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.

단일명령정책 자동창고설비의 대기행렬길이 설계

장진익,김원중 대한설비관리학회 2004 대한설비관리학회지 Vol.9 No.1

Due to the complexity and stochastic nature of automated warehousing system, items are usually queued up at I/O point. We introduce a storage/retrieval policy : single-command. We present quick approximations to queueing phenomena under these policies. It is assumed that the storage and retrieval arrrival pattern follow the same poisson process. We also assumed that storage queue and retrieval queue being operated separately. The approximation attempts are performed under the proposed storage/retrieval policies after we derive S/R machine travel time distributions.

Fe-17%Cr 페라이트계 나노사이즈-산화물 분산강화합금의 인장성질과 고온산화에 미치는 산화물종의 영향

김익수,강창룡,이종문,이병우,정상훈,이원희 대한금속재료학회 2003 대한금속·재료학회지 Vol.41 No.12

In order to develop mechanically alloyed nano-sized ferritic ODS alloys, we have investigated the effect of three kinds of oxide such as Y₂O₃, Al₂O₃ and TiO₂, on the high temperature tensile properties, high temperature oxidation behavior and corrosion resistance. Due to the most distribution of fine and spherical particles, ODS alloys containing Y₂O₃ raise yield strength and tensile strength at high temperatures considerably. The results of high temperature oxidation tests indicate that the ODS alloys containing Y₂O₃, Al₂O₃ and TiO₂ are resistant to oxidation between 823K and 1023K. The ODS alloy containing Y2O3 by attributed by to thermal safety of Y₂O₃ showed an ecellent characteristics in oxidation and corrosion.

Streptomyces tubercidicus ME-9189 균주가 생산하는 nucleoside계 제초 활성 물질

김원곤,김종평,김창진,유익동 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.1

방선균으로부터 제초활성 물질을 탐색하던 중 쇠비름과 바랭이에 대하여 강한 제초활성을 갖는 균주를 선발하여, 그 균주가 생산하는 활성물질을 분리 정제한 후 구조를 결정하고 정제된 물질에 대한 활성을 조사하였다. 선발된 ME-9189 균주의 미생물학적 특성을 조사한 결과 본 균주는 Streptomyces tubercidicus로 동정되어 본 균주를 Streptomyces tubercidicus ME-9189로 명명하였다. 또한 균 배양 상등액으로부터 활성탄, silica gel, sephadex LH-20 column chromatography 및 재결정화를 통하여 제초활성 물질 ME-9189 화합물을 정제한 후 UV, ^1H 및 ^13C-NMR, EIMS 등의 기기분석을 한 결과 본 물질을 tubercidin(4-amino-7β-D-ribofuranosyl-7H-pyrrolo[2,3-d]pyrimidine)으로 동정하였다. Tubercidin은 10ppm의 농도에서 무우의 발아후 생육을 50% 저해하였으며, herbicidin A보다 약 2배 강한 활성을, toyocamycin과는 비슷한 활성을 나타내었다. Three thousand microbial strains collected from different sources were screened for herbicidal activity. A strain of ME-9189 showed herbicidal activity against Digitaria sanguinalis and Portulaca oleracea was isolated from a mountainy soil. Based on taxonomic studies, the strain was identified as Streptomyces tubercidicus. The active compound of ME-9189 was purified from the culture broth by charcoal. silica gel, sephadex LH-20 column chromatography and crystalization, consecutively. The ME-9189 compound was identified as tubercidin by spectroscopic methods of UV, ^1H and ^13C-NMR, and EIMS. In the bioassay, growth of radish shoot and root was inhibited by 50% with tubercidin treatment of 10 ppm, showing 2 times higher activity than that of herbicidin A and similar to that of toyocamycin.

분자유전학 검사로 확진된 Hereditary Neuropathy with Liability to Pressure Palsy 환자 1 례

변재환,이원영,박성익,기창석,공선영,김종원,김선희 대한근전도전기진단의학회 2003 대한근전도 전기진단의학회지 Vol.5 No.1

The predictive value of serum myeloma protein in solitary plasmacytoma

Won Ick Chang,Hyeon Kang Koh,Sung-Soo Yoon,Han-Soo Kim,Keun-Yong Eom,Il Han Kim 대한방사선종양학회 2020 Radiation Oncology Journal Vol.38 No.2

Purpose: To identify the clinical usefulness of serum M protein and to establish a rationale for regular follow-up with serum protein electrophoresis in solitary plasmacytoma. Materials and Methods: Sixty-nine patients with solitary plasmacytoma and solitary plasmacytoma with minimal marrow involvement according to the International Myeloma Working Group criteria were retrospectively reviewed. Results: At a median follow-up of 6.2 years, 5-year local control (LC), 5-year multiple myeloma-free survival (MMFS), 5-year failure-free survival (FFS), and 5-year overall survival (OS) were 82.6%, 44.1%, 41.8%, and 85.1%, respectively. Among the patients whose initial serum M protein was present or not evaluated, 37.3% of patients showed disappearance of serum M protein after various treatment. MMFS of these patients were comparable to non-secretory plasmacytoma with undetectable levels of M protein, and significantly better than patients with persistent M protein. Increase of serum M protein ≥0.1 g/dL was most predictive of treatment failure with area under the curve of 0.731. Conclusion: Patients who eventually showed persistence of serum M protein after treatment showed worse MMFS and FFS compared to those whose serum M protein disappeared or who had initially non-secretory disease. The increase of serum M protein level ≥0.1 g/dL from current nadir was predictive of treatment failure. Therefore, regular follow-up with serum M protein is highly recommended especially unless the patient had initially non-secretory disease.

Clinical relevance of necrotizing change in patients with community‐acquired pneumonia

Seo, Hyewon,Cha, Seung‐,Ick,Shin, Kyung‐,Min,Lim, Jae‐,Kwang,Yoo, Seung‐,Soo,Lee, Jaehee,Lee, Shin‐,Yup,Kim, Chang‐,Ho,Park, Jae‐,Yong,Lee, Won‐,Kee BLACKWELL SCIENCE 2017 RESPIROLOGY Vol.22 No.3

<P><B>ABSTRACT</B></P><P><B>Background and objective</B></P><P>Few studies have analysed a large number of patients with necrotizing pneumonia (NP) diagnosed based on computed tomography (CT) scans. The aim of the present study was to document the incidence and clinical features of NP in patients with community‐acquired pneumonia (CAP).</P><P><B>Methods</B></P><P>This retrospective study was conducted on CAP patients who had been admitted to a tertiary referral centre and who had available enhanced CT scan images. Patients were allocated into NP and non‐NP groups, and they were compared with respect to various clinical variables.</P><P><B>Results</B></P><P>Of the 830 patients included in the present study, necrotizing change was observed in 103 patients (12%). Patients with NP experienced more symptoms of pneumonia, had higher blood levels of inflammatory markers and more often required pleural drainage compared to patients with non‐NP. Although the use of mechanical ventilation, vasopressor infusion, 30‐day mortality, in‐hospital mortality and clinical deterioration did not differ between the NP and non‐NP groups, the median length of hospital stay (LOS) was significantly longer in the NP group. Multivariate analysis using Cox proportional hazards model showed that necrotizing change independently predicted LOS in patients with CAP.</P><P><B>Conclusion</B></P><P>NP affects approximately one‐tenth of hospitalized CAP patients. It may be associated with more severe clinical manifestations and may increase the need for pleural drainage. NP was found to be an independent predictor of LOS, but not of mortality in CAP patients.</P>

A Commutation Torque Ripple Reduction for Brushless DC Motor Drives

Chang-hee Won,Joong-Ho Song,Ick Choy 대한전기학회 2002 KIEE International Transactions on Electrical Mach Vol.2-B No.4

Analysis of Foaming Phenomena of Binary Mixtures in Sieve Plate Columns

Ho Byung Yoon 한국화학공학회 1998 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.36 No.3

Stability for Jordan Left Derivations Mapping Into The Radical of Banach Algebras

( Won Gil Park ),( Ick Soon Chang ) 호남수학회 2012 호남수학학술지 Vol.34 No.1

In this article, we take account of stability for ring Jor- dan left derivations and ring left derivations and we also deal with problems for the radical ranges of linear Jordan left derivations and linear left derivations.