관동맥질환에서 저밀도 지단백 입자 크기의 분포

임효영,김인숙,승기배,강동헌,전두수,장기육,박준철,이수영,홍순조,최규보 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.8

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.

급성 심근경색 후 심인성쇽의 발생에 관여하는 위험인자

전두수(Doo Soo Jeon),정해억(Hae Uk Chung),승기배(Ki Bae Seung),강동헌(Dong Hun Kang),김상우(Sang Wo Kim),김용주(Young Ju Kim),채장성(Jang Sung Chae),김재형(Jae Hyung Kim),홍순조(Soon Jo Hong),최규보(Kyu Bo Choi) 대한내과학회 1996 대한내과학회지 Vol.50 No.6

Objectives: Cardiogenic shock resulting from acute myocardial infarction is a serious complication with high mortality. The early identification of patients at high risk of developing post-infarction cardiogenic shock might allow early intervention in an attempt to prevent cardiogenic shock and to reduce the mortality due to cardiogenic shock. The aim of the present study was to examine the risk factors of inhospital development of cardiogenic shock among patients with acute myocardial infarction. Methods: We studied 152patients with acute myocardial infarction who were admitted to Kang-Nam St. Mary's hospital within 24hours after the onset of chest pain and did not have cardiogenic shack on admission between March 1991 and May 1994. Clinical data of these patients were analyzed. Results: Of 152patients, 17(11.1%) developed cardiogenic shock during their hospital stay. Cardiogenic shock developed in 53% of cases more than 24hours after admission. 82.4% of patients with cardiogenic shock died whereas a 6.7% in-hospital mortality was found among patients without cardiogenic shock. Multivariate regression analysis that controlled for variables affecting incidence of postinfarction cardiogenic shock showed that independent risk factors for in-hospital cardiogenic shock were history of myocardial infarction (adjusted relative odds[RO]=5.294, 95% confidence interval[CI]=2.149 to 13.041); heart failure on admission (RO=3.344, 95% CI=1.738 to 6.432); hyperglycemia (>180mg/dl) in non-diabetic patients (RO=3.270, 95% CI=1,590 to 6.727); age over 70 year old (RO=2.912, 95% CI= 1.816 to 4.668); ST deviation over 4mm (RO=2.417, 95% CI=1.225 to 4.767); peak LDH level greater than 1600U/ml (RO=1.154, 95% CI=1.080 to 1.233). Patients with one independent risk factor had an estimated probability of 10.5% for developing inhospital cardiogenic shock; patients with two independent risk factors, 48.5%, patients with three risk factors, 65.0% patients with four risk factors, 65.7% patients with five risk factors, 67.2%. Conclusion: Of post-infarction cardiogenic shock during admission, 53% developed more than 24hours after admission. The more independent risk factors on admission for inhospital cardiogenic shock patients with acute myocardial infarction had, the more likely in-hospital cardiogenic shock developed.

비선형 약산법에 의한 지진응답평가 비교

신기영,강병두,김재웅 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

In an effort to develop design methods based on performance it is clear that the evaluation of the inelastic response is required. The methods available to the design engineer today are nonlinear time history analyses, or monotonic static nonlinear analyses, or equivalent static analyses with simulated inelastic influences. Some codes proposed the capacity spectrum method based on the nonlinear static(pushover) analysis to determine earthquake-induced demand given the structure pushover curve. This procedure is conceptually simple but iterative and time consuming with some errors. This paper considers a nonlinear direct spectrum method to evaluate seismic performance of structure, without iterative computations, given the structural initial elastic period and yield strength from the pushover analysis, especially for multi degree of freedom structures. The purpose of this paper is to investigate accuracy and confidence of this method from a point of view of various earthquakes.

다양한 구조특성에 따른 비선형 약산법들의 비교

신기영,강병두,김재웅 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2(구조계)

In performance-based design methods, it is clear that the evaluation of the nonlinear response is required. Some codes proposed the capacity spectrum method(CSM) based on the nonlinear static analysis to determine earthquake induced demand given the structure pushover curve. This procedure is conceptually simple but iterative and time consuming with some errors. The nonlinear direct spectrum method(NDSM) is proposed and studied to evaluate nonlinear response of structures, without iterative computations, given by the structural linear vibration period and yield strength from the pushover analysis, especially for shear buildings system. The purpose of this paper is to compare accuracy of approximate nonlinear methods with respect to various structure characteristics.

Maillard 反應에 관한 연구 : Ⅰ. 아미노산과 6炭糖의 Maillard 反應 Ⅰ. Study on the Mailard Browning of Amino Acids and Hexoses

李乙熙,姜奉泰,金基元,文点東,吳錫斗 진주산업대학교 농업기술연구소 1989 農業技術硏究所報 Vol.2 No.-

아미노산과 7炭糖溶液을 121℃에서 15분간 열처리하였을 때 Maillard 反應의 發色强度를 비교한 결과는 다음과 같다. 1. 아미노산은 종류에 따라 갈변화 현상의 강도가 높은 것, 중간 것 및 낮은 것으로 대별되었다. 2. Ketose인 L-sorbose와 D-fructose가 aldose인 D-galactose, D-mannose 및 D-glucose 보다 갈변화현상이 높게 나타났다. 3. 반응액의 pH가 높아질 수록 반응성은 증가되었다. 4. D-glucose 및 D-fructose의 농도가 증가될 수록 반응성은 증가되었다. Common amino acids and hexoses have been ranked according to the intensity of Maillard Browning formed when heated in an autoclave for 15min, at 121℃. The results obtained as follows : 1. The amino acid compounds have been grouped into high, intermediate and low browning groups. 2. L-sorbose and D-fructose of ketose form showed higher velocity in this reaction than D-galactose, D-manose and D-glucose of aldose form. 3. As the pH values of reaction solutions increased, the color intensities of Maillard reaction increased. 4. As the concentrations of D-glucose and D-fructose increased, the color intensities of Maillard reaction increased.

지역사회획득 폐렴의 치료지침 권고안

송재훈,정기석,강문원,김도진,배현주,서지영,심태선,안중현,안철민,우준희,이남용,이동건,이미숙,이상무,이영선,이혁민,정두련,지역사회획득 폐렴 치료지침 제정위원회 대한감염학회 2009 감염과 화학요법 Vol.41 No.3

A successful therapy of community-acquired pneumonia requires appropriate empirical antimicrobial therapy. Etiology and antimicrobial susceptibility of major pathogens of pneumonia can differ by country. Therefore, an ideal treatment guideline of community-acquired pneumonia should be based on the studies performed in each country. We developed a treatment guideline for community-acquired pneumonia in immunocompetent adults in Korea. This guideline was developed by the joint committee of the Korean Society for Chemotherapy, the Korean Society of Infectious Diseases, and the Korean Academy of Tuberculosis and Respiratory diseases.

가상 상점(Cyber Shopping Mall)의 서비스품질 측정

박정훈,강기두,주희엽 한국경영과학회 2000 經營 科學 Vol.17 No.3

With the explosion of internet users, there are many enterprises and organizations that regard the internet as the great marketing superhighway. Although fascination and speculation surrounds the impact of the cyber shopping mall on consumer shopping behavior, there is little empirical evidence underlying all this speculation. This article reports on the critical issues that consumers found salient as they browsed through cyber shopping malls. We gathered consumers' reactions via open-ended survey. We related the reactions to the factors of tangibility, assurance, responsibility, empathy, and reliability which we had identified from the existing literature on service quality. Two additional questionnaires were administered to translate these factors to the cyber shopping mall context and to explore their relative salience. We also evaluated SERVQUAL and SERVPERF as service quality measures for cyber shopping malls. The results show that SERVPERF seems more promising than SERVQUAL. The results also suggest that cyber shopping mall merchants need to think more about how they perform on the issues known to affect customers' decision making for purchasing. We offer advice for enhancing the design of cyber shopping mall.

일부 중소병원 조직구성원의 갈등이 직무만족과 조직몰입에 미치는 영향

임경태,강명근,전재두,박계남,김기순 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Objectives and Method : This study was conducted to identify the influences of conflict among hospital employees on job satisfaction and organizational commitment measured as the result variables of organizational conflict. The data for this study were collected from 305 employees who were employed as a physician, a nurse, an administrative personnel or other hcalthcare professional in 4 medium-sized general hopitals in 2 middle sized cities including Yeosu and Soonchcon. The survey instrument used in this study was a structured questionnaire developed from modifying those of some previous studies, for example, Minnesota Satisfaction Questionnaire for a measure of job satisfaction. Results : 1. The groups experienced relatively high degree of overall intra- organizational conflict were the female, the younger, the non-married or the divorced married, and the college-graduated. And according to the job-related variables, these groups were the lower-salaried employees with a lower job status, 3 or 5 years on their duties, especially the nurses. 2. The degree of conflict experienced by the hospital employees was highest in the intra-organizational conflict due to the factors such as a gap of goals, communication problems and were relatively lower in the conflict due to the factors such as a collective coherence, an interdependence, a leadership problem. And the degree of conflict due to the horizontal relationship with their colleagues was higher than that of vertical relationship with their bosses or subordinates. 3. Comparcd with the degree of conflict according to the general characteristics of our study subjects, the degree of job satisfaction and organizational commitment of them were reverse in that the male, the elderly, the married, the eradnated of praduate school, the physicians, and higher-salaried employees with a higher job status, 6 vears or more on their duties perceived the highest degree of the job satisfaction and the organizational commitment. As a result of correlation analysis, all values of correlation coefficients between the degree of intra-organizational conflict and the degree of the job satisfaction, the organizational commitment were negative. 4. As a result of a multiple regression analysis inputting the variables such as variable general characteristics and job-related variables as the putative confounders, the conflict scores due to the factors such as the communication problems, leadership problems, individual personality were the significant independent variables having negative influence on the overall, intrinsic, and extrinsic components of job satisfaction. 5. As a result of a multiple regression analysis inputting- the variables such as general characteristics and job-related variables as the putative confounders, the conflict scores due to the factors such as an interdependence, leadership problems, and an individual personality were the significant independent variables having negative influence on the score of organizational commitment. And as a result of a multiple regression analysis inputting scores of conflict factors, scores of conflict types, intrinsic and extrinsic components of job satisfaction, and above putative confounders altogether as independent variables, the significant independents having influence on the score of organizational commitment were conflict scores due to the interdependence (β=-0.379; p=0.026), the individual personality (β=-0.716: p=0.000), conflict score from vertical interpersonal relationships (β=-0.555; p=0.019), intrinsic (β=0.097; p=0.000) and extrinsic (β=0.076: p=0.049) components of job satisfaction. Conclusion : Our research had some limitations, which, for example, were an omitting some job related putative confounders such as a daily work loading measured by an individual. But the fact that all the regression models showed hig'h explanatory power suggested the bias due to this problem might be little. And we hope to be conducted more advanced researches with robust theoretical background and precise analytic tools, in this research area.

수출입 컨테이너 장치장 배정을 위한 소프트웨어의 개발

김갑환,김홍배,홍봉희,김기영,배종욱,최진오,김두열,이영기,박영만,박강태,손행대 한국경영과학회 1995 經營 科學 Vol.12 No.3

The Pusan Container Terminal faces a rapid increase in berthing time of container ships as well as in waiting time of external trucks, which is due to an absolute lack of yard space. This research is focused on the development of a decision support system for the planning of the container terminal yard assignment so that the yard space would be utilized most effectively. Efforts should be given to the reasonable assignment of the yard storage and the dynamic adaptation to the ever changing environment. The software introduced here is based o the know-how of the field exports and its framework takes the approach of the hierarchical decision making.