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.

Multiple myeloma 환자에서 Bortezomib치료 후 발생한 마비성 장폐색증 1례

김준영,이원식,손창학,박성길,진한영,박석주,조영완,정은욱,강명주,박정하,주영돈 인제대학교 2006 仁濟醫學 Vol.27 No.-

Bortezomib is the first clinically available proteasome inhibitor that is clinically effective in the treatment of multiple myeloma. A proteasome inhibitor acts through multiple mechanisms to arrest tumor growth, tumor spread, and angiogenesis. The main adverse effects of bortezomib are gastrointestinal symptoms, cytopenia, fatigue, and peripheral neuropathy. To date, severe paralytic ileus has not been reported as a toxic effect of bortezomib treatment in multiple myeloma. Bortezomib is a novel agent that has only been used clinically for 30 months, so a need exists to further evaluate its toxicity. We report a case of grade Ⅲ (NCI CTCAE v3.0) or grade Ⅳ(SWOG toxicity criteria) paralytic ileus in a 65-year-old man with relapsed multiple myeloma who underwent one cycle of single-agent bortezomib treatment scheduled in a 21-day cycle (1.3 mg/㎥ as a single i.v. bolus on days 1, 4, 8, and 11).

國內 無煙炭의 循環流動層 보일러에서 脫黃 特性 硏究

정진도,김장우,하준호 한국대기환경학회 2004 한국대기환경학회지 Vol.20 No.4

Circulating fluidized bed combustion (hereafter CFBC) technology enables an efficient combustion for the materials with low heating values such as high ash coal and sludges. It also has desulfation function by adding limestone directly to combustor. The CFBC has been considered as one of the best processes for low grade coal containing with large contents of ash and sulfur. In this paper, in order to various tests were performed to find the optimum desulfation condition for CFBC using Korean Anthracite. We surveyed possible parameters and conducted desulfation efficiency test in D Thermal Power Plant. In addition. the result of some fundamental theoretical consideration was discussed with CFBC. Optimum limestone size could be considered to be 0.1~0.3 mm irrespective of combustion temperature and Ca/S molar ratio variation. Desulfation efficiency increased as the molar ratio increased. Because desulfation process occurs at the surface at higher temperature. inner side of limestone can't be utilized. When surface area is not appropriate, some SO₂ emit without reaction. Optimum molar ratio should be decided after considering chemical and physical properties of limestone and coal thoroughly such as particle size, pore size and HGI. Commercial CFBC is operated at Ca/S 1.6. Combustor temperature 840~870℃ shows good desulfation efficiency.

노인주거 복지시설의 개발방안에 관한 연구

권준오,양옥진,김하경 朝鮮大學校 建設技術硏究所 1998 建設技術硏究 Vol.18 No.1

This study has tried to find out how to effectively develop silver towns. The following is the results ; First, it is strongly needed that the government should try to make real of policies on the welfare of the aged against the aging society. Second, and the silver works will be a prospecting one in the 21st century with potential according to the increasing number of the rich aged, and in regard to developing silver towns, various systems and laws and difficult procedures related to it have been confornted problems. Third, it is assumed that the aged prefer suburban residential area, which allow them to easily access to medical services, cultural facilities as well as residential district. In our country, the aged are in the increasing tendency to live independently with retirement pay, pension, insurance. So, it is desirable to encourage private organizations to investigate in silver works by loosing the conditions regarding silver works with revision of related laws, simplifying the developing procedures and tax privilege. It is required that creating social mood in which encourage public corporations with public interest and public trust and private profit-making groups to actively take part in silver works. Publication activities for improving and promoting public awareness and interest on the silver town should be also continued.

고형배지의 종류가 수경재배 멜론의 품종별 과실의 생육과 품질에 미치는 영향

전하준,황진규,김인규,손미자 대구대학교 생명과학연구소 2004 생명과학연구 Vol.3 No.1

In order to examine how growth substances influence to fruit growth and its quality, we cultivated 3 different kinds of melons which grown in hydroponic system into 3 different types of growth substances, such as perlite, perlite/rock wool and rock wool/perlite. In this experiment, “Siroi Kagayaki”, showed no significant difference in fruit weight and its diameter in any of growth substances, but higher in plant height in perlite/rock wool than Perlite. In case of “TS-1806”, there were no significant differences in soluble solids, fruit weight and diameter in all the substances. However, it showed longer in fruit length in rock wool / perlite than that in perlite/ rock wool. In addition, the soluble solids in placenta and flesh were higher in perlite than those in rock wool/perlite.

흉요추 이행부 골절환자의 임상분석

김준수,김은상,이종서,박용규,백선하,박인성,정진명,한종우 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

To clarify the prognostic factors influencing clinical outcome. the authors retrospectively analyzed 50 cases of thoracolumbar vertebral junctuon fracture treated at our hospital between September 1989 and October 1992. The age of the patients ranged from 23 to 75years(median 49years) and the male-to-female ratio was 33:17. Falling was the major mode of injury(n=27). The kyphotic angle between fractured vertebrae and the ratio of neural canal encroachment was measured in a simple X-ray and a computed tomography(CT) of the thoracic spine. An ANOVA test was performed to evaulate the predicting factors to determine the final outcome. The kyphotic angle and loss of height of vertebral body were not significantly correalted with the neurological status of the patients. However. the ratio of the compromised area of the neural canal was closely correlated with the neurological outcome(p value<0.05). The worst prognosis was found in patients with fracture-dislocation. In conclusion. it is suggested that early surgical intervention must be considered in the neurologically compromised patients whose CT demonstrates neural canal encroachment by bony fragments.

유근피가 고콜레스테롤식이를 급여한 흰쥐의 지질대사에 미치는 영향

이미정,하진옥,이재준,이명렬 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.34 No.1

연구배경: 유근피는 기능성식품의 신소재로 개발하기 위해서 체계적인 식품학적 연구 및 생리활성효능의 검증이 요구된다. 본 연구에서는 유근피 에탄올 추출물(UDEE)이 고콜레스테롤식이를 급여한 흰쥐의 지방대사 개선효과에 미치는 영향을 구명하고자 혈청 및 간 중의 지질 조성 변화를 검토하였다. 방법: 5주령의 Sprague Dawley계 웅성 흰쥐에게 1% 콜레스테롤과 0.25% sodium cholate를 함유한 고콜레스테롤식이를 조제하여 6주간 급여하였다. 실험군은 정상식이군(NOR), 고콜레스테롤식이군(대조군, CON), 정상식이와 유근피 에탄올 추출물 저용량 투여군(UD1), 정상식이와 유근피 에탄올 추출물 고용량 투여군(UD2), 고콜레스테롤식이와 유근피 에탄올 추출물 저용량 병합 투여군(UDC1) 및 고콜레스테롤식이와 유근피 에탄올 추출물 고용량 병합 투여군(UDC2)의 6군으로 나누어 실시하였다. 유근피 에탄올 추출물은 매일 같은 시각에 경구 투여한 후 흰쥐의 혈액과 간장 내의 지질 조성을 관찰하였다. 결과: 체중증가율과 간 무게는 CON군이 NOR군에 비하여 높게 나타났으나, 고콜레스테롤식이와 유근피 추출물을 병합 투여한 UDC1군과 UDC2군에서 점차 감소하는 경향을 보였다. 혈청 중 ALT, AST 및 ALP 활성은 CON군에서 유의적으로 증가하였고, UDEE 투여로 농도 의존적으로 감소하였다. UDEE 투여군에서는 CON군에 비하여 HDL-콜레스테롤/총콜레스테롤, HDL-콜레스테롤 및 인지질 함량은 증가하였으나 중성지질, 총콜레스테롤, 유리콜레스테롤 및 LDL-콜레스테롤 함량은 감소하였다. 중성지질, 인지질, LDL-콜레스테롤, HDL-콜레스테롤 및 유리콜레스테롤 함량은 정상식이를 급여한 군들 간에는 유의차가 없었다. 또한, 간 중 중성지질과 총콜레스테롤 함량도 UDEE 투여군이 CON군에 비하여 낮았다. 결론: 유근피 에탄올 추출물은 혈청 및 간의 콜레스테롤 함량을 저하시켜 고콜레스테롤혈증 예방과 치료에 효과적일 것으로 판단되어진다. Background and Objectives: This study was performed to investigate the effect of ethanol extract of Ulmus davidiana var. japonica Nakai(UDEE) on serum and liver lipid metabolism in rats fed high cholesterol diet. Methods and Materials: Male Sprague-Dawley rats were administered 1% cholesterol and 0.25% sodium cholate to induce hypercholesterolemia. We divided into six groups; normal diet group(NOR), high cholesterol diet group(CON), normal diet and UDEE 200 mg/kg administered group(UD1), normal diet and UDEE 400 mg/kg administered group(UD2), high cholesterol diet and UDEE 200 mg/kg administered group(UDC1), and high cholesterol diet and UDEE 400 mg/kg administered group(UDC2). Results: The growth rate and liver weight of the CON group was higher than the NOR, whereas the administered UDEE groups were gradually decreased. There was a significant increase in the activities of serum ALT, AST and ALP in CON group. The administration of UDEE decreased serum ALT, AST and ALP activities in dose dependently manners. UDEE administered groups were increased HDL-C/T-C, HDL-cholesterol and phospholipid levels, and decreased serum triglyceride, total cholesterol, free cholesterol, and LDL-cholesterol levels as compared with CON group. There were no differences in the levels of serum triglyceride, phospholipid, LDL-cholesterol, HDL-cholesterol and free cholesterol between normal diet groups. The hepatic levels of total cholesterol and triglyceride were also lower in UDEE administered groups than in CON group. Conclusion: These results suggest that UDEE exerts hypocholesterolemic effect by reducing serum and liver cholesterol contents.

Ethylenediaminetetraacetic acid (EDTA)항응고제에 의한 Mean Corpusculaar Volume(MCV)변화

홍승민,박영진,최하여,임진,정옥연,이호준,이호영,장숙진,문대수 조선의대 1996 The Medical Journal of Chosun University Vol.21 No.2

급성충소돌기염의 임상 : 병리학적 고찰

양기화,조준필,하영천,한진우,정학재,손수창,이성희,황재훈,신철호 최신의학사 1989 最新醫學 Vol.32 No.4

회맹장 판막에 발생한 아니사키스증 1례

이재익,박정하,김준영,조영완,진한영,강명주,정은욱,박석주,양성연 인제대학교 2006 仁濟醫學 Vol.27 No.-

Anisakiasis refers to parasitic infestation by nematode larvae that belongs to the subfamily Anisakinae, and this condition is seen in people who eat inadequately prepared or raw salt-water fish. While gastric anisakiasis is commonly diagnosed by endoscopic technique, intestinal anisakiasis is rare because it is less common and the clinical and radiologic features are poorly understood. The authors report a case of human anisakiasis involving the ileocecal valve in 62-year-old man who had the history of eating raw cuttlefish.