삼환계 항우울제(Dothiepin)가 우울증 환자의 수면에 미치는 영향 : 수면 다원 검사에 의한 연구 A Polysomnographic Study

홍승철,한진희,이성필,방승규 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.4

우울증환자군에서 삼환계 항우울제인 dothiepin 투여 후의 수면이 변화양성을 알아보며, 치료 후의 호전정도를 예측할 수 있는 치료 전과 치료 후의 수면변인을 조사하기 위하여 본 연구를 시행하였다. 수면상태는 수면다원검사를 실시하여 평가하였고, 우울증상의 심각도와 임상양상의 정도는 Hamilton 우울척도를 이용하여 평가하였다. 연구대상은 최소 14일 이상 약물을 투여 받지 않은 우울증 환자 16명(남자 7명, 여자 9명, 연령분포 23∼64세)으로 구성되었다. 수면다원검사는 약물을 투여하기 전과 약물투여 후 1주와 3주에 시행하여 다음과 같은 결과를 얻었다. 1) 항우울제 투여 1주와 3주 후 수면 연속성은 기준수면에 비하여 총수면 시간이 유의하게 증가하였고 수면잠재기는 단축되었으며, 수면도중 각성시간은 감소하였고, 수면효율은 증가되었다. 2) 항우울제 투여 1주와 3주 후 수면구조에서는 기준수면에 비하여 2단계 수면이 유의하게 증가하였다. 3) 항우울제 투여 1주와 3주 후 급속안구운동 수면은 기준수면에 비하여 유의하게 감소하였고, 급속안구운동 수면잠재기는 증가하였다. 4) 항우울제 투여 1주 후와 3주 후의 수면을 비교시 수면잠재기가 3주에 유의하게 감소된 외에는 수면 변인의 차이를 보이지 않았다. 5) 우울증상의 평가를 위하여 약물투여 1주 후와 3주 후에 시행한 Hamilton 우울척도 점수는 약물투여 전에 비하여 줄어들어 우울증상이 호전됨을 나타내었다. 6) 항우울제 투여 3주 후 치료반응이 좋았던 군의 수면특징은 기준수면에서 수면도중 각성시간이 증가된 경향을 나타내었고, 약물투여 1주 후의 수면에서는 4단계 수면의 양이 유의하게 감소되었다. 이상의 결과를 볼 때, 우울증환자에서 삼환계 항우울제인 dothiepin 투여 후의 수면변화는 치료초기에 나타났다. 기준수면에서 각성기간의 증가와 1주 후의 수면에서 4단계 수면의 감소는 약물치료에 좋은 반응과 관련된 수면변인으로 생각되었다. Objectives : This study was designed to investigate 1) sleep changes after antidepressant (dothiepin) treatment, and 2) sleep variables which seem to be associated with clinical response in the depressed patients. Methods : The subjects consisted of 16 patients who fullfilled the criteria for major depression by the Diagnostic and statistical Manual, (4th edition). Their sleep was recorded using polysomnography at the baseline and after one week and three weeks of dothiepin treatment. All subjects were further interviewed using Hamilton Rating Scale for Depression (HRSD) to rate the severity of their depression. High response to the drug was defined as a reduction of more than 50% of the HRSD score. Results : The results were as follows : 1) Depressed patients after dothiepin treatment showed more total sleep time(p=0.019), shorter sleep latency(p=0.05), less awake time(p=0.033), more sleep efficiency(p=0.018), more stage 2 sleep(p=0.002), less REM time(p=0.000), and longer REM sleep latency(p=0.004) than before treatment. 2) There were no differences in sleep variables between those who received 1 week and 3 weeks of dothiepin treatment except for the shortening of sleep latency after 3 weeks(p<0.05). 3) Depressive symptom scores on HRSD were reduced after 1 week and 3 weeks of dothiepin treatment as compared with the baseline. 4) High responders showed a tendency of increased wake time(p=0.054), while their stage 4 sleep decreased after 1 week of dothiepin treatment as compared with the low responders(p=0.0136). Conclusion : These results suggest that sleep of the depressed patients after dothiepin treatment tends to be normalized and sleep changes seem to appear early in the treatment phase. In addition, clinical response might be associated with greater wake time at the baseline and lesser stage 4 sleep after 1 week of dothiepin treatment.

Surface Plasmon Resonance 기술을 이용한 인체분비물 혈액형 분석에 대한 연구

홍승범,최동호,안희중,이동석,김응수,최상규,이영보 內務部 國立科學搜査硏究所 2001 國立 科學 搜査 硏究所 年報 Vol.33 No.-

하수 2차 처리수 재이용을 위한 저압 및 중압 고도산화시스템의 성능평가

안규홍,안석,맹승규,김기팔,홍준석,정민우,권지향,Ahmed, Zubair 대한상하수도학회 2003 상하수도학회지 Vol.17 No.4

In the present study, the feasibility of UV/H₂O₂ systems was investigated using low and medium-pres sure lamps on biologically treated wastewater effluents for secondary effluent reclamation. Two types of UV lamps were used as the light sources (a 33W lowpressure mercury lamp and a 350-W mediumpressure mercury lamp). The results from these UV systems showed that the removal of organic compounds could be achieved in the contact time of longer than 30min (i.e., low UV doses). Efficiencies of color removal and disinfection were far better than those of organic matters measured as TOC, DOC and TCOD_(cr). In the low pressure lamp UV system, it has been found that DOC and color removals were 60.9 and 86.2% with 50㎎/L of H₂O₂ and contact times of 30 minute, respectively. Whereas, with the mediumpressure lamp UV system, TOC, DOC and color removal were 27.1, 5.6 and 95% with 14.3㎎/L of H₂O₂ and 14 minute of contact times, respectively. Both systems could be applied for the reclamation of secondary effluent treated with biological treatment processes.

動力耕耘機用 디젤 機關의 騷音特性

崔圭洪,李承奇,安義成 건국대학교 산업기술연구원 1994 건국기술연구논문지 Vol.19 No.-

국내에서 생산보급되고 있는 動力耕耘機用 8PS 디젤기관의 騷音 狀態를 파악하고자 消音器 전방 1m 위치 및 운전자 위치에서의 모터 구동시와 연소 구동시 각 회전수별 騷音을 측정 비교 분석하고 기관에서 발생하는 소음중 에너지 비율이 가장 높은 排氣音을 제어하기 위해 소음기를 부착시와 소음기 제거시 및 空洞의 體積을 변화시킨 경우의 각 回轉數別 騷音度, 燃料消費率, 出力 등을 측정 분석하여 현 소형 디젤기관의 騷音 減少方案 모색의 기초자료로 제시하고자 실시한 시험의 결과는 다음과 같다. 1) 機關의 回轉數가 증가함에 따라 騷音은 높아지는 것으로 나타났으며, 기존 機關의 경우 機械騷音은 85dB 이상으로 이의 騷音低減對策이 필요하다고 생각된다. 2) 消音器 附着時와 除去時 무부하 운전시와 전부하 운전시 騷音은 소음기 부착시가 제거시에 비해 각각 4, 13.1dB 정도 낮게 나타나 비교적 소음감쇄 효과가 높았다. 3) 空洞體積 變化에 따른 消音器別 騷音은 기존의 소음기 T-Ⅰ 보다 空洞의 체적을 증가시킨 T-Ⅱ, T-Ⅲ가 운전자 위치 및 소음기 전방 1m 위치에서 無負荷 運轉時 각각 1.9∼2.3dB 및 2∼2.8dB, 全負荷 運轉時 각각 4.9∼5dB, 7.1∼7.5dB 감소한 것으로 나타났다. 4) 각 회전수별 燃料消費率은 T-Ⅰ, T-Ⅱ, T-Ⅲ가 거의 같은 경향을 나타냈으나, 소음기를 제거한 경우는 약 17g/PS·hr 정도 낮게 나타났다. 또, 출력은 소음기를 부착한 경우가 제거한 경우에 비해 각각 0.55PS 낮게 나타났다. 5) 排氣騷音을 최대한으로 감소시키기 위하여 금후 機關出力 감소가 적고, 騷音 減少效果가 높은 形態의 消音器 開發硏究가 이루어져야 할 것으로 생각된다. This study was conducted to evaluate the noise characteristic of 8PS agricultural diesel engine through the modification, was found to provide the foundamental data that could be used to reduce the noise of the engine. To evaluate the noise characteristics on the agricultural diesel engine by the muffler, noise level, specific fuel consumption and output were measured in case of the with and without muffler and three different volume of muffler cavity. The results of the study are summarized as follows: The noise increased by the increament of revolution velocity. The mechanical noise of power tiller indicated more than 85dB at 1,800∼2,200rpm. Therefore, to minimized bearing ability of operator, it was thought that the countermeasure of noise reduction need. The noise level with the muffler was smaller than those without muffler by 4dB, 13.1dB. respectively. In case of increased the volume of muffler cavity, the noise level at the position of working seat was decreased 1.9∼2.3dB at the time of no-load condition and 4.9∼5dB at the time of full load, respectively. The specific fuel consumption of the without muffler type was 17g/PS hr lower than the with muffler type. The output of the without muffler type was 0.55PS higher than the with muffler type, respectively. To reduce of the exhaust noise, it is necessary to continue researches on the relationship between complex factors of the noise.

한강변 응급센터에 내원한 익수환자에 대한 임상적 고찰

양진홍,박규남,최승필,김영민,김세경 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2

Background: There are approximately 2,400 drowning deaths reported every year in Korea, but there are few good reports about submerged patients visiting the emergency room, so this study was designed to investigate the clinical characteristics and outcomes of submerged patients treated at an emergency medical center near the Han river. Methods: A retrospective review of 123 cases of submerged patients admitted to our emergency medical center over a 5 year period from 1996 to 2000 was conducted. Results: Among the 123 submerged patients, there were 66 males and 57 females, and their mean age was 33.18. The common cause of submersions was a suicide attempt, followed by lack of attention, unknown etiology, and water sports such as swimming. Most of the patients were transported to ER by 119 ambulance. In-hospital CPR was performed on 27(22%) cases. At initial ECG rhythm of these cases, asystole was noted if 25 patients; VF and pulseless electrical activity, respectively, were noted in two others. Prehospital CPR had been performed on all in-hospital CPR cases except 2. Prolonged ROSC after succesful CPR was noted in 13 cases, The mean duration of CPR was 26 minutes. Five patients survived after CPR. Their neurologic outcomes were assessed on CPC(cerebral performance category). Three patients were categorized in CPC1, the other two patients were categorized in CPC3 and CPC4. Conclusion: Submerged patient's visits to emergency medical center near the Han river were most frequent in summer for suicide purposes. Drowned patients were more hypothermic than other cardiac arrest cases, and resulted in better outcome even with prolonged arrest time, if they were given appropriate prehospital CPR and aggreissive in-hospital resuscitation.

유리 성형용 금형의 균열 발생 기구

황규홍,송동환,양권승,이종국 조선대학교 생산기술연구소 2005 生産技術硏究 Vol.27 No.2

Microstructure of glass-forming mold have influence on the mechanical properties such as hardness, and life span of the glass-forming mold is strongly dependent on its microstructure. The glass-forming mold with guaranteed tool life requires fine particle size and homogeneous distribution of Cr precipitates in the matrix. In this study, mechanism on the crack creation of the glass-forming mold made in Korea (K-mold) was compared to the one glass-forming mold made in Japan (J-mold). SEM observation revealed that the particle size of the Cr precipitates in J-mold was smaller than that in K-mold, in addition the size distribution of J-mold was narrower than that of K-mold, resulting in long life of J-mold. Therefore, it was confirmed that the microstructure of the glass-forming mold related to Cr precipitates was one of the important parameters to improve the quality of products.

중·고등학교 청소년의 자살사고 및 자살시도의 유병률과 자살시도의 위험요인에 관한 연구

조성진,전홍진,김장규,서동우,김선욱,함봉진,서동혁,정선주,조맹제 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.6

연구목적 : 지역사회에 거주하고 있는 중·고등학교 청소년들을 대상으로 자살 사고 및 자살시도의 빈도, 성별과 연령(13∼15세 vs 16∼18세)에 따른 자살사고 및 시도의 빈도에 차이가 있는지 여부, 자살사고 및 자살시도가 있는 청소년의 특징, 그리고 자살시도의 위험요인을 알아보고자 하였다. 방 법 : 부천시에 소재하고 있는 중학교 24개교 및 고등학교 20개교의 청소년 71,102명중에서 무작위 집락 표본 추출범으로 청소년 2,203명(남자 1,105명, 여자 1,098명)을 조사대상으로 선정하였다. 자살시도 및 자살사고의 정의에 관한 항목은 Moscicki가 사용한 자살행동에 관한 4항목 중 2항목을 사용하였다. 우울증에 대한 조사도구는 the Center for Epidemiologic Studies Depression Scale, 알코올 의존에 대한 조사도구는 Composite International Diagnostic Interview의 알코올 의존 관련 항목을 사용하였다. 조사자료 통계는 빈도, 백분율, chi-square test, 단변인 및 다변인 로지스틱 회귀분석을 사용하였다. 결 과 : 본 조사연구의 분석결과를 통계적으로 유의한 차이를 보인 항목으로 살펴보면 다음과 같다. 1) 전체 대상자의 자살 사고률은 30.7%, 자살 시도률은 5.3%인 것으로 조사되었다. 남자 대상자의 자살 사고률과 시도률은 26.9%, 3.4%이었고, 여자 대상자의 자살 사고률과 시도률은 34.9%, 7.3%인 것으로 조사되었다. 성별에 따라 자살 사고률과 시도률에 통계적으로 유의한 차이가 있었다. 2) 연령(학년)을 13∼15세(중학교)와 16∼18세(고등학교)의 두 연령층으로 조사하였을 때, 중학생의 자살 사고률과 시도률은 30.1%, 4.3%이었고, 고등학생의 자살 사고률과 시도률은 31.6%, 6.4%인 것으로 조사되었다. 연령에 따른 자살 사고률에는 통계적으로 유의한 차이가 없으나 자살 시도률에는 유의한 차이가 있었다. 3) 전체 조사 대상자를 대상으로 시행한 다변인 로지스틱 회귀 분석 결과에 의하면, 자살 시도의 위험요인이 여자, 알코올 의존, 중등도 및 중증 우울 증상인 것으로 조사되었다. 남녀별로 시행한 단변인 로지스틱 회귀 분석 결과에 의하면, 남자는 알코올 의존이 있을 때, 여자는 알코올 의존, 중등도 및 중증의 우울 증상이 있을 때 자살시도의 위험성이 높았다. 결 론 : 본 연구에서 자살 사고률 및 자살 시도률이 각각 29.6%(남자 25.6%, 여자 33.7%)와 5.31%(남자 3.3%, 여자 7.3%)인 점과 자살시도의 위험요인이 우울 증상의 정도, 알코올 의존인 점을 고려할 때 알코올 의존 및 우울 증상의 조기발견과 치료, 그리고 자살 사고자 및 자살 시도자에 대한 정신의학적 접근과 추적관찰에 대한 방안이 강구되어야 할 것으로 생각된다. Objectives : Aims of this study were 1) to estimate prevalence rates of suicidal ideation and suicide attempt, 2) to find out whether the gender difference and age difference(13-15 years vs 16-18 years) for suicide behaviors exist, 3) to analyse correlates of suicide attempts among junior and high school adolescents aged 13-18 years old. Methods : A self-administered questionnaire was used in a cluster random sample of 2,203 school adolescents(male 1,105, female 1,098). Data were obtained on a wide range of constructs including suicidal ideation and attempts during past 2 weeks, depressive symptoms, symptoms of DSM-IV alcohol dependence, family structure, socioeconomic status, smoking, satisfaction with school achievements, and subjective health status. Chi-square test were done for analysing gender difference and age difference of suicide behaviors. Statistical analyses including uni-variate and multi-variate logistic regression analysis were done for each sex, respectively. Results : 1) The prevalence of suicide ideation during past 2 week was 30.7% in the total sample. The prevalence rates of male and female ideators were 26.9% and 34.9% respectively. The prevalence of suicide attempt during past 2 week was 5.3% in the total sample. The prevalence of suicide attempt in males was 3.4% and 7.3% in females. 2) Gender difference was significant. That is, female respondents showed higher rate of suicidal ideation and suicide attempt. In our study age difference was found only at the rate of suicide attempt. That is, older adolescents(16-18 years) showed only statistically significant higher rate of suicide attempt than younger adolescents(13-15 years). 3) Multi-variate logistic regression analysis revealed that the correlates for suicide attempt were female, moderate to severe depressive symptoms, alcohol dependence in the total sample. In males the correlate for suicide attempt was alcohol dependence. In females, were moderate to severe depressive symptoms, and alcohol dependence. Conclusion : Depressive symptoms, alcohol dependence, presence of suicidal ideation were strong predictors for suicide attempts. This suggest that early detection of treatment of depression and alcohol dependence is important and psychiatric approach and follow-up be needed for the prevention of suicide.

자외선/과산화수소 고도산화공정에 의한 하수 2차 처리수 중의 용존유기물 분해에 미치는 부유물질과 과산화수소 농도의 영향

안규홍,이석헌,안석,김기팔,정민우,맹승규 대한상하수도학회 2002 상하수도학회지 Vol.16 No.3

Secondary effluent of activated sludge process was treated by UV/H_2O_2 advanced oxidation process to investigate the effect of suspended matter and H_2O_2 concentration. With low dosage of UV radiation, the concentration of the dissolved organic compounds measured as DOC could be increased with and without hydrogen peroxide. It was suggested that the cause of DOC increase in treated samples was the decomposition of suspended microbial particles and the incomplete oxidation of dissolved organic compounds. The removal of suspended solid significantly enhanced the degradation of DOC in both UV and catalyzed UV oxidation. Color and odor of secondary effluent was effectively removed. Turbidity was decreased by oxidation and the particle size distribution was shifted to lower range. With increased H_2O_2 dosage (30∼120mg/l), the removal of DOC was enhanced. To obtain the required quality meeting the regulated level for water reuse, additional treatment for turbidity rejection was required.

노후화영향을 고려한 S.R.C.기둥과 R.C.기둥의 시간의존적 신뢰성 해석

손승현,김희규,홍기섭,홍영균 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2(구조계)

The structures are generally deteriorated with time, and then the strengths of them shall be lowered. Considering decrepitude, the strengths of a steel reinforced concrete (S.R.C.) and reinforced concrete (R.C.) columns are affected by variations in the strengths of concrete and steel, the cross-sectional dimensions of concrete and steel section, the placement of steel section and reinforcing bars and the strength model itself: Their factors are stochastic variables; elapsed time after construction, crack and neutralization or carbonation of concrete, corrosion of reinforcing bars, etc. On each case of S.R.C & R.C. columns, these several variables, the strengths which have been acquired by using Time Dependent Reliability analysis method, will be analyzed and compared with the strength by reinforced concrete criteria and LRFD(Load & Resistance Factor Design) criteria. The stochastic strengths of members suggested in this study will be useful for the life-cycle management.

청각모델을 이용한 고립단어 인식

박규홍,노승용 서울市立大學校 1998 論文集 Vol.32 No.1

Auditory models that are capable of achieving human performance would provide a basis for realizing effective speech processing systems. Perceptual invariance to adverse signal conditions (noise, microphone and channel distortions, room reverberations) may provide a basis for robust speech recognition and speech coder with high efficiency. But traditionally, the speech feature is extracted from vocal models using linear prediction method or cepstrum. And this paper proposed an alternative way to extract this information that relies on processing principles derived from properties of the auditory system. This paper also proposed distance measure that is related for angle between two pattern vectors and dynamic time warping algorithm was used for testing the performance. The premise of this approach is that such processing principles can provide a basis for realizing effective speech processig systems. The result of experiments demonstrate that performance was improved by replacing the vocal cord model by the auditory model and by using proposed distance measure.