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.

수중 시체에서 내부 장기 및 대조수에 대한 규조류의 분석

조갑래,서원준,함석훈,이종석,최동호,전병원,김양정,김광훈 內務部 國立科學搜査硏究所 2002 國立 科學 搜査 硏究所 年報 Vol.34 No.-

In vitro and in vivo anti-inflammatory effects of pegmatite

Jo, Wol-Soon,Yang, Kwang-Mo,Choi, Yoo-Jin,Jeong, Chang-Hwa,Ahn, Kyoung-Jin,Nam, Byung-Hyouk,Lee, Sang-Wha,Seo, Su-Yeong,Jeong, Min-Ho The Korean Society of Toxicogenomics and Toxicopro 2010 Molecular & cellular toxicology Vol.6 No.2

Pegmatite is a coarse-grained intrusive igneous rock rich in rare elements such as uranium, tungsten, and tantalum with Ca, K, Mg, Fe, Se, Ge, and Ho. We tested in vitro and in vivo assays for the anti-inflammatory activity of pegmatites. We firstly evaluated the suppressive effects of pegmatite on macrophage cell line RAW 264.7 cells stimulated with proinflammatory stimuli lipopolysaccharide (LPS) to determine nitric oxide (NO) production and TNF-$\alpha$ and IL-6 release. The $IC_{50}$ values of pegmatite exceeded $5,000\;{\mu}g/mL$. Treatment of RAW 264.7 cells with pegmatite significantly inhibited LPS-stimulated NO production and proinflammatory cytokines such as TNF-$\alpha$ and IL-6 secretion in a dose-dependent manner (P<0.05). In vivo studies were tested with two animal models of arachidonic acid-induced mouse ear edema and an acetic acid-induced increase in capillary permeability. The pegmatite significantly attenuated ear edema induced by arachidonic acid and reduced the acetic acid-induced increase in capillary permeability in mice (P<0.05) when the pegmatite was administered topically (10 mg per ear) for 24 h. Therefore, pegmatite potentially shows an anti-inflammatory activity in the in vitro and in vivo mice and in the development of newer anti-inflammatory agents as mineral materials.

카페인 섭취가 400M 자유형 기록에 미치는 영향

조인호,이병두,장경태 韓國體育大學校 1997 論文集 Vol.20 No.-

The purpose of this study was to investigate the ergogenic benefit of caffeine in the performance of a 400 meter swim. Caffeine(5mg/kg) or placebo was administered one hour prior to the swim trial in a double-blind crossover design. Swimming time in each 100m, blood lactate level after exercise, and heart rate at the final minute were measured. The results were as follows: 1. There were significant differences in 300m and 400m swimming times between caffeine and placebo trials. 2. There was significant difference in heart rate measured at the final minute of swimming between caffeine and placebo trials. 3. There was significant difference in blood lactate level at 5 minutes postexercise between caffeine and placebo trials. The results of the study suggest that caffeine ingestion can enhance the performance during short term, intense exercise.

이진 결정도를 이용한 가중 테스트 패턴 생성

조병호,심원 서울産業大學校 1990 논문집 Vol.32 No.1

이진 결정도는 디지털 장치의 논리적인 동작을 완벽하게 기술하는 간단한 수단이 된다는 것이 증명 되어져 있다. 본 논문은 이를 랜덤 테스팅 분야에 응용할 수 있는 방법을 검토한다. 이진 결정도가 디지털 장치의 논리적 동작을 완벽하게 기술하기 때문에 이를 이용하여 가중 랜덤 테스트 패턴을 생성하는 방법을 제안한다. 가중치는 그 장치의 모든 가능한 동작 형태를 기술하는 experiment로부터 유도하여 그 상대적인 중요성에 따라 테스트 입력에 할당한다. 그후 가중 랜덤 테스트 패턴을 생성하는 방법을 보인다. Binary decision diagrams have proven to be a concise means for completely defining the logical operations of digital devices. This paper investigates how to applicate them in the area of random testing. As binary decision diagrams completely describes the logical operations of digital devices, we propose the technique to generate weighted reandom test patterns using them. The weights are derived from the experiment which describes all possible modes of operation of the device. We assign the weights to the test inputs of the device in proportion to their relative importance. Then we present the technique to generate the weighted random test patterns.

저장용액의 온도에 따른 치주인대세포의 생존율

조재현,김성오,최형준,이제호,손흥규,최병재 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.1

외상성 손상 후 치아 탈구 시 치아를 저장하는 저장용액의 종류와 온도가 치주인대세포의 생존율에 어떠한 영향을 미치는지 연구하기 위하여 치주인대세포를 10% fetus bovine serum(FBD) 함유 α-minimal essential medium(α-MEM)에서 37℃ 5% CO_(2) 공기 혼합 배양기에서 배양하고 4.25, 37℃의 Hank's balanced sa1t solution(HBSS)과 α-MEM, 우유(S회사, P회사), tap water에 저장하고 60분이 지난 후 각 군에 대해 치주인대세포의 생존율을 측정하기 위하여 MTT assay를 시행하여 다음과 같은 결과를 얻었다. 1. 4℃ 저장용액의 치주인대세포의 생존율은 α-MEM과 P회사우유에서 가장 높았고 HBSS, S회사우유, tap water 순으로 낮았다. 2. 25℃ 저장용액의 치주인대세포의 생존율은 α-MEM에서 가장 높았고 P회사우유, HBSS, S회사우유, tap water 순으로 낮았다. 3. 37℃ 저장용액의 치주인대세포의 생존율은 α-MEM과 P회사우유, HDSS, S회사우유에서 높았고 tap water에서 가장 낮았다. 4. α-MEM의 치주인대세포의 생존율은 4℃에서 가장 높았고 25℃와 37℃ 순으로 낮았으며 HBSS에서는 4℃에서 높았고 25℃와 37℃에서 낮았다. 5. S회사와 P회사우유에서 치주인대세포의 생존율은 4℃와 25℃에서 높았고 37℃에서 낮았다. 이상의 결과를 종합해볼 때 외상으로 인해 치아가 탈구되었을 때 탈구된 치아의 저장용액으로 HBSS 용액이 추천되고 있으나 이 연구에서 4℃와 25℃ 우유에서 치주인대세포의 생존율이 높았으므로 사고 현장에서 쉽게 구할 수 있고 치주인대세포의 생활력 보존에도 유리한 낮은 온도의 우유에 탈구된 치아를 보존하는 방법도 좋을 것으로 생각된다. To compare the survival rate of periodontal ligament cells preserved in storage media with good availability at the time of an avulsion injury, periodontal ligament cells were incubated in α-MEM culture medium containing 10% FBS in condition of 37℃, 5% CO_(2). These cells were then cultured in HBSS, α-MEM, milk(S. co., P. co.) and tap water at the temperature of 4, 25, 37℃ each in 60 min. The groups were measured by MTT assay. The results were as follows : 1. Among the storage media at 4℃, α-MEM and P-milk had the highest preserving ability of periodontal ligament cells, while that of HBSS, S-milk and tap was low in order. 2. Among the storage media at 25℃, α-MEM had the highest preserving ability of periodontal ligament cells, while that of P-milk, HBSS, S-milk, tap water was low in order. 3. Among the storage media at 37℃, the preserving ability of periodontal ligament cells was very high in α-MEM, P-milk, HBSS and S-milk. it' s lowest in tap water. 4. The preserving ability of periodontal ligament cells in α-MEM was high at 4℃ and it’s low in order of 25℃, 37℃, but in HBSS was high at 4℃ and it's low at 25℃, 37℃. 5. The preserving ability of periodontal ligament cells in S-milk and P-milk was high at 4℃, 25℃ and it’s low at 37℃. In conclusion, HBSS is the storage medium of choice in an avulsion, but in this study it is preferable to choose milk at 4℃ for tooth since it is easy to get and affect cell viability.

크론병에 대한 CoPPLX의 방어효과에 대한 연구

이호학,김유림,문창기,이재일,양병윤,김종수,이정민,정재혁,안석진,박상준,김윤권,김소연,김영중,조민구,최영자,장성조 圓光大學校 醫科學硏究所 2005 圓光醫科學 Vol.20 No.1

5-Fluorouracil이 흰쥐 肝臟의 燐酸鹽 分解酵素의 活性에 미치는 影響

鄭鎬三,蘇秉造,李圭植 한양대학교 의과대학 1985 한양의대 학술지 Vol.5 No.1

The 5-Fluorouracil (5-FU) has been used as a synthetic antineoplastic agent with the synthesis of nucleic acid in the cell. Unfortunately this drug is known to cause toxic reaction in normal tissue also. In this experiment, the authors studied the effect of 5-FU on the rat liver histochemically observing the change in the activities of acid phosphatase and adenosine triphosphatase. Healthy albino male rats (Wistar strain) were used as experimental animals which were divided into the control and 5-FU treated groups. All experimental animals were given food and water unlimited. The animals of experimental group were administered 5-FU, in a dose of 50mg per kg of body weight by intraperitoneal injection. The animals of control groups were administered only water for injectio. The experimental animals were sacrificed at 6, 12, 24 and 36 hours after administration of 5-FU, respectively. The liver specimens, sectioned by cryostat were stained by Gomori method and by Wachestein and Meisel method for studying changes in the activities of acid phosphatase and that of ATPase, respectively. The results obtained were as follows: 1. The acid phosphatase activity was increased in the hepatic parenchymal cells of the 5-FU treated rat liver. 2. The adenosine triphophatase activity was decreased in the intralobular bile canaliculi of the 5-FU treated rat liver. Consequently, it is suggested that 5-FU would induce the change in the activities of possibly from production of toxic metabolites and subsequent damage in rat liver.

외기요법이 체표온도 변화에 미치는 영향

노일호,김병완,정광조,曺政孝,黃相畯,吳旼錫 대전대학교 한의학연구소 2003 한의학연구소 논문집 Vol.12 No.1

This study is about the relationship between the effect of Radiating Qui Therapy on human body and the resulting subjective qui sensation. Patients were between 30 and 50 years of age. n=21 persons received DITI (n=14 patients were provided, n=9 control group) twice examination with Radiating Qui Therapy. First all patients were examined by DITI. After treatment with Radiating Qui Therapy (n=14) both the treated and the control groups were eaxmined again. Radiating Qui Therapy is provided upright position. After Radiating Qui Therapy 92% of the treated group felt a significant qui sensation and 43.5 % felt a warmth at the abdomen and over the whole body. A data of this study show Radiating Qui Therapy has s stimulating effect on human skin temperature. As disease region and Qui sensation are very closely related to each other results strongly suggest that Radiating Qui Therapy could be used as a treatment for a several disease.

Alcoholics 환자와 Alcohol Dehydrogenase

정태호,신창규,이종학,강병조 경북대학교 병원 1998 경북대학교병원의학연구소논문집 Vol.2 No.1

저자들은 만성알콜중독의 원인으로 음주자의 성격, 사회요인 등 여러가지 문제들이 게재되어 있지만 유전적 요인도 중요하리라고 생각되어 만성알콜중독자로 진단되어 국립부곡정신병원에 입원가료 중인 환자 30명을 대상으로 ADH2의 다형현상(polymorphism)을 조사하여 알콜중독자가 아닌 건강한 한국인의 유전자형과 비교한 결과 다음과 같은 결과를 얻었다. 만성알콜중독자 30명 중 ADH2-1/ADH2-1 형을 갖는 사람이 27명이었으며 ADH2-1/ADH2-2를 갖는 사람이 3명이었다. ADH2¹의 gene frequencies는 0.68이었으며 ADH²의 gene frequencies는 0.32로서 정상 한국인과 비교하여 유의한 차이가 없었다. This study was performed to know the gene polymorphism of alcoholic dehydrogenase(ADH)-2 in 30 Korean alcohol addicted patients who were admitted at Bugok National Mental Hospital. The results were as follows ADH-2/ADH2-1 type among 30 alcohol addicts were 27 and ADH2-1/ADH2-2 type were 3. Gene frequencies of ADH2-1 were 0.68 and gene frequencies of ADH2-2 were 0.32 These results were not different from the gene polymorphism of ADH2 in non-alcoholic Korean healthy adults.