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.

생명과학 수업이 유아의 자연친화지능과 과학적 탐구능력에 미치는 영향

이희수,오영희 培材大學校 人文科學硏究所 2011 人文論叢 Vol.28 No.-

The purpose of the study was to provide the basic materials of scientific educational program suitable to young children by showing the effects of life science teaching on young children's naturalist intelligence and scientific inquiring ability. Research issue 1. What are the effects of life science teaching on young children's naturalist intelligence? Research issue 2. What are the effects of life science teaching on young children's scientific inquiring ability? 2-1. What are the effects of life science teaching on the children's ability to predict of the children's scientific investigation? 2-2. What are the effects of life science teaching on the children's ability to observe of the children's scientific investigation? 2-3. What are the effects of life science teaching on the children's ability to classify of the children's scientific investigation? 2-4. What are the effects of life science teaching on the children's ability to measure of the children's scientific investigation? 2-5. What are the effects of life science teaching on the children's ability to discuss of the children's scientific investigation? The target groups of the study are a class of twelve children of 4 years old who are total 24 students of two different day care centers in Daejeon City. The children of the experimental group, A, in one daycare center have been instructed with the life science teaching for the science activity for 16 weeks, while the control group, B, in a different day care center, have been instructed the standard of child care process for the science activity. The measurement of young children's naturalist intelligence and scientific inquiring ability had been used 'the multiple intelligence test (PMIT-E) for preschoolers' and 'the testing instrument of scientific inquiring ability'. To know the difference of their naturalist intelligence between the experimental group and the control group, the research material collected through such a testing instrument had been verified the corresponding sample, t and to know the difference of their scientific inquiring ability, the significance had been verified through the application of ANCOVA. The crucial result on the study is as follows. Firstly, the children who were instructed with the life science teaching statistically significantly improved the young children's naturalist intelligence more than the children who were not instructed with the life science teaching. Therefore, life science teaching has a positive effect on improving young children's naturalist intelligence. Secondly, the result after the study is that the life science teaching has a considerable effect on scientific inquiring ability. The experimental child group experienced a significantly noticeable point increase statistically compared to that of the opposing group. Therefore, life science teaching has a positive effect on improving young children's scientific inquiring ability. Therefore, life science teaching has an effective class on young children's naturalist intelligence and scientific inquiring ability.

췌장염에 의한 가성낭종내에 생긴 가성동맥류 : 1례 보고

오연희,이채경,김승현,이성우,양창현,이정호,이영현 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

만성 췌장염의 합병증으로 생긴 가성동맥류는 드문질환으로, 반복적으로 다량의 출혈을 일으킬 수 있으며, 치료를 하지 않을 경우 사망율이 높기 때문에, 조기 진단과 치료가 필수적이다. 저자들은 38세 남자 환자에서 췌장염의 합병증으로 생긴 가성낭종내에서 발생한 가성동맥류 1예를 경험하였기에 보고하는 바이다. 가성 동맥류의 색혈류도플러상 낭종내에 양방향 흐름의 와류를 볼 수 있었다. Pancreatic Pseudoaneurysm within Pseudocyst from Pancreatitis: 1 Case Department of Diagnostic Radiology and Internal Medicine, College of Medicine,DongGuk University Yeon Hee OH M.D., Chae Kyeong Lee M.D., Seoung Hyeon Kim M.D., Sung Woo Lee M.D., Chang Heon Yang M.D., Jung Ho Lee M.D., Young Hyun Lee M.D. Pseudoaneurysm from pancreatitis is uncommon, but it can cause recurrent and massive hemorrhage. Because of high morbidity and mortality, early detection and treatment of the pseudoaneurysm is needed. We report a case of pseudoaneurysm within pseudocyst from pancreatitis. Color-flow Doppler sonography shows bidirectional flow and turbulent arterial flow, within anechoic mass.

이규보(李奎報) 배율연구(排律硏究)(2) -관인활동(官人活動) 시기(時期)를 중심(中心)으로-

이희영 ( Lee Hee Young ) 한국어문학국제학술포럼 2020 Journal of Korean Culture Vol.48 No.-

본고는 이규보 생애에 걸친 배율을 연구하는 목적의 일환으로 관인활동 시기 배율 창작의 양상을 살펴보고자 하였다. 이 시기에 이규보는 높은 직위의 관인들과 교유하면서 일어나는 의례적인 상황과 좌천이라는 불리한 상황 속에서 벗어나기 위하여 奉贈의 배율을 짓기도 하였다. 이것은 대상과 목적이 뚜렷한 상황에서 격식을 지키면서도 정중하게 자신의 의사를 전달할 수 있는 배율이 지니는 詩體의 장점을 활용한 것이라고 할 수 있다. 다음으로 이 시기 이규보는 題詠·詠物·戲作에서 배율을 활용하면서 주제의 다변화를 추구하였다. 이것은 배율의 운용이 제한된 주제와 특정한 환경에서 벗어났음을 의미한다. 이를 통해서 이규보 詩作의 성숙함이 일정한 경지에 도달하였음을 확인하게 한다. 끝으로 이 시기 이규보가 다양한 일상에서 배율을 활용하였음을 확인하였다. 이를 통하여 이규보가 배율을 개인의 영역 어디에서나 필요에 따라 선택할 수 있는 詩體로 인식했다는 것을 알 수 있었다. 이러한 창작의 바탕에는 杜甫로부터 시작하여 白居易에 이르기까지 배율을 궁정문학의 틀 안에서 벗어나 일상의 詩體로 활용한 前人들의 흐름을 충실히 익힌 데 있다고 할 수 있다. This study set out to investigate the creative patterns of Baeyul by Lee Gyu-bo during the years of his positions in the government under the goal of understanding his Baeyul creations throughout his life. During the period, Lee created Baeyul works of Bongjeung to escape from the formal situations happening in exchanges with government officials in a high rank and his unfavorable condition of demotion, thus taking advantage of Baeyul's merits in the poetic style, which allow one to deliver his or her intention respectfully while keeping the formality in a situation of clear objects and goals. During the period, Lee also sought after the diversification of his topics, making use of Baeyul in Jeyeong, Yeongmul, and Heejak, which indicates that Baeyul was free in its operation from an environment of limited topics and certain environments. This shows that Lee's maturity in poetic creation reached a certain level. Finally, he also used Baeyul in various aspects of his daily life during the period, which shows that he regarded Baeyul as a poetic style that he could choose in every aspect of his life whenever it was required. At the root of his creations was his faithful acquisition of the flow among the poets of the previous generations from Du Fu to Bai Juyi who grew out of the old framework of court literature and used Baeyul as a daily poetic style.

Elderly kidney transplant recipients have favorable outcomes but increased infection-related mortality

임정훈,Lee Ga Young,Jeon Yena,Jung Hee-Yeon,Choi Ji Young,CHO, JANG-HEE,Park Sun Hee,김용림,Kim Hyung-Kee,Huh Seung,유은상,Won Dong Il,Kim Chan-Duck 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.3

Background: The number of elderly patients with end-stage kidney disease has been increasing, but the outcomes of kidney transplants (KT) remain poorly understood in elderly patients. Therefore, we evaluated the clinical outcomes of elderly KT recipients and analyzed the impact of elderly donors. Methods: This retrospective cohort study included patients who underwent KT between 2000 and 2019. KT recipients were divided into four groups according to a combination of recipient and donor age (≥60 or <60 years); elderly recipients: old-to-old (n = 46) and young-to-old (n = 83); young recipients: old-to-young (n = 98) and young-to-young (n = 796). We compared the risks of mortality, graft failure, and acute rejection between groups using Cox regression analysis. Results: The incidence of delayed graft function, graft failure, and acute rejection was not different among groups. Annual mean tacrolimus trough level was not lower in elderly recipients than young recipients during 10-year follow-up. Mortality was significantly higher in elderly recipients (p = 0.001), particularly infection-related mortality (p < 0.001). In multivariable Cox regression analysis, old-toold and young-to-old groups had increased risk of mortality (adjusted hazard ratio [aHR], 2.89; 95% confidence interval [CI], 1.14– 7.32; p = 0.03; aHR, 3.06; 95% CI, 1.51–6.20; p = 0.002). However, graft failure and acute rejection risks were not increased in elderly recipients. Conclusion: In elderly recipients, graft survival and acute rejection-free survival were not inferior to those of young recipients. However, mortality, especially risk of infection-related death, was increased in elderly recipients. Thus, low immunosuppression intensity might help decrease mortality in elderly recipients.

이규보(李奎報) 배율연구(排律硏究)(3) - 치사(致仕) 이후(以後)를 중심(中心)으로

이희영 ( Lee¸ Hee-young ) 한국어문학국제학술포럼 2021 Journal of Korean Culture Vol.54 No.-

본고는 致仕 이후 李奎報(1168-1241) 배율에서 보이는 작품세계의 양상을 확인하고자 하였다. 이 시기 이규보 배율은 자신의 서정을 읊는 내용보다는 교유의 수단으로 활용하는 경향성을 확인하게 한다. 그는 座主와 門生의 모임 落成式 등과 같은 자리 및 奉贈해야 하는 의례적 상황에서 배율을 짓고, 이를 통하여 중후한 정서를 드러내며 상대에 대한 존중의 의미를 전달하고자 하였다. 다음으로 조정에서 함께 일했던 동료 문인 및 동년들과 次韻相酬하는 과정에서 배율을 짓고, 그들과 진솔한 감정을 나누고자 하였다. 상대와 자신의 오래된 인연과 친분, 그리고 상황을 對仗의 형식으로 다양하게 보여주었다. 끝으로 지적 유희의 수단으로 배율을 활용하는 경향성을 확인하였다. 배율의 시체는 對仗을 연속하여 사용하기 때문에, 편폭이 길어지거나 回文體와 같은 형식의 추가는 상대에게 많은 부담을 준다. 노년에도 장편 회문 배율과 연작 배율의 창작은, 이규보의 作詩 과정이 몸의 어려움을 잊게 할 정도의 즐거움이었다고 할 수 있다. 이러한 동료들과 시를 주고받는 과정을 통하여 삶의 활력을 얻고 오락으로서 즐기는 지적 유희의 한 경향성을 확인할 수 있었다. 이규보가 전 생애에 걸쳐 作詩한 배율의 한시사적 의의는, 이러한 중국 배율시의 흐름을 인식한 가운데 이뤄져야 명확해질 것이다. 아울러 이를 통하여 한 걸음 더 나아가 고려시대 배율을 수용하고 활용하는 측면까지도 확인할 수 있을 것이다. 이에 대한 논의는 다음의 과제로 미룬다. This study set out to examine the patterns of Lee Gyu-bo(1168-1241)'s creative world in his metrical poems after his resignation. After resigning from office, Lee showed a tendency of creating metrical poems as a means of seeking social intercourse rather than expressing his feelings. He wrote metrical poems at gatherings of Jwajus and Munsaengs, events such as Nakseongsik, and ceremonial situations demanding Bongjeung, trying to reveal solemn emotions and convey his respect for others. Next, he also created metrical poems in the process of Chawoonsangsu with his colleague literary men and fellows that he worked with at the royal court, trying to share honest feelings with them. He exhibited his long relationships, closeness and situations with others in various forms of Daejang. Finally, Lee had a tendency of using metrical poetry as a means of intellectual play. Since the poetic style of metric poems uses Daejang consecutively, they become prolonged in Pyeonpok or impose a huge burden on others through the addition of Hoimunche. Lee continued to write long Hoimuns and metrical poems and even series of metrical poems in old age, which indicates that he found enough joy in the process of writing a poem to forget about his physical difficulties. The findings of the study confirm Lee's tendency of getting the vitality of life and enjoying intellectual play as entertainment by exchanging poems with his colleagues.

한방 이화주의 미백 및 피부 주름 개선 효과

이상진(Sang-Jin Lee),권이영(Yi-Young Kwon),조성원(Sung-Won Cho),권희숙(Hee-Suk Kwon),신우창(Woo-Chang Shin) 한국식품영양과학회 2013 한국식품영양과학회지 Vol.42 No.4

본 연구에서는 한방이화주의 피부 생리기능 활성을 알아보기 위해 70% EtOH 추출물의 피부 미백, 주름 개선 및 항염증 효과를 조사하였다. HEE은 tyrosinase 활성 억제 및 tyrosine을 기질로 melanin이 형성되는 pathway에 관여하는 주요한 인자인 TRP-1과 TRP-2를 저해하는 작용 기전을 통해 피부 색소침착의 주요 원인 물질인 melanin 생합성을 농도 의존적으로 저해하는 것을 확인하였다. HEE은 피부진피 내 피부 탄력을 유지하는 elastin을 분해하는 효소인 elastase의 활성을 저해하였고, 피부의 keratinocyte가 생성분비하는 MMP-2와 MMP-9의 단백질 발현과 proteolytic 활성을 억제하여 노화에 따른 피부 주름 생성 억제할 수 있는 가능성을 확인하였다. 또한 세포 독성 없이 LPS에 의해 유도된 염증 반응을 50% 저해하는 HEE의 농도(IC50)는 24.9 μg/mL이며, 50 μg/mL 농도로 처리하였을 때 염증 반응 저해 효과가 70%로 높은 효과를 가지는 것을 확인하였다. 이상의 결과를 종합하면 HEE의 피부 미백, 주름 개선 및 항염증에 우수한 효과를 나타내고 있으므로 기능성 화장품의 주요한 소재로 이용 가치가 높을 것으로 사료된다. Extrinsic skin aging is characterized by the loss of skin tone and resilience, irregular pigmentation, and deep wrinkles. The aim of this study was to investigate the effects of Ehwa Makgeolli containing oriental herbs (Glycyrrhiza uralensis Fisch., Lycium chinense MILL., Morus alba L., and Saururus chinensis Baill) on skin whitening and wrinkling in human skin cells. We prepared Makgeolli extracts (HEE) with 70% ethanol. HEE significantly inhibited in vitro mushroom tyrosinase activity and reduced the cellular and secreted melanin content of mouse melanoma melanocytes (B16F1 cells). HEE down-regulated the protein expression of tyrosinase related protein (TRP)-1/-2, a key player in melanogenesis. Treatment with HEE in human keratinoctyes (HaCaT cells) inhibited the proteolytic activities of matrix metalloproteinase (MMP)-2/-9 in a dose-dependent manner and dramatically reduced the expression of MMP-2/-9. In addition, HEE attenuated lipopolysaccharide (LPS)- induced nitric oxide production in murine macrophages (RAW264.7 cells). These results indicate that HEE may be a great cosmeceutical ingredient for its whitening, anti-wrinkle, and anti-inflammatory effects.

Hepatic Cirrhosis Occurring in a Young Woodchuck(Marmota monax) Due to Vertical Transmission of Woodchuck Hepatitis Virus(WHV)

Kyu-shik Jeong,정원일,Jae-yong Chung,Mi-young An,Chae-yong Jung,Gyoung-jae Lee,Jong-soo Kang,Byeong-cheol Kang,Young-heun Jee,Bruce H Williams,Young-oh Kwon,Da-hee Jeong 대한수의학회 2003 Journal of Veterinary Science Vol.4 No.2

Cirrhosis Occurring in a Young Woodchuck (Marmota monax) Due to Vertical Transmission of Woodchuck Hepatitis Virus (WHV)Da-hee Jeong, Won-il Jeong, Jae-yong Chung, Mi-young An, Chae-yong Jung, Gyoung-jae Lee1, Jong-soo Kang1, Byeong-cheol Kang2, Young-heun Jee3, Bruce H Williams4, Young-oh Kwon5 and Kyu-shik Jeong*College of Veterinary Medicine, Kyungpook National University, Daegu 702-701, Korea1Shinwon Scientific Co., LTD, Research Institute, Suwon, Korea2Clinical Research Institute, Seoul National University, Seoul 110-744, Korea3College of Veterinary Medicine, Jeju National University, Jeju 690-756, Korea

토양중 게르마늄 농도에 따른 벼의 생육 특성 및 게르마늄 흡수

이성태,이영한,최용조,이상대,이춘희,허종수 한국환경농학회 2005 한국환경농학회지 Vol.24 No.1

게르마늄의 약리효능이 알려짐에 따라 게르마늄이 깅화된 기능성 농산물의 요구도가 높아지는 추세이다. 본 연구는 게르마늄의 농업적 이용에 대한 기초 사료를 제공하고자 실시하였으며, 벼의 생육 및 게르마늄 흡수에 미치는 게르마늄처리 효과는 다음과 같다. 게르마늄을 0, 2.5, 5.0, 7.5 및 10.0 mg/kg으로 처리할 토양을 와그너포트에 넣어 벼를 재배힌 결과, 게르마늄 처리농도가 증가할수록 게르마늄 독성의 증가로 초장, 수장, 수수 및 수량이 급격히 감소하였으며 게르마늄 2.5 mg/kg 이상에서는 게르마늄 독성이 발생하였다. 게르마늄 처리농도가 증가할수록 벼의 게르마늄 흡수랑은 증가하였으나 벼의 게르마늄 이용율은 게르마늄 2.5, 5.0, 7.5 mg/kg 처리에서 각각 20.7, 12.5 및 7.5%로서 게르마늄 처리농도가 증가할수록 감소하였다. 벼의 부위별 게르마늄 함량은 볏짚>왕겨>현미 순으로 높았다. 게르마늄 2.5 mg/kg 처리시 볏짚, 왕겨 및 현미의 게르마늄 함량은 각각 103.4, 30.2 및 3.02 mg/kg 이었고, 볏짚과 왕겨에서는 게르마늄 무처리에서도 각각 2.9 및 3.9 mg/kg을 함유하고 있었다. 쌀의 아미노산 함량을 분석한 결과 게르마늄 처리농도가 증가할수록 Asx., Thr., Ser. 등 대부분 종류의 아미노산 함량이 증가하였으며, 그 결과 현미중 질소흡수량도 증가하였다. In order to obtain the basic information for agricultural utilization of Germanium(Ge), the growth characteristics and Ge absorption of rice plant were investigated with different Ge concentration in soil. Ge concentrations were treated with 0, 2.5, 5.0 7.5 and 10.0 mg/kg in pot(1/5,000a), respectively. As higher the Ge concentration in soil, the Ge absorption amount in straw, husk and brown rice were increased. But the yields were decreased with the increase of Ge phytotoxicity. When rice plant was grown more than 2.5 mg/kg Ge(as GeO₂) in the soil, growth was inhibited by germanium phytotoxicity and necrosis spots were observed in the rice leaf blades. Therefore the optimum concentration of Ge was less than 2.5 mg/kg in rice plant. When rice plant was cultivated on soil supplemented with 2.5 mg/kg Ge, Ge content in straw, husk and brown rice was 103.4, 30.2 and 3.02 mg/kg, respectively. The Ge content in plant was high in the order of straw > husk > brown rice. Most of the amino acids in rice were increased with the increase of Ge treatment, besides, total amino acid contents also increased.

경희대학교 국제캠퍼스 걷고 싶은 거리 조성계획

김동찬,김영준,마원,김충희,노경식,이가영 경희대학교 부설 디자인연구원 2008 예술· 디자인학연구 Vol.11 No.1

Kyung-Hee University Global Campus accepted changing of education environment to adapt to the World's information technology society so that school has been preparing the Master plan to grow up campus's vision since 2007. However, realization of the Master plan need a lot of financial resources, much times and phases in improvement. Especially, our university needs symbolized business in 2009 due to the 60th anniversary of our university. Based on this we want to improve the main entrance road environment from school gate to the school of international management and reconstruct the spatial environment beside the main road. The purpose of this research is to construct a pedestrian space environment and reconstruct the campus environment which adapt to the new times' demands. That is why the Master plan is trying to find the landscape scenic which adapts to our school' s main entrance space and the improvement method about the pedestrian space of the Global campus to congratulate of our university's 60th anniversary.