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.

활성탄상의 heptafluoropropane 합성에서 반응온도의 효과

김재덕,이윤우,임종성,이경환,이윤용 社團法人 韓國火災 ·消防學會 1998 한국화재소방학회논문지 Vol.12 No.1

크롬(Ⅵ)의 체내 흡수와 소실속도에 관한 연구

김현영,이성배,임철홍,이권섭,정용현,이종성,한정희,전윤석,황호순,이용묵 한국산업위생학회 2003 한국산업보건학회지 Vol.13 No.1

The CrO3 mostly used in plating. metal surface disposal, leather, cosmetic manufacturing, as an experiment material by repeatedly inhaling and exposure the male S.D. rats at a 0.00, 0.2., 0.50, 1.25 mg/㎡ concentration(particle size: 0.5-0.5 aerosol)6hours a day, 5day a week in 13weeks comparing with 2weeks, 8weeks of recovery group about the noxiousness of the experiment animal and the reduce scale of the CrO3 in the internal organ especially in blook and respiratory organ with the period of convalescent and clearance. The experiment results which we received are as follows. 1. In blood the RBC, HGB and HCT experiment, rats with 0.20, 0.50 mg/㎡ concentration showed that there were some decreases but not dependent. The kidneys absolute weight compared with control group was reduced intentionally(p〈0.05) and the lungs absolute weight compared with control group showed intentional increase(p〉0.05). 2. After the exposure of the experiment material, the whole blook, l\blood plasma and red blood cell in blood by (x): the period of convalescent, per (y); the decreasing of Cr concentration, was y=66.51 e -0.057x, y=67.2 e-0.101x, y=70.01 e-0.030 in 0.50 mg/㎡ exposure concentration by calculating the clearance coefficient of correlation, and the half life (day)was estimated 12.0, 6086, 23.0 each. 3, After the exposure of the experiment material, the experiment animals lung, liver and kidneys by(x); the period of convalescent, per (y); the decreasing of Cr conentration, was y=1808 e-0.00493x, y=12.02e-0.0297x, y=67.61 e-0.0292x in 0.50mg/㎡ exposure concentration by calculating the clearance coefficient of correlation, and the half life(day)was estimated 140.6, 23.3, 23.7, each, and including lung, liver with all of the experiment internal organs, the Cr clearance decreased as the exposure concentration increased.

SD Rats를 이용 1-hexene의 흡입독성 연구

김현영,임철홍,정용현,이권섭,이성배,이준연,한정희,전윤석,이용묵 한국환경독성학회 2001 환경독성보건학회지 Vol.16 No.4

The purpose of this study was to investigate the acute (4 hours) and repeated-dose (6 hours a day, 5 days a week, 4 weeks) toxic effects of I -hexene on Sprague- Dawley (SD) rats which were treated by inhalation. The results were as follows; I. The median lethal concentration (LC_(50)) was estimated 52,694 ppm (confidence limit 95%; 49,494~55,447 ppm) in acute inhalation. Abnormal clinical signs related to the l-Hexene were not observed with the acute inhalation dose. Gross findings of necropsy revealed on evidence of specific toxicity related to the 1-hexene, II. By repeated inhalation exposure the body weight of male were more or less reduced by the dose of 2,500 ppm and 5,000 ppm compared with control group. However there were no significant variation hematology and blood biochemistry for the exposed rats compared with the control rats. Abnormal clinical signs and gross findings of necropsy related to the 1-hexene were not shown. In conclusion when we exposed I-hexene to SD rats for 4 weeks, 5 days per week, 6 hours per day, the Lowest observed effect level (LOEL) was over 2,500 ppm and Non observed effect level (NOEL) was below 500 ppm.

압력용기 구조물 용접부에서 잔류응력이 피로균열진전거동에 미치는 영향

이연신,차용훈,김덕중,성백섭 朝鮮大學校 機械技術硏究所 1999 機械技術硏究 Vol.2 No.2

This paper is to investigated the influence of welding residual stresses on the fatigue crack growth behaviors in the vertical direction to the weld bead. So, Co₂Automatic welding was performed on the ASTM A5l6 grade 60 Steel. For skip and continuous fillet welding, the specimens of fatigue cracks are initiated at toe end and beginning of welded specimen. The fatigue life of continue fillet welding is greater then that of skip fillet welding. The fatigue lief of as welded specimen is longer than that of PWHT specimen because the compression residual stress are greater than the other zone, which are near the welding toe notch of welded specimen. For skip and continuous fillet welding, da/dN-ΔK relations show retardation at HAZ and increase linearly at the stable growth region.

바륨 페라이트를 함유한 알지네이트 자성 복합 입자의 제조

이덕연,오영일,김동현,김광만,김경남,이용근 大韓齒科器材學會 2004 대한치과재료학회지 Vol.31 No.1

Magnetic polymer composite materials with high coercivity have potential applications in medical diagnostic technologies, magnetic drug delivery, and hyperthermic cancer treatment. The purpose of this study was to prepare the magnetic composite particles by encapsulating barium ferrite powders with alginate and to investigate their physical and biological properties. 0.4 g of sodium alginate was dissolved in 20 ml of distilled water and different amount (0.4~4 g) of barium ferrite powder was dispersed in alginate solution using an ultrasonication method. The resulting barium ferrite-alginate slurry was added dropwise to a CaCl2 solution to form magnetic Ca-alginate composite beads. They were separated by filtration and washed several times with water and ethanol. The final product was then completely dried at 40℃ under vacuum to obtain brownish black powders (0.1~1 mm in size) with a high magnetic response when submitted to a small magnet. Average size of magnetic composite particles was dependent on the amount of barium ferrite and the viscosity of slurry . The morphological and dimensional analyses of magnetic composite particles were performed by optical microscopy and scanning electron microscopy. Magnetic polymer composite particle was found to maintain the high coercivity. The saturation magnetization value for magnetic Ca-alginate composites increased with the increase of the barium ferrite/alginate ratio. The amount of self-heating induced by hysteresis under an alternating magnetic field was measured as a function of barium ferrite/alginate ratio in distilled water. According to the results, the encapsulated magnetic composite is expected to be useful for hyperthermia and chemotherapy remarkably.

GPS 상시관측점을 이용한 차량항법 정확도 평가

이재원,송연경,김용석 東亞大學校 大學院 2004 大學院論文集 Vol.29 No.-

Nowadays it is necessary to manage the road system effectively because of the explosive increment of vehicle and goods. To resolve this problems through the fast upgrade of information about position and time of moving vehicle, the combined navigation system using GPS and complementary navigation system, i.e. INS, DR, etc. has been used. Although GPS is popular for the vehicle navigation system, this is not useful for the kinematic positioning of the vehicles in the urban canyon because of its few satellites. Therefore, this study deals with the kinematic positioning of the vehicles with GPS CORS to GPS navigation. For this, first the static single point positioning of GPS and GPS for reference station was performed to evaluate the accuracy of GPS positioning. Next, in the post-processed, the DGPS(Differential GPS) was performed for the kinematic positioning of the vehicles. So, it is expected that GPS CORS can be applicable to the control of traffic flow, the effective management of road system, and the development of ITS and it is regarded that the combined navigation system of vehicles with GPS, INS, and DR, etc. should be studied constantly.

FIRE PREVENTION EFFORTS IN KOREA

Lee,Youn-Yong 한국화재소방학회 1997 한국화재소방학회 학술대회 논문집 Vol.1997 No.-

정상 관동맥을 가진 심장 점액종 환자에서 발생한 급성 심근 경색증 1예

이정민,이현승,전은정,윤호중,정욱성,오용석,김철민,김재형,최규보,홍순조,이교영,심상인 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.9

콘크리트 보수용 폴리머 시멘트 모르타르의 적정 배합비 및 두께 결정

이윤수,이기원,전철수,지경용 강원대학교 부설 석재복합신소재 제품연구센터 2000 석재연 논문집 Vol.5 No.-

피로하중, 산성비, 염해 및 동결융해 등 각종 원인에 의해 시멘트 콘크리트 구조물의 성능 저하가 건설산업분야의 문제점으로 대두되고 있다. 일반적으로 성능이 저하된 시멘트 콘크리트 구조물의 보수재로는 폴리머 복합재료가 널리 사용되고 있다. 보통 시멘트 콘크리트에 폴리머를 첨가하면, 작업성의 경우 폴리머의 혼입량이 증가 할수록 작업성이 증가하고 이에 따라 공기량이 증가하는 경향을 나타내었다. 또한 압축강도는 폴리머 시멘트비가 10%에서 가장 높은 값을 보였으며, 휨강도의 경우는 폴리머 시멘트비가 증가할수록 강도가 증가하는 경향을 나타내었다. 또한 폴리머 시멘트 모르타르의 직접인장접착강도에서는 폴리머-시멘트비 10%, 소포제 1%에서 가장 높은 접착강도가 나타났으며, 내후성 시럼 후의 직접인장접착강도 실험에서는 보두 수께 5mm가 가장 높은 접착강도를 나타내었다. 이상과 같은 실험 결과를 볼 때 보수재로 사용되는 폴리머 시멘트 모르타르의 경우는 폴리머 시멘트비 10%, 소포제1%의 배합으로 약 5mm의 두께로 보수를 하는 것이 가장 유리함을 알 수 있었다. This research was conducted to experimentally evaluate the characteristics of the tensile adhesion strength of polymer cement mortar for repair of cement concrete structures. Air content of polymer cement mortar was improved with increment of polymer cement ratio. Water absorption of polymer cement mortar was decreased with increment of polymer cement ratio. Compressive strength of polymer cement ratio 10% was higher than those of others. Flexural strength of polymer cement mortar was improved with increment of polymer cement ration. The tensile adhesion strength of polymer cement ration 10% and antiformer agent content 1% was higher than those of others. After weathering test, the tensile adhesion strength of thickness 5mm was found to be higher than those of others.