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.

Sport 槪念 追求를 위한 硏究(Ⅱ)

韓相俊,夫基源 江原大學校附設體力硏究所 1979 江原大學校附設體育科學硏究所論文集 Vol.- No.4

The idea on sport differs according to the group to which the amn belongs. The survey I did shows that there is a certain relationship between the idea on sport and the abundance of sport experience. Those who had acquired relatively superior techniques in sport put more stress on the betterment of their technique as well as on the elevation of their personality, while those who lack in the higher techniques are usually strongly influenced by the sport education of the school and the opinion of the mass-communication and they are the ones who are rarely influenced by the self-experience, or by their family, or by the sport directors. To sum up the idea on sport that is comprehensive and desirable is to set up a theoretical basis that can cover the consistant growth of the subjective consciousness, and to set up the basis on which the idea on sport can be fabricated by the sport directors.

점화시기가 LPG 엔진의 배기특성에 미치는 영향

한덕수,장영민,전봉준,김성준 강원대학교 산업기술연구소 2006 産業技術硏究 Vol.26 No.B

As an automobile fuel, LPG has many environmental advantages compared to gasoline or diesel. However, current LPG engine which is provided with LPG fuel as gas form has lower power and worse fuel efficiency than gasoline engine. These problems of low power and bad fuel efficiency come from lower volumetric efficiency. Also there is a new rising problem of high failure ratio in an engine emission test. Although there are many factors which affect engine performance of exhaust gas emission, one believes that the fact that ECM of gasoline engine is used for LPG engine when retrofitting gasoline engine to LPG engine is one of the main problems, which lower engine power and emit more noxious gas due to wrong ignition timing. To solve these problems, one studied the effects ignition timing on the exhaust gas to find out the optimum condition of ignition timing. The experimental results show that noxious exhaust gas is reduced and engine power is increased if the optimum control of ignition timing is applied in accordance to the revolution speed of engine.

당뇨병환자에서 뇨증 Fibronectin농도의 증가에 관한 연구

한승범,조준승,손건영,서성문,박근용,조성래,박규영,박정모,이인규,여준기 啓明大學校 醫科大學 1994 계명의대학술지 Vol.13 No.4

Plasma fibronectin is an α₂-glyoprotein, which is produced by vascular endothelial cells. Raised level of plasma fibronectin has been observed in diabetic patients particularly in the presence of microvascular complications. However, no available data exist about urine level of this glycoprotein in diabetic patients. We measured urine fibronectin level by ELISA methods in 54 diabetic patients who have microvascular comlications or not. The following results were obtained. 1) Urine fibronectin level(㎍/g creatinine) in diabetic group(1740.0±678.0) is increased compaired with those in normal control group(471.0±59.0). but this results were not significantly different among two groups(P>0.05). 2) Urine fibronectin level(㎍/g creatinine) was significantly increased in patients with nephropathy (6188.0±3144.0) compared with those in normal control group(471.0±59.0) and patients without nephropathy(645.0±251.0)(P<0.001). 3) There were a significant correlation between BUN, creatinine, creatinine clearance, 24hr urine total protein and urine fibronectin level in diabetic patients. Our data suggest that urine fibronectin excretion level might be used as a sensitive guide for diabectic nephropathy.

점화시기가 LPG 엔진의 배기특성에 미치는 영향

한덕수,장영민,전봉준,김성준 강원대학교 산업기술연구소 2006 産業技術硏究 Vol.26 No.A

As an automobile fuel, LPG has many environmental advantages compared to gasoline or diesel. However, current LPG engine which is provided with LPG fuel as gas form has lower power and worse fuel efficiency than gasoline engine. These problems of low power and bad fuel efficiency come from lower volumetric efficiency. Also there is a new rising problem of high failure ratio in an engine emission test. Although there are many factors which affect engine performance of exhaust gas emission, one believes that the fact that ECM of gasoline engine is used for LPG engine when retrofitting gasoline engine to LPG engine is one of the main problems, which lower engine power and emit more noxious gas due to wrong ignition timing. To solve these problems, one studied the effects of ignition timing on the exhaust gas to find out the optimum condition of ignition timing. The experimental results show that noxious exhaust gas is reduced and engine power is increased if the optimum control of ignition timing is applied in accordance to the revolution speed of engine.

완전 기저 동맥 중복과 동반된 모야모야병(Moyamoya disease) 1예

권준범,양현덕,한범기,이지용,문준식,이성수 대한신경과학회 1999 대한신경과학회지 Vol.17 No.2

콘크리트 구조물용 GFRP리바의 기계적 특성에 관한 연구

한길영,이동기,김성용,전상기,최종대,박준식 조선대학교 에너지.자원신기술연구소 2000 에너지·자원신기술연구소 논문지 Vol.22 No.2

In this paper was studied on the mechanical characteristics of Glass Fiber Reinforced Plastics(GFRP) of the steel bar it is to replace The advantage of FRP such as high strength low weight and chemical inertness or noncorrosiveness can be fully exploited. GFRP bar were successfully fabricated at 10mm nominal diameters and hollow types using a pultrusion method Tensile and bending specimens from this bar were tested and compared with behavior of GFRP rebar and steel bar.

준안정 오스테나이트의 가공유기 변태 계산모델

한흥남,이창길,김성준,오창석,이태호 대한금속재료학회 2004 대한금속·재료학회지 Vol.42 No.3

A computational model, which can describe the mechanically-induced martensite transformation of metastable austenite, is suggested. The strain originated from the transformation of metastable austenite into martensite is evaluated by assessing the difference of the nucleation rate of variants, which was determined from the interaction energy between externally applied stress state and lattice deformation based on the K-S relationship. A self-consistent model with the Eshelby's solution is employed to predict the deformation behavior. A simple iterative calculation was carried out to predict the stress-strain behaviors under the uniaxial stress state. The calculated results are compared with the experimental data for various strain rates. Good agreement is found between the calculated and experimental values of transformation kinetics and stress-strain behavior.

양궁선수의 자신감과 각성조절에 관한 연구

한태준,오상훈 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.4

This study is to provide basic data of event of archery in the matter of dealing mental training program according to a characteristic of players, the difference of self-confidence and awakening control among several physical factors which influence on performed assignments in events, are compared and analyzed. The total subjects are 178 archery players (92 man and 86 women) in high school, university, and pro-team, we came to conclusion as the result of comparative analysis on self-confidence and awakening control of archery player. 1)Self-confidence and awakening control of archery player in man and woman according to the level of event. Regarding self-confidence according to sex, woman is higher than woman, it did not show significant difference. Regarding the level of events, it showed superior player group is higher in man and non-superior player group is higher in women, there is a significant difference. Regarding awakening control, man is higher than women, regarding the level of performance is higher in the group of non-superior player, but there is not a significant difference. 2)Self-confidence and awakening control of man's archery player according to his place. The result of self-confidence according to his place of man's archery, the pro-team is the highest, university team is the lowest, no significant difference. Regarding the difference of the level of events, superior players are higher than non-superior players group with significant difference. No significant difference is in the awakening control according to the level of events in man. (3)Self-confidence and awakening control of woman's archery player according to her place. The result of self-confidence of woman's archery according to her place, it is the highest in high school and the lowest in university. Regarding the level of events, non-superior high school group is the highest and superior high school group is the lowest but no significant difference is in both place and the level of events. Regarding the control of awakening, the university is the highest and the player in high school is the lowest, in the matter of the level of events, there is not much significant difference between superior player group and non-superior player group.

屋上綠化가 빗물流出量 및 水質에 미치는 影響

한무영,김준규,박상철 대한건축학회 2003 대한건축학회논문집 Vol.19 No.11

Greening roof is gaining much interest as means for reduction of heat island effect and prevention of urban flooding. However, the effect of Greening roof on the quantity and quality of runoff has not been addressed simultaneously. In this study, the characteristics of rainfall runoff is investigated by a set of pilot plants with different depths of soil in order to investigate the effect of greening roof on the runoff characteristics and runoff water quality. Greening roof had reduction of rainfall runoff about 23~95 % at the 10 cm of depth of soil and about 24~100% at the 20 cm of depth of soil. Also, greening roof could decrease runoff of rainfall about 84~91 % of total quantity of rainfall during experimental period. However, greening roof gives much impact to the water quality. Filtrate of greening roof has been neutralized (pH 7~7.5) from acidic (pH 4~5). However, electro conductivity and turbidity of greening roof slightly increased. Overall, the greening roof has a good potential to reduce and delay the runoff peak flow. The quality of runoff from greening roof is good enough to be used for non drinking purpose.