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.

심혈관계 질환으로 관상질환 집중치료실에 입원한 환자들의 혜후 측정을 위한 APACHEⅢ점수 체계의 임상적 유용성

이공섭,이창선,최현주,홍종서,강지향,김도형,이민영,오인균,김병엽,김상억,김학찬,한승혜,이재용,지영우,안경주 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

Genetic Characterization of Haemagglutinin 1 Domain of Influenza B Viruses Isolated in Korea during $1988{\sim}1999$

Shin, Gu-Choul,Na, Byoung-Kuk,Lee, Joo-Yeon,Ahn, Jung-Bae,Park, Jong-Won,Lee, Jin-Soo,Kim, Jee-Hee,Kim, Woo-Joo,Kang, Chun The Korean Society for Microbiology 2003 Journal of Bacteriology and Virology Vol.33 No.4

Although Korean influenza virus isolates have been genetically associated with the vaccine strains of the corresponding year, influenza B viruses have prevailed almost every year in Korea during the past decades. We have 'analyzed the genetic characteristics and evolutionary patterns of the haemagglutinin (HA) 1 domains of influenza B viruses isolated during 1988-1999 using direct RT-PCR and sequencing. Phylogenetic analysis of influenza B viruses isolated in Korea indicated that antigenically and genetically distinguishable strains of the lineage II and lineage III variants had been cocirculated. Variants prevailed in early 1990s are represented in 1996/97 and 1998/99 and some different variants have been co circulated geographically and prevailed concurrently in Korea. All HA1s of Korean isolates have amino acid substitutions mainly in the region between position 124 and 310, which was previously proposed an immunodominant region. Insertion-deletion patterns of the HA gene revealed that Korean influenza B viruses were evolved from Lee40 with different manner between lineage II and III viruses. Lineage III viruses were also divided into two groups as conserved group and inserted group, in relation to Lee40. But lineage II viruses had evolved with directional pattern. Antigenic index proposed that influenza B isolates prevailed since 1996/97 seasons might had emerged from the antigenic variants of a Seo1697-like virus and that new variants might appear from the lineage II viruses resulting in persistent prevalence in Korea.

ISO 9000의 추진동기 및 품질요건 이행이 기업성과에 미치는 영향에 관한 연구 : 국내 전기ㆍ전자 제조업을 중심으로 In Electronic and Electric Manufacturing Industry

이병찬,김승호,김정우 한국의사결정학회 1998 경영과학연구 Vol.7 No.-

The objective of this study is to examine the influence factors for successive performance of ISO 9000. Especially we focus to propelling motives and quality requirements in certifying ISO 9000. The data for empirical test was gathered from the obtaining firms of ISO 9000 quality certification among electronic and electric manufacturing industry. The results of empirical study suggested that there is significant positive impact competitive advantage motive to quality requirement enforcement. And we found that quality management system establishment, employee's perception and behavior change about quality were impacted very strong to competitive advantage motive and quality improvement requirement enforcement. But competition improvement was impacted to customer claim motive very strong. Also we investigated the problems in certification obtaining progress, post-operational management, and the ISO regulation & system. The result appeared very important factors to overloading of worker in certification obtaining progress, less participation of company-wide employee in post-operational management, and much maintaining cost in the ISO regulation & system.

신발산업용 모바일 포탈 서비스 구현

이양민,이병문,임장수,김창민,강동우,심현숙,이재기 동아대학교 정보기술연구소 2003 情報技術硏究所論文誌 Vol.11 No.1

Cases that apply mobile technology in own company's business processing in various industry area are increasing. In this paper, we propose a Mobile Portal constructin method accepting that flowing these age. Analyze instance that is applying mobile service in another industry to achieve Mobile Portal service and we chose core technology with this result. As focus of research, we implemented interaction interface between web page and database, conversion skill between wire and wireless contents, communicatin method between web page and contents conversion server, and application technology on Mobile service target Business and implemented Mobile service that applicable.

고농도 포도당이 흰쥐 인슐린 종 세포의 superoxide dismutase 발현에 미치는 영향

이재우,이병래 조선대학교 2000 The Medical Journal of Chosun University Vol.25 No.2

Background: Reactive oxygen species are produced under diabetic condition and possibly cause various forms of tissue damage in patients with diabetes mellitus. The aim of this study is to examine the effects of high glucose on the gene expression of superoxide dismutase(SOD) isozymes in rat insulinoma cells line. Methods: Rat insulinoma(RINm5F) cells were cultured with RPMI 1640 media containing high glucose(22.2mM), or normo-glucose(5.6mM) for 3 days and for 21 days. The SOD activities were determined by spectrophotometric assay and nitroblue tetrazolium (NBT) stain. The levels of SOD mRNA were quantified by reverse transcriptase-polymerase chain reaction (RT-PCR). Results: The CuZn-SOD activity was decreased but Mn- SOD activity was increased significantly in RINm5F cells which cultured with high glucose(22.2mM) media for 3 days. In RINm5F cells, the Mn-SOD mRNA content was also increased by high glucose, but the level of CuZn-SOD mRNA was not changed by gluose concentration for 3 days culture. Both CuZn-SOD and Mn- SOD activity were increased significantly when cultured with high glucose media (22.2mM) for 21 days. The levels of Mn-SOD and CuZn-SOD mRNA were increased in RINm5F cells cultured with in high glucose media for 21 days. Conclusion: These results suggest that in RINm5F cells, both CuZn-SOD and Mn-SOD gene expressions maybe increase by high glucose and decrement of CuZn-SOD activity, in cells of short term culture with high glucose contained media may due to the protein modification.

半夏의 修治方法에 따른 細胞毒性硏究

李秀培,金德宗,金康柱,田炳勳,禹元洪 圓光大學校 韓醫學硏究所 1993 원광한의학 Vol.3 No.1

The purpose of this study is to know the effects of Pinelliae Tuber on the cytotoxicity of human gingival fibroblasts according to brewing methods. Pinelliae Tuber was extracted by water in the state of being raw materials, prebrewing with Zingiberis Tuber and alumen. The extracted Pinelliae Tuber was applied to the cultured human gingival fibroblasts. The cytotoxic effct of Pinelliae Tuber was meaeured by MTTassay and microscopic findings. The results were as follows : 1. The cell viability of the fibroblasts by Pinelliae Tuber water extracts significantly decreased compared to control group. 2. The cell viability by the Pinelliae Tuber extracts prebrewed with Zingiberis Tuber was similiar to those of control group. 3. The cell viability by the Pinelliae Tuber extracts prebrewed with alumen slightly decreased, but was higher than those of PT group. 4. According to the microscopec findings, the number of cell count were smaller than normal in all experimental group, specially in the PT group, and showed the shrinkage of cytoplasmic process in the PT group and PA group.

梔子栢皮湯이 膽道結紮로 誘發된 白鼠의 損傷肝에 미치는 影響

李相祿,田炳薰,禹元洪,鄭遇悅 圓光大學校 韓醫學硏究所 1994 원광한의학 Vol.4 No.1

Prolonged bile duct ligation; a new experimental model for cirrhosis in the rat was carried out to elucidate the effect of Chijabakpitang(梔子柏皮湯) inhibiting the progress of thought to be enough to develop liver fibrosis or cirrhosis. The development of fibrisis or cirrhosis was progressive and associated with ascites. After the 7 week administration of Chijabakpitang on the bile duct ligation performed rat, the body weight, the hematological value, and the biochemical changes such as total bilirubin, direct bilirubin, asparate aminotranferase, alanine aminotransferase, akaline phosphatase, and the level of hydroxyproline in the liver tissue of the rat were examined. The results obtained were as follows. 1. The body weight in Chijabakpitang-administered experimental groups was inclined to increase, but it didn't significantly increase. 2. WBC counts significantly dicreased in Chijabakpitang-administered experimental groups, especially the decreasing value of serum WBC count in 1ml of Chijabakpitang-administered experimental group B was significant for all experimental duration. 3. Total bilirubin level decreased in 1ml of Chijabakpitang-administered experimental group B, and direct bilirubin significantly decrease in all Chijabakpitang administered experimental groups. 4. ALP level decreased in 1ml of Chijabakpitang-administered experimental group B, and ALT and AST significantly decrease in all Chijabakpitang-administered experimental groups. 5. The level of hydrwxyproline in the liver tissue of all experimental group significantly decreased.

자일리톨, 후노란, 제2인산칼슘 및 카제인포스포펩타이드배합껌이 법랑질의 광질재침착에 미치는 영향에 관한 실용실험연구

이병진,배광학,박우철,양준영,황수정,노정,백대일,김종배 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.4

The object of this study was to investigate caries preventive effect of chewing gum containing xylitol, funoran, calcium hydrogen phosphate and casein phosphopeptide by examining Vickers' hardness and surface roughness with confocal laser microscope. Early caries-like lesions were created using 0.1 M lactic acid-sodium hydroxide buffer(pH 4.0). 8 pieces of 3am diameter bovine enamel specimen with early caries-like lesions were mounted into the recesses of lingual surface of the acrylic mandibular removable appliance. 13 subjects were the appliance for daytime and chewed control and experimental gums 7 times in a day, for 3 days. In order to evaluate the remineralization effect of chewing gum on specimens, we measured vickers' hardness number after chewing gum, 1 day, 2 days, 3 days after and calculated surface roughness immediately after chewing gum. Vickers' hardness number of experimental chewing gum was significantly higher than control in 2 and 3 days after. Surface roughness of experimental chewing gum was significantly lower than control immediately after chewing gum. These results showed that experimental gum has more effective in remineralization of bovine tooth enamel, and it is more effective at immediately after chewing.

AUTOMATION OF QUANTITATIVE SAFETY EVALUATION IN CHEMICAL PROCESSES

Lee,Byung-Woo,Kang,Byoung-Gwan,Suh,Jung-Chul,Yoon,En-Sup 한국화재소방학회 1997 한국화재소방학회 학술대회 논문집 Vol.1997 No.-

A method to automate hazard analysis of chemical plants is proposed in this paper. The proposed system is composed of three knowledge bases - unit knowledge base, organizational knowledge base and material knowledge base, and three hazard analysis algorithms - deviation, malfunction and accident analysis algorithm. Hazard analysis inference procedure is developed based on the actual hazard analysis procedures and accident development sequence. The proposed algorithm can perform hazard analysis in two methods and represent all conceivable types of accidents using accident analysis algorithm. In addition, it provides intermediate steps in the accident propagation, and enables the analysis result to give a useful information to hazard assessment. The proposed method is successfully demonstrated by being applied to diammonium phosphate manufacturing process. A system to automate hazard analysis is developed by using the suggested method. The developed system is expected to be useful in finding the propagation path of a fault or the cause of a malfunction as it is capable to approach causes of faults and malfunctions simultaneously.