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.

오존수 처리가 콩나물의 부패 및 생육에 미치는 영향

김순동,김일두,김미경,이상갑,민경섭 대구효성가톨릭대학교 식품과학연구소 1997 식품과학지 Vol.9 No.-

오존수 처리가 콩나물의 부패 및 생육에 미치는 효과를 조사하기 위하여 실험 제작한 오존발생장치를 이용하여 콩나물 재배시 수침시의 콩의 세척과 재배중에 오존수로 주수한 결과를 요약하면 다음과 같다. 본 연구에서 개발된 콩의 세척장치와 그 부품을 이용하여 대두량에 대하여 0.5~2.0ppm으로 3시간 처리한 콩으로서 콩나물을 재배하면, 콩의 표면에 오염된 잔류농약이 80~100%까지 분해되었고 콩 g당 10^7정도 오염되어 있는 미생물이 10^3이하로 크게 감소되어 재배중에 부패율은 무처리 경우 10%에서 2%로 현저히 감소되었다. 또, 오존수 주수장치를 이용하여 콩나물재배시에 오존수를 0.5~2.0ppm으로 주수한 결과 부패율을 0%로 낮출 수 있었다. 뿐만 아니라 오존수로 재배한 콩나물은 수율이 증대되었을 뿐만 아니라 비린내가 현저하게 줄었고, 색상과 광택이 양호하였으며, 잔뿌리가 적었다. This study was conducted to investigated the effect of ozone treatment on putrefaction and growth of soybean sprouts ozone was produced using a Hi-Tech ozonator and measured by ozone monitor(Switzerland, Model 3600 analyzer). The soybeans were washed and grown by ozone treatment. The soybeans were exposed to aqueous solutions of ozone at 0.5~2.0ppm for 3 hours. In this ozone treatment, the great decrease in the number of total microbes of soybeans were showed to about 99%. The pesticide residues remained soybean surface were also estimated to 80~100%. The putrefaction of control soybeans during germination was greatly decreased from 10% to 2%. And, that of soybean sprouts was decreased to 0%. The increase of yield, decreases of fish flavor and number of lateral root, and improvement of colour and glaze for soybean sprouts were showed.

An Improved Speech Processing Strategy for Cochlear Implants Based on an Active Nonlinear Filterbank Model of the Biological Cochlea

Kim $^$, Kyung Hwan,Choi, Sung Jin,Kim, Jin Ho,Kim, Doo Hee IEEE 2009 IEEE Transactions on Biomedical Engineering Vol.56 No.3

<P>The purpose of this study was to improve the speech processing strategy for cochlear implants (CIs) based on a nonlinear time-varying filter model of a biological cochlea. The level-dependent frequency response characteristic of the basilar membrane is known to produce robust formant representation and speech perception in noise. A dual resonance nonlinear (DRNL) model was adopted because it is simpler than other adaptive nonlinear models of the basilar membrane and can be readily incorporated into the CI speech processor. Spectral analysis showed that formant information is more saliently represented at the output of the proposed CI speech processor compared to the conventional strategy in noisy conditions. Acoustic simulation and hearing experiments showed that the DRNL-based nonlinear strategy improves speech performance in a speech-spectrum-shaped noise.</P>

BCG 접종후의 결핵반응검사의 변화

김진경,김기홍,김행미,안두홍 慶北大學校 醫科大學 1991 慶北醫大誌 Vol.32 No.1

신생아 시기에 BCG를 접종받은 영아를 대상으로 3±개월, 7-8개월 및 15-16개월에 Mantoux 검사를 시행하여 다음과 같은 결과를 얻었다. 3-4개월째 측정한 결절의 크기는 5.8±4.5㎜, 7-8개월째 7.9±4.9㎜,15-16개월째 6.7±4.9㎜로서 7-8개월째 의의있게 (p<0.55)증가되어 있었다. Mantoux 검사상 결절의 크기가 5㎜미만인 경우를 음성으로 간주하였을대 3-4개월째 38.5%, 7-8개월째 26.0% 및 15-16개월째 35.2%가 음성이었으며 15㎜이상의 강양성은 3-4개월째 1.9%, 7-8개월째 12%, 15-16개월째 7.5%를 차지하였다. 33례의 미숙아에 있어서 BCG 접종후 18개월 동안 5㎜ 이상의 반응을 보인 양전례는 63.6%인 21례로 이들 양전군과 비양전군 사이에는 출생시 제태연령, 체중 및 BCG 접종시기에 유의한 차이를 보이지 않았으며 만삭아의 양전율과 비교 하였을 때 의의있는 차이를 보이지 않았다. We conducted this study to evaluate the change of tuberculin reaction after neonatal BCG vaccination in Korea. Seventy-four infants were followed for 15-16 month after birth. BCG vaccination were given within 4 weeks after birht and 3 times of Mantoux test were performed at 3-4 months, 7-8 months and 15-16 month after birth. During the same period, Mantoux test were done on 238 cases of 3-4 months-old infants, 107 cases of 7-8 months-old infants and 85 cases of 15-16 months-old infants who were given BCG vaccination within 4 week after birth. We evaluated the results without distinction of these infants because there was no statistically significant difference between two groups. The size of induration was significantly increased at 7-8 months(7.9±4.9㎜) compare to the size at 3-4 months (5.8±4.5㎜) and 15-16months(6.7±4.9㎜) (P<0.05). But 38.5%, 26.8% andn 32.5% of infants were not converted ( < 5㎜) at 3-4months, 7-8 months and 15-16 months after birth respectively. Thirty-three preterm infants were followed for 18 months after birth. Twenty-one out of 33 (63.6%) were converted during this period. There was no difference of gestational age, birth weight, age on BCG vaccination between converters and nonconverters. There was no difference of conversion rate compatre to full term infants.

제주대학교 재학생 의식조사에 관한 연구

김두화,김경순 제주대학교 학생생활연구소 2001 學生生活硏究 Vol.22 No.-

Information about the actual conditions and consciousness of college students, their opinions and attitude to the general campus life becomes a basic material to help them enjoy a desirable campus life and to establish an administrative plan of the school authorities. This research has its purpose in providing fundamental data to be reflected on the direction of establishing and performing the main policies of the school authorities understanding the realities of college students and also on the direction of student guidance and educational improvement through comprehensively understanding the actual conditions and consciousness of college students. The subjects were 921 college students at Cheju National University, and as a way of selecting a sample the proportional stratified random sampling was executed dividing them in a fixed ratio depending on the number of students in each department in order to maintain equivalent sampling. The contents of the questionnaire consisted of seventy questions of the following six areas in total: individual life, school life, study problems, administrative service and school development, career and employment measures, and finally questions on the Student Life Research Institute. For data analysis, the statistical method of SPSS was used to analyze it according to the frequency and percentages based on each college, year, and sex. The result of the research is summarized as follows : 1.Questions on individual life The most important matter to the college students of Cheju National University is their concerns about career after graduation(65.5%). With this result, it's implied that they think their career after graduation is important but few students spend their time on a plan for their career. Students need to recognize it themselves, and the school needs to prepare a time management program so that students can use their time with efficiency. 2.Questions on school life The students' satisfaction with their campus life is a normal level(57.5%), and their disappointments in the campus life are theirselves(36.4%) and lectures(20.7%). The fact that the main reason of their disappointment is themselves suggests that it's necessary to enhance such a counseling program as improving self-esteem. 3.Questions on study problems The motives of selecting their present major are mainly their aptitude and interest(38.7%) and their scores(30.8%). The degree of their satisfaction with their major is a normal level(47.8%), and the reasons of their dissatisfaction with their major are their different aptitude and interest(38.4%) and its curriculum different from their expectation(19.6%). 4.Questions on the administrative service and school development The kindness of the administrative staff of school is so so(51.5%), and what students feel uncomfortable about the administrative service is the staff's act of their administrative convenience(29.3%). The most urgent matter to develop the university was to extend career and employment guidance(54.7%), and the effective ways of school publicity were using mass media(73.4%), holding events and contests for high school students(67.4%), and enticing high school teachers and students to visit(47.8%). 5.Questions on career and employment measures Their plan after graduation is mainly to become employed(61.0%) or to enter a graduate school(11.1%). Most of the students have only an interest in becoming employed(43.6%), and the elements which they think are most important to become employed are their language ability(45.2%), studying their major(23.7%), and acquiring certificates of qualifications(14.1%). Besides, the information that the Employment Information Center needs to offer is the recruitment schedule of each company and the information of its tests. Concerned with becoming employed, they expect the school to extend employment information(24.6%), to open practical subjects in their major(24.2%), to open employment-related subjects(12.9%), and to give career education regularly(11.0%) 6.Questions on the Student Life Research Institute Only one out of ten students has experienced using the Student Life Research Institute. The reasons why they haven't used it are because they don't know what it's for(28.9%), because they haven't felt it necessary(18.9%), and because they don't know how to use it even though they want to(16.6). This result suggests that the publicity of the Student Life Research Institute's works and its use need to be increased. To maximize its use, a survey of programs that students want, psychological tests, and various counseling activities needs to be carried out along with a more active publicity strategy.

컬링선수의 심리적기술 분석

김경두,조재기 東亞大學校附設스포츠科學硏究所 1999 스포츠科學硏究論文集 Vol.17 No.-

This study is to find out the difference of Psychological Skills subscale among curlers in terms of their levels of performance and their positions. Curlers evaluated are from 26 teams including National team, Junior national team, and participant teams of National team competition during the period of 1998 to 1999. Three curling specialists selected 104 players (4 for each of the 26 teams). Those players are divided in two ways. In terms of their performance, they are grouped into overachievers and underachievers of the same number or 52. In terms of their positions, they are grouped into Lead, Second, Third, Skip of the same number or 26. The questionaire developed by Smith et al(1995) was used. It includes 7 scales : 1) coping with adversity, 2) peaking under pressure, 3) goal serring/preparation, 4) concentration, 5) freedom from worry. 6) confidence, and 7) coachability. The findings are as follows. Fistly, performance analysis shows that overachievers gain high scores in all of 7 scales(or factors). They are statistically significant : p<0.00. Secondly, position analysis shows that skip has the highest scores in Coping With Adversity, Peaking Under Pressure, Goal Setting/Preparation, Coachability wheres Third is highest in freedom from worry, confidence, concentration. Skip and Third have the highest scores in a psychological aspect, but the difference between the two is not statistically significant

Retinoic Acid가 흰쥐 태자 혀조직의 분화와 Laminin 합성에 미치는 영향에 대한 연구

김혜주,정호삼,서윤경,백두진,김원규,윤지희,이방헌 대한췌담도연구회 2000 대한췌담도연구회지 Vol.5 No.4

주거시설 바닥의 보행감 평가방법에 관한 연구(Ⅰ) : 바닥의 경도에 관한 심리학적 척도 구성 The Scaling of Human Senses on Hardness of Resisdential Building Floors

김두호,최수경 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

This paper presents the process of scaling of human senses on hardness of residential building floors by means of sensory test, which are the basic knowledges for its evaluating method from a viewpoint of comfortableness. Sensory scales and evaluating scales based on the subjective judgement of hardness were made by sensory test. The sensory test was taken place with 8 sample floors included various materials. The member of panels was 10~15 makes and 15 females. The method of sensory test was the method of successive categories.

대구치에서 회전식 NiTi file의 수명과 파절양상

김진우,안병두,박세희,신혜진,조경모 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.3

Intracanal separation of the rotary files is a serious concern in modern endodontic practice. The objective of this study was to compare the life span and fracture patterns of three NiTi rotary files in molar teeth. Mesiobuccal roots of upper molar (n = 150) and mesial roots of lower molar (n = 150) were divided into three groups and each group was prepared with Profile, ProTaper, and K3 respectively. Every file was used until separation and/or deterioration of the cutting blade was happened, and then the number of canals to separation and/or unwinding were recorded. Radiographs and Scanning electon microscope (SEM) photographs were taken to evaluate the patterns of separation. The results were as follows: 1. There were no significant differences in numbers of canals to separation and/or unwinding among the groups. 2. Comparing between flaring files, K3 showed significant lower numbers of canals to separation and/or unwinding (p < 0.05), and there was no significant difference between shaping files 3. Separations of instruments were occurred at the midpoint of curvatures within the canals 4. In SEM observations, ductile fractures were seen in most of cases, characterized by shallow dimples. Additional researches is needed to provide a new guideline that informs the appropriate number of times to use NiTi files. 회전식 NiTi file은쉽게 파절되는 단점이 있으나 이에 대한 연구는 아직 부족하다. 본 연구에서는 회전식 NiTi file을 이용해 실제 치아에서 근관을 형성하고, 이 때 발생하는 파절 및 변형을 연구, 분석하였다. 상악 대구치의 근심협측 치근 (n = 150)과 하악 대구치의 근심치근 (n = 150)을 실험대상으로 하여 Profile, ProTaper 및 K3로 각각 근관형성 하였다. 각 file은 파절되거나 변형이 생길 때까지 계속하여 사용한 다음 그 사용횟수를 기록하였다. 파절의 양상을 관찰하기 위해 방사선 및 주사현미경 사진을 촬영하였다. 1 세 군간의 유의할만한 사용횟수의 차이는 없었다. 2. Flaring file 간의 비교에서는 K3의 사용횟수가 통계적으로 유의성 있게 적었으며 (p < 0.05), shaping file 간에는 유의할만한 차이가 없었다. 3, 회전식 NiTi file의 파절은 근관의 최대 만곡부에서 발생하였다. 4. 주사전자현미경으로 파절면을 관찰한 결과 연성파괴의 전형적인 양상인 얕은 딤플이 관찰되었다. 일반적으로 회전식 NiTi file의 평균 사용횟수는 제조회사의 사용지침보다는 길었으며, NiTi file의 수명에 대한 새로운 사용지침을 만들기 위한 부가적인 연구가 있어야 되리라 사료된다.

관동맥 스텐트 삽입후 발생한 스텐트 변연부 박리의 예측인자 및 추가적 치료후 임상적 의의에 관한 연구 : Predictor, Angiographic and Clinical Follow-up after Additional Procedures

두영철,박수종,김재삼,이준호,홍경순,박대균,한규록,오동진,유규형,임종윤,고영박,이광학,이영 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.11