이론식으로 부터 간단하게 원하는 결정의 X-선 회절상을 계산하는 방법을 제시하고, X-선 결정구조 분석에 관한 학습과 연구에 활용할 수 있는 자료가 되도록 하였다. The most available technique for the study of the crystal structure is the analysis of X-ray diffraction patterns. For this reason lectures on X-ray diffractions have been given at universities in various subjects such as solid state physics, crystallography, material science, etc. However, it is not easy to teach the theory of X-ray diffraction in conjunction with the analysis X-ray diffraction patterns. In this study, we have used MathCAD software to calculate angles, intensities, and patterns of the X-ray diffraction of crystal using formula given in the theory without any complication. The program has shown in the study will be useful for research on crystallography as well as for teaching the subject.

과호산구증가증의 원인과 발생율에 대한 임상적 고찰

김봉준,이천우,조은주,김희규 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Background: Eosinophilia is associated with various primary and reactive conditions. The incidence and causes of eosinophilia might have changed through time according to the changes in the incidence of diseases such as cancer, chronic degenerative diseases, and so forth. This study was sought to investigate the causes and the incidence of hypereosinophilia and compare the results with those obtained by other reports in Korea. Methods: Eosinophilia and hypereosinophilia are diagnosed when the absolute eosinophil count is greater than 500/μL and 1,500/μL, respectively. Patient's clinical records were reviewed to determine the underlying clinical conditions in relation to what causes hypereosinophilia. Results: Out of 18,941 patients who undertook hematology profiles, 1,584 (8.4%) and 143 (0.75%) were found to have eosinophilia and hypereosinophilia, respectively. Among patients with hypereosinophilia, 106 patients (74.1%) had identifiable and/or possible causes. The major causes of hypereosinophilia were malignancy (48.1%), allergy and skin diseases (22.6%), infectious diseases (9.4%), gastrointestinal tract diseases (5.7%), and hepatobiliary diseases (4.7%). Conclusion: We found various causes of hypereosinophilia in this study, and the most common cause of hypereosinophilia was malignancy. Therefore, a thorough study in patients with hypereosinophilia is necessary.

스포츠를 이용한 광고의 유효성과 기업이미지 형성에 관한 연구

이준희,조현민 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.4

This study was to understand what sort of effect on the making the company's image and the efficiency of advertisement by sport, the following conclusion was from this survey by conducted questionnaire and was analyzed, 824 subjects are university students (532 male, 292 female) who are in the 9 universities, be located in Busan. 1) The differences of attitude on the advertising by using sport are as follows. These subject groups showed the highest significance, more female than male in gender, 4million won in income, 0.15million won in personal expense, are the group 'participate in game directly' in preference test for sport. 2) The difference of company's recognition on the matter of sports sponsorships was shown higher significance in male group than female group, over 4 million won income group, 0.05-0.1 million won group of personal expense. In the preference test, the highest significance is shown in group of 'being favorite play game directly'.

HPLC를 이용한 농약 Carbendazim의 측정법에 관한 연구

김준서,조만희,이상한,김창세 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.1

The measurements of pesticide Carbendazim were studied and following conditions were proposed as a most good methods; 1. There were detected at 204 nm by means of Hitachi 200-20 spectrophotometer. 2. Pesticide Carbendazim mesurement was performed by menas of ISCO model 2350, spherisorb ODS column, 70% acetonitrile as a solvent phase, flow rate 0.5 ml/min, chart speed 0.5 cm/min, and 25℃ oven temperature. 3. The relationships between the concentration and absorbance of pesticide Carbendazim were linear from 2.5 to 15 ppm. 4. It showed stable result in Folin-Wu, and the recovery rate was also good.