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.

Helicobacter pylori와 대장균의 Shuttle Vector 개발

조명제,이우곤,이상룡,김경희,안영숙,김성희,김현주,류복덕,최여정,윤영혜,백승철,전영석,이광호 경상대학교 유전공학연구소 1997 遺傳工學硏究所報 Vol.16 No.-

In this study, a vehicle vector using cryptic plasmids was constructed for gene transfer in Helicobacter pylori. pHP51(3.9 kb) and pHP489(1.2 kb) were selected for constructing vectors from cryptic plasmid of H. pylori isolates in Korea. The HindⅢ-digestedDNA fragment(1.2kb) of pHP489 and 1.6kb DNA fragment of pHP51 were ligated with a kanamycin resistance gene(aph3'-Ⅲ) from C. jejuni to produce the recombinant plasmids pHP489K and pHP51K, respectively. Transformation frequency of pHP51K by electroporation was low. But pHP489K could be effectively transformed into various H. pylori strains. In order to design an intermdiate vehicle vector for gene transfer into H. pylori, pBlueHP489K was prepared by recloning pHP489K DNA into pBluescript and pTZ19R vector. This vector permitted the DNA fragment containing pHP489 sequence, aph3'-Ⅲ, and cloned DNA to be cut and self-ligated in the SacⅠ site after cloning. ureA and ureB gene were inserted into pBlueHP489K, resulting in pBlueHP489K/AB. The DNA fragment containing pHP489, kanamycin resistance gene(aph3'-Ⅲ), and urease structural gene was cut away from pBlueHP489K/AB and self-ligated to generate pBlueHP489K/AB. pBlueHP489K/AB made urease-negative H. pylori strains restore their urease activity. By this experiment, pBlueHP489K was confirmed to be the vehicle system for transferring H. pylori genes.

신우황청심원액의 심혈관계에 관한 약효연구

조태순,이선미,김낙두,허인회,안형수,권광일,박석기,심상호,신대희,박대규 충남대학교 약학대학 의약품개발연구소 1997 藥學論文集 Vol.13 No.-

In order to investigate the pharmacological properties of New Woohwangchungsimwon Liquid (NCL), efects of Woohwangchungsimwon Liquid (CL) and NCL were compared. In isolated rat aorta, NCL and CL showed the relaxation of blood vessels in maximum contractile response to phenylephrine (10^6M) without regard to intact endothelium or denuded rings of the rat aorta. Furthemore, the presences of the inhibitor of NO synthase and guanylate cyclase did not affect the relaxation of NCL and CL. NCL and CL inhibited the vascular contractions induced by acetylcholine, prostaglandin endoperoxide or peroxide in a dosedependent manner. In conscious spontaneously hypertensive rats (SHRs), NCL and CL significantly decreased heart rate. NCL and CL, at high doses, had a negative inotropic effect that was a decrease of LVDP and (-dp/dt)/(+dp/dt) in the isolated perfused rat hearts, and also decreased the contractile force and heart rate in the isolated rat right atria. In excised guinea-pig papillary muscle, NCL and CL had no efects on parameters of action potential at low doses, whereas inhibited the cardiac contractility at high doses. These results suggested that NCL and CL have weak cardiovascular effects with relaxation of blood vessels and decrease of heart rate, and that this effect is no significant differences between two preparations.

Phase-Shift를 이용한 시분할형 부하병렬 고주파 인버터의 특성해석에 관한 연구

조규판,원재선,김동희,노채균,원규식,심광열 영남대학교 공업기술연구소 2000 工業技術硏究所論文集 Vol.28 No.2

A half bridge time sharing type load parallel high frequency resonant inverter to give VVVF function in the inverter used as power source of induction heating at high frequency is presented in this paper. This proposed inverter can reduce distribution of the switching current because of using the current of serial resonant circuit to the input current of the parallel one and this paper also realize the output control of independence irrespective of the switching frequency using Phase-Shift. The analysis of the proposed circuit is generally described by using the normalized parameters. Also, the principle of basic operation and the its characteristics are estimated by the parameters, such as switching frequency, the variation of phase angle(φ) of Phase-Shift. It is certain that the proposed circuit will be used and expanded in the high frequency power supplies like induction heating systems.

우리 나라 중소도시의 성장방안 모색

조흥수,원광희 안성산업대학교 1997 論文集 Vol.29 No.1

The objective of this study was to suggest growht device of small-medium city through comparative analysis of big city and small-medium city in Korea. The major findings were as follows : (1) Groping of legal and systematic side. (2) Strengthening of settlement faculty and expansion of social overhead capital. (3) Consideration of inducement methods for region. (4) Extension of participation extent for inhabitants.

신원방우황청심원액의 심혈관계에 관한 약효

조태순,이선미,김낙두,허인회,안형수,권광일,박석기,심상호,신대희,박대규 성균관대학교 약학연구소 1999 成均藥硏論文集 Vol.11 No.-

Abstract-In order to investigate the pharmacological properties of New Wonbang Woohwangchungsimwon Liquid (NSCL), effects of Wonbang Woohwangchungsimwon Liquid (SCL) and NSCL were compared. In isolated rat aorta, NSCL and SCL showed the relaxation of blood vessels in maximum contractile response to phenylephrine (10^-6 M) regardless to intact endothelium or denuded rings of the rat aorta. Furthermore, the presences of the inhibitor of NO synthase and guanylate cyclase did not affect the relaxing effect of NSCL and SCL. NSCL and SCL inhibited the vascular contractions induced by acetylcholine, prostaglandin endoperoxide or peroxide in a dose-dependent manner. In conscious spontaneously hypertensive rats (SHRs), NSCL and SCL significantly decreased heart rate. NSCL and SCL, at high doses, had a negative inotropic effect that was a decrease of left ventricular developed pressure and (-dp/dt)/(+dp/dt) in the isolated perfused rat hearts, and also decreased the contractile force and heart rate in the isolated rat right atria. In excised guinea-pig papillary muscle, NSCL and SCL had no effects on parameters of action potential such as resting membrane potential, action potential amplitude, APD_90 and V_max at low doses, whereas inhibited the cardiac contractility at high doses. These results suggested that NSCL and SCL have weak cardiovascular effects with relaxation of blood vessels and decrease of heart rate, and that this effect is no significant differences between cardiovascular effects of two preparations.

사무직 공무원의 스트레스 수준 및 관련요인

조광희,이동배,조영채 대한산업의학회 2007 대한직업환경의학회지 Vol.19 No.1

목적: 사무직 공무원들의 사회심리적 스트레스 수준을 파악하며, 이에 관여하는 제 특성을 알아보고자 시도하였다. 방법: 대전광역시에 소재하고 있는 정부 공공기관의 사무직 공무원 1,005명을 대상으로 구조화된 무기명 자기 기입식 설문지(self-administered questionnaire)를 이용한 설문조사를 실시하였다. 조사는 2005년 12월 5일 부터 2006년 1월 31일까지의 기간 동안에 실시하였으며, 연구에 사용한 설문지의 구성은 조사대상자의 인구사회학적 및 직업관련 특성, 건강관련행위, 업무요구도, 업무자율성, 직장의 사회적지지, A형 행동유형, 통제신념, 자기존중감, 사회 심리적 스트레스수준 등으로 구성하였다. 분석은 사회심리적 스트레스 수준을 종속변수로, 기타 제 변수를 독립변수로 하여 단변량분석 및 다중선형회귀분석을 실시하였다. 결과: 전체 연구대상자의 사회심리적 스트레스 수준은 건강군이 10.3%, 위험수준은 아니지만 스트레스로부터 위협을 받을 수 있는 잠재적 스트레스군이 64.9%, 심각한 수준의 스트레스를 받고 있는 고위험스트레스군이 24.8%로 나타났다. 또한 스트레스는 인구사회학적 특성이나 직급, 근무경력 등의 직업관련 특성뿐만 아니라 건강관련행위의 실천 여부, 직무요구도, 직무자율성, 직장 내에서의 사회적 지지와 같은 직무내용 및 인성(A형 행동유형, 통제신념)이나 자기 존중감 등에 의해서도 많은 영향을 받고 있었다. 결론: 따라서 공무원들의 스트레스를 감소시키기기 위해서는 직무내용의 개선 및 인성관리를 위한 프로그램의 개발 및 시행이 필요할 것으로 생각된다. Objectives: This study was performed to determine the levels of psychosocial distress among clerical public officers to reveal the various related factors. Methods: A self-administered questionnaires was administered between Dec. 5th, 2005 and Jan. 31st, 2006, to 1,005 individuals in the service of general administration located in Daejeon City. The survey items included the subjects' socio-demographic and job-related characteristics, health-related behavior, degree of job demand, job autonomy, social support in work, type A behavior pattern, locus of control, sense of self-esteem, and psychosocial distress. Results: The results showed that 24.8% of subjects were categorized as high risk stress, 64.9% as latent stress, and 10.3% as normal. The level of psychosocial distress was influenced by various sociodemographic characteristics, such as personality traits (type A behavior pattern, locus of control, self-esteem) and whether performing health-related behavior or not, as well as according to job-related characteristics such as rank in work, job career, job specifications, job demand, job autonomy, social support in work. Conclusions: The effective strategy for stress reduction among governmental employees requires additional programs focusing on innovated job specifications and managed personality traits.

유치원 아동의 Resazurin Disc검사에 의한 우식활성에 영향을 미친 요인에 관한 연구

조선아,김대업,이광희,양영숙 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.1

The puopose of this study was to analyze the influence of socioeconomic backgrounds and home dental behavior on the caries activity scores by resazurin disc method, 332 preschool children (boys 179, girls 153) in Iksan area were examined for their caries experience and caries activity. The parents of the children were asked to answer the questionnaire about socioeconomic backgrounds and home dental behavior. The sample was divided into five groups according to RD test score. The relationship between each group and a questionnaire was compared and analyzed. The following results were obtained. 1. No significant differences was found for child's age and sex, baby-sitter, sibling rank and tooth brushing frequency among five groups (p<0.05). 2. A statistical significance was obtained in the relationship between RD test score & dft rate (p<0.05). 3. No significant difference was found for parent's age, number of family and mother's physique among five groups (p<0.05). Siginificant difference was found for parent's education level among five groups (p<0.05). 4. No significant difference was found mother's oral hygiene state among five groups (p>0.05). 5. Children sucking human milk had more high RD test score than those who sucking bovine milk (p<0.05).

대기 현상에 대한 초등학생의 선개념 및 오개념 분석

조현희,김광명 춘천교육대학교 과학교육연구소 2001 과학교육연구 Vol.24 No.-

疲勞荷重을 받는 鐵筋콘크리트 보의 炭素纖維시트 補强에 따른 構造特性에 관한 硏究

조철희,김하진,김광섭,김정섭 朝鮮大學校 建設技術硏究所 1999 建設技術硏究 Vol.19 No.1

This study is an experimental study of reinforced-concrete beam with carbon fiber sheet under fatigue load and aims at utilizing it as the basic material of strengthening design of reinforced-concrete structure under the fatigue load by examining the structural characteristics according to the fatigue load. Non-strengthening and strengthening, kind of strengthening materials(non-resin carbon fiber sheet, resin carbon fiber sheet) and the loading size (80%, 100%, 120% of static destruction load) in static and fatigue experiment are designed as the variables of experiment. The experimental results are as follows. 1. The strengthening test specimen shows the increase of yield strength of 208% in comparison with non-strengthening test specimen in the static experiment which is the standard of fatigue experiment. 2. The strengthening test specimen of non-resin CFS of K company and of resin CFS of M company indicate the increase of yield strength of 228% and 183% respectively in static experiment. 3. It is found that the strengthening test specimen in fatigue experiment has the increase of fatigue strength according to that of static yield strength. The strengthening test specimen with the loading of 120% of static load secures the fatigue yield strength of greater cycle than non-strengthening test specimen with 80% of static destruction load. Accordingly, it is judged that it is suitable to use CFS for the strengthening of reinforced-concrete due to the lack of fatigue load and structural yield strength. 4. It is shown that non-resin CFS strengthening test specimen of K company tested under the same condition secures the fatigue yield strength of greater cycle than resin CFS strengthening test specimen of M company. Initial deflection and elastic behavior have a similar form. Therefore it is thought that non-resin CFS produced at home is the strengthening material with the quality of international standard. 5. The test specimen reinforced with CFS has greater effects at static and fatigue yield strength, prevention of initial deflection and elastic deflection. So, it is considered that the reinforcement of CFS structure in actual structure may have the similar reinforcement effect to this experiment