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      • KCI등재

        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.

      • KCI등재

        회양구침혈(回陽九鍼穴)에 관(關)한 연구(硏究)

        이봉효 ( Bong Hyo Lee ),임성철 ( Sung Chul Lim ),이경민 ( Kyung Min Lee ),김재수 ( Jae Su Kim ),정태영 ( Tae Young Jung ) 대한경락경혈학회 2009 Korean Journal of Acupuncture Vol.26 No.3

        Objectives: Although Hwe Yang Gu Chim Hyul is important for acupuncture treatment in emergency and has been widely used, but there is few study about that, except some comments in ancient literatures. So in this study, the author reviewed the Hwe Yang Gu Chim Hyul, investigating the composition and the function, and found the meaning with analysis based on meridian. Methods: 1. The author reviewed several ancient literatures related with the Hwe Yang Gu Chim Hyul. 2. The author investigated the composition of Hwe Yang Gu Chim Hyul, and the location, acupuncture treatment, specificity, disease of each acupoint. 3. Following the investigation, the author found the meaning, the mechanism of function, and the clinical usefulness, based on analysis with meridian. Results: 1. Hwe Yang Gu Chim Hyul had been referred in 『Chim Gu Chwei Young』for the first time. 2. Hwe Yang Gu Chim Hyul is composed of 9 acupoints, i.e. 1 acupoint of Governor Vessel, 1 acupoint of Conception Vessel, 2 acupoints of Yang Myoung meridian, 1 acupoint of So Yang meridian, 1 acupoint of Tae Eum meridian, 2 acupoints of So Eum meridian, 1 acupoint of Gwel Eum meridian. 3. It has not been controversial since the comment of 『Chim Gu Chwei Young』, and it became the origin. Conclusions: 1. Hwe Yang Gu Chim Hyul can be used for an emergency resulted from chronic disease based on heart failure and accumulation of food.

      • 재발성 류마티즘 환자에서 발작의 유발인자

        주유철,이동민,양종태,신병철,임태영,서정균,정기영,최동헌,김원,조영신,고희관 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

        Background and Objectives : Palindromic rheumatism (PR) is known to be triggered without any obviously inciting events in most patients, although, in a few cases, attacks have been noted to relate to another events such as weather change, childbirth, ingestion of certain foods, or over-exercise. The aim of this study was to characterize the triggering factors on palindromic attacks. Materials and Methods : We evaluated sixty-four patients with PR for the presence of triggering factors and the relationship between attacks and triggering factors by interview of patients. We considered that there was an probable association between episodes and PR, if episodes within 24 hours prior to PR had triggered at least 50% of all attacks and a definite association between episodes and PR, if episodes within 24 hours prior to PR had triggered 100% of all attacks. Results : In 15 patients (35.9%), there was a possible association between episodes of PR and initiating events. In 8 patients (12.5%), there was a definite association between episodes of PR and initiating events. The triggering factors were physical over-activity including exercise (19/64: 29.7%), foods, such as rawfish, crab, and chicken, including alcohol (19/96: 19.8%). However, there were no difference between the groups with and without the triggering factor in sex ratio, duration and onset of PR, the positive rate of rheumatoid factor and involved sites. Conclusion : Our observations showed that PR was triggered by physical over-activity more than in previous reports and hypersensitivity to foods was a causative factor in some patients with PR. However, patients with triggering factors had a similiar clinical profile to patients without triggering factors.

      • SCOPUSSCIEKCI등재
      • 서울과 호남 一般 大學生들의 Sports 活動實態調査 및 比較硏究 : 서울과 호남 男ㆍ女學生을 中心으로

        임상학,한태용 서울市立大學校 1988 論文集 Vol.22 No.-

        The investigation is made on the basis of the 3200 respondents (man 1800, woman1800) of the university student from 26 college and universities in Seoul city, Ho Nam and the purpose of this research is to investigate the actual state of the sports activities of university student. The results of this investigation is as follows. 1. Necessity of the sports activities. The 97.3% of the respondent answered in the affirmative for the necessity of sports activities and only 1.0% was against the necessity of sports activities. Among those students in favor of sports activities, 1515 students (47.3%) answered that sports activities are necessary because it is good for health and 1092 students (34.1%) on swered the sports activities are necessary for a change(as a recreation) 2. The sports activities that you do now. According to the investigation Tennis is the most favored sports activities (550 students,17.2%) and the other sports activities in favor of university students are bowling (276 students, 8.6%) swimming(223 students, 7.0%) 3. The way of practicing sports activities. The 1930 students (60.3%) answered they practice sports activities with their friends or seniors and 773 students(24.2%) usually practice by themselves and only 167 students (5.2%) answered that they practice with their coach. 4. Sports facilities. The majority of the students think the sports facivities in and out of campus are not sufficient. 5. Programme on sports activities. Most students think the sports programmes to be offered in and out of campus are in sufficient. The 2157 students (67.4%) answered 2157 students(67.4%) answered the sports programmes inside the campus are in deficient particularly, most students wanted to the sports programmes on the recreation and for the promotion of physical strength. 6. The sports a ctivities which university student wish to do. When they are allowed to be any sports activities, the man student would like to do skin scuba diving(238 students, 14.9%), horse riding(179 students, 11.2%), ski(157 students, 9.8%), golf(89 students, 5.6%), and the woman student would like to do horse riding(301 students, 18.8%) ,skin scuba diving(205 students, 12.8%),ski(9185 students, 11.6%), swimming(137 students, 8.6%)

      • 관상동맥 질환에서 도플러 심초음파도로 측정한 확장기 좌심실기능의 지표와 혈역학적 소견과의 비교 검토

        임헌관,기신영,유창범,최태명,김성구,권영주 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1

        Background : Left ventricular diastolic dysfunction is now recognized as a significant cause of cardiac symptoms even in patient with normal systolic ventricular function. During the last several years, the use of Doppler echocardiography for assessing left ventricular diastolic function has attracted increased attention. Doppler study have demonstrated that patients with ischemic heart disease have abnormal diastolic filling pattern suggesting impaired relaxation. Methods : This study was designed to correlate Doppler mitral flow velocity patterns and measuared variance with hemodynamic findings in 33 patients: 10 with myocardial infarction(group 1), 10 with angina pectoris(group 2) and 13 with no coronary disease(group 3). Results: 1. E/A ratio (0.87±0.24 m/sec versus 1.09±0.91 m/sec, P<0.05) was lower in group 1 than in group 3. 2. Significant correlation were demonstrated between pulmonary capillary wedge pressure (PCWP) and isovolumic relaxation time(IVRT) (r=-0.58; p<0.001), and E velocity (r=0.61; p<0.005). 3. IVRT was (61±30msec versus 92±35msec, p<0.05) shorter in patients with PCWP>10mmHg than in patients with PCWP≤10mmHg. Conclusion: Doppler mitral flow recordings have partially clinical potentiality in assessing left ventricalar diastolic function in patient with ischmic heart disease.

      • 진행성 골화성 섬유 이형성증의 1예

        임태영,조영신,정춘해,박유환,하상호,유재원 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1

        진행성 골화성 섬유 이형성증은 2 백만명 중에 1명 발생하는 매우 드문 유전질환이다. 저자들은 2차례의 외상후 심해진 진행성 섬유 이형성증환자에서 최근 다시 발생된 외상후 생긴 병변부위에 biphosphonate와 steroid 투여로 최근수상부위의 근육 골화와 경화를 현저한 호전을 보였으나, 기존의 골화가 이미 진행된 병변에서는 잘 반응하지 않음을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Fibrodysplasia ossificans progressiva(FOP) is an extremely rare hereditary disorder characterised by progressive heterotopic ossification of the soft tissue. The resulting progressive immobilization of the limbs, jaw and chest wall generally leads to severe disability. We present an 20-rear-old man with advanced FOP. He had two operative interventions by prior traffic accident and recent biopsy. It resulted abnormal ossification. Treatment for this disorder is avoidance of exacerbating factors and medical strategies is biphosphonate and steroid. We observed the course of ossification and muscle atrophy during biphosphonate and steroid therapy in advanced FOP.

      • 분산메모리형 병렬컴퓨터에서의 실행을 위한 대기화학확산모델의 병렬화

        임미숙,최효순,김영태 국립7개대학공동논문집간행위원회 2004 공업기술연구 Vol.4 No.-

        We parallellized Air-Chemistry Diffusion Model for distributed memory parallel computers. To parallelize the model, we used HPCL(High Performance Computing Library) which calls MPI (Message Passing Interface), a standard library to support routines for message passing. We described the parallelization of the model and presented performance analysis of the parallel model. Performance results were determined on the PC cluster.

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