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.

經穴의 艾灸生體反應이 失血性貧血에 미치는 影響

李殷洪,박인규,임종국,김진택 東國大學校韓醫學硏究所 1992 東國韓醫學硏究所論文集 Vol.1 No.-

In order to observe the effects of moxibustion on anemic condition as a acute loss of blood, white rats were induced loss of blood by cadiac puncture. And then morphologically variation of The Bone Marrow was observed the following points of each rat were used : Shinsu(B23 or Ⅶ23), Hyeonjong(GB39 or XI39), and complex of shinsu(B23 or Ⅶ23) and Hyeon Jong(GB39 or XI39) Comparing these above method with the control group the results were as follow: 1. Moxibustion in Shinsu have an influence on activation of Normoblast and do for hematosis function of bone marrow 2. Formation ability of R·B·C(Red Blood Cell)turn up order a list of Mocibustion in Shinsu(B23 or Ⅶ23), Moxibustion in conplex of Shinsu(B23 or Ⅶ23) and Hyeon Jong(GB39 or XI39), moxibus-tion in Hyeon Jong(GB39 or XI39) 3. Moxibustion in complex of Shinsu(B23 or Ⅶ23) and Hyeon Jong(GB39 or XI39) moderately increase Megakaryocyte

고요산혈증의 위험인자 : 아산시 지역 주민을 대상으로

김용배,장원기,황보영,김화성,안규동,이병국,이용진,이종은,이준숙,이찬구,이한정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

Objective : Serum uric acid has now been identified as a marker for a number of metabolic and hemodynamic abnormalities. The aim of this study is to evaluate risk factors which influence hyperuricemia in the citizens of Asan. Method : The study design was cross-sectional and research subjects were 1086 citizens of Asan. General characteristics, cigarette smoking, alcohol consumption, and past history were obtained by interview using a structural questionnaire. Also, we measured height, weight and blood pressure, and serum uric acid of the subjects. Results : The mean serum uric acid level was 5.27 ㎎/㎗ in men and 4.01 ㎎/㎗, in women, In the multiple logistic regression analysis, statically significant risk factors of hyperuhcemia were gender, body mass index, blood lead concentration, and serum creatinine. Conclusion : Our results suggest that gender, body mass index, blood lead concentration, and serum creatinine might be the most important risk factors of hyperurcemia. Education program as well as routine check-up for serum uric acid was highly recommended for the effective prevention of hyperuricemia.

反復演習 類型의 CAI 프로그램 設計 및 具現

이상정,안종근,송제국 순천향대학교 1994 논문집 Vol.17 No.3

The use uf computer in learning has advantage of providing various function of audio-visual education regardless of places, especially it enables us to overcome the limitation of individual learning in traditional instruction. Today a lot of CAI courseware is developed and used. But most of them are limited on only one unit or one subject. Because of their lack of sequence in learning, there are problems of systematic learning and connection among grades. The purpose of this study is to design and develope a drill & practice CAI courseware which is proper to realize sequence among grade and easy to feedback. The results of this study are as follows: 1. After choosing arithmetics of the 5th and 6th grade of elementary school, it is designed and developed a 32 sub-subjects CAI program according to the 17 subjects in 3 units. 2. This program is implemented menu-driven meihod in order to learn total arithmetics learning. It will be completed by a following study or research for unimplemented parts.

소아의 치면세균막에 존재하는 mutans streptococci의 분포

국중기,박종휘,유소영,김화숙,이난영 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.3

한국인 소아의 치면세균막에 존재하는 mutans streptococci 종 및 생물형의 발현빈도와 치아우식경험지수와 상관관계를 알아보기 위하여. 조선대학교 치과병원에 내원한 12세 미만 113명의 소아 환자의 치아우식경험지수를 구하고, 이들의 상하악 유전치 및 유구치의 협면 및 설면의 치면세균막 샘플을 채취하여 mutans streptococci를 mitis-salivarius bacitracin 배지에서 선택적으로 분리하였다. 이들의 biotype을 알아보기 위해 생화학적 검사를 실하였고, 이들의 종 수준에서의 동정을 위해 dextranase 유전자를 표적으로 하는 중합효소연쇄반응을 시행하여 하였다. 113명의 환자 중에서 40명의 치면세균막에서 40 균주의 mutans streptococci이 검출되었다. 이들 중 생물형 제 Ⅰ형 (45%)이 가장 많이 검출되었으며, 그 다음으로 제Ⅳ형 (32.5%), 제 Ⅱ형 (15%). 제 Ⅴ형 (5%), 제 Ⅲ형 (2.5%) 순으로 검출되었다. 또한, 종 수준에서의 발현빈도를 알아본 결과 S. mutans가 69%, S. sobrinus는 31%였다. Mutans streptococci 종 또는 생물형에 따른 환자의 치아우식경험지수간의 차이는 없는 것으로 조사되었다(p>0.05). 이상의 결과를 종합할 때, 한국인의 소아의 구강 내에 존재하는 mutans streptococci중 생물형 제 Ⅰ형인 S. mutans가 가장 높은 빈도로 존재하며, 치아우식증이 세균학적 요소만이 아닌 기타 여러원인 요소에 의해 발병되는 다는 여러 연구 결과와 일치함을 알 수 있었다. The aim of this study is to survey the frequency of mutans streptococci species and biotypes isolated from dental plaque in Korean children and the relationship between species and biotypes of mutans streptococci and dft index. Dental plaques were collected from the anterior and molar teeth of upper and lower jaws in the subjects, aged below 12 years old. A dental examination was performed for dft (decayed, filed, total) with the WHO caries diagnostic criteria. The mutans streptococci from the sample were cultured selectively on mitis salivarius-bacitracine (MSB) agar plate. For biotyping of mutans streptococci, biochemical test was performed. From the culture, bacterial genomic DNA was prepared f3r using of PCR template for the identification of mutans streptococci at the species-level. Forty strains of mutans streptococci were isolated from dental plagues of 40 patients. The biotype Ⅰ (45%) and biotype Ⅳ (32.5%) were most frequently detected. The prevalence of s. mutans and S. sobrinus was 69% and 31%, respectively There was no positive relationship between species and biotypes of mutans streptococci and dft index. Our results revealed that biotype Ⅰ and S. mutans were frequently detected in Korean children and support that dental caries incidents by many causative factors not only bacterial factor.

C++를 이용한 통신 시뮬레이터의 설계 및 구현

이광휘,정상국,안정희,김한경,이종근 國立 昌原大學校 精報通信硏究所 1998 精報通信論文集 Vol.2 No.-

In this paper, we are designed and implemented communication simulator, for two systems which communicates in peer-to-peer and simulating for protocol, to verify the interwork not yet designed system Peerl and now being operated Peer2. To begin with, after the investigation in Interworking Standard in Interface Control Document and check the satisfied requirements in each system, the environment of simulator is set up. We examine Interworking Standard in FSM representation. And in protocol design, partial steps follows necessary procedure of protocol engineering. Simulator is implemented in C++ and, to interwork two systems smoothly, the whole system will be merged. Finally, a design and implementation of simulator is completed by confirming simulation results of simulator and Interworking Standard coincide.

日本의 私學評議員會에 관한 硏究

李鍾國 상명대학교 논문집 1990 상명대학교논문집 Vol.26 No.-

Throughout the studying of the private school law and the reference books of Japan, this paper provides the followings, (1) What characteristics does the Board of Councilors of Private School are organized, (3) What's the function and the duty of these council, (4) In addition, through studying What's the way of management of the council, (5) Pointing out the problem with introduction of this council to our country and searching for the solution of it.

한국 프로농구 선수들의 성격 특성에 관한 조사 연구

이종희,송왕국 경희대학교 체육과학연구소 2001 體育學論文集 Vol.29 No.-

The aim of the study is examining the influence of elementary schoolchildren's Taekwondo training on their sense of self-respects. The subjects of the study are the boy students of the fourth, fifth, and sixth school year of elementary schools in Seoul at the present time, and the method of sampling from the population is the multi-stage cluster sampling. The way of data gathering is that let the subjects write out questionnaires using the self-evaluation recording, and the 326 person's data on material examination process is analyzed by IBM PC SAS Package. The methods of analysis include the confidence level verification by sub-areas, examination of questionnaires, re-examination of confidence level, computing the average and the standard deviation by each of 4 self-respects areas unitary variable quantities analysis and the Tukey's post data verification. The results of the study over the influence of elementary schoolchildren's Taekwondo training on their sense of self-respects from the methodologies and process above draw conclusions like follows: 1. The fifth school year students gained the highest mark following the fourth, and the sixth school year in the whole, social, home, and school life senses of self-respect by school year, but the differences among them are meaningless statistically. 2. The training students marked higher than the training experienced students in the whole, social, home, and school life senses of self-respect by whether they have trained or not, but the differences among them are meaningless statistically. 3. According to the grades, the meaningful differences between the Poom(senior grade) holders and the Keup(junior grade) holders(p=0.0009) was showed in the whole senses of self-respect, and the social senses of self-respect was differed much between the Poom holders and 8-4 Keup holders(p=0.0058), the home life senses of self-respect between the 3 Poom holders and the Keup holders, 1-2 Poom holders and 8-4 Keup holders showed meaningful differences(p=0.0010), but the differences in the school life senses of self-respect are meaningless statistically. 4. According to personal career, the differences have something significants in the whole senses of self-respect among the students who have trained over 3, 2-3 years and less than 1 year(p=0.0062), in the social senses of self-respect among the students who have trained over 3, 2-3, 1-2 years and less than 1 year(p=0.0103), and in home life senses of self-respect between the students who have trained over 3 years and 1-2 years or less than 1 year, between 2-3 years and less than 1 year(p=0.0004), but the differences in the school life senses of self-respect are meaningless statistically.

코크스 제조 및 사용 공정에서의 코크스오븐 배출물질 연구

이종천,안규동,조광성,이병국 한국산업위생학회 2001 한국산업보건학회지 Vol.11 No.2

This study was performed to evaluate the coke oven emissions (COE) and polynuclear aromatic hydrocarbon levels in coke manu- facturing industry, secondary lead smelting industry and glass bottle manufacturing industry. 1. There were no significant difference between the means of personal samples and area samples by the types of industry(p>0.05). The levels of airborne total particulates of the secondary lead smelting industry was the highest(2.30㎎/㎥), and those of the coke manu- facturing industry and glass bottle manufacturing industry were 1.95 ㎎/㎥ and 1.37 ㎎/㎥. The concentration of COE was the highest in the glass bottle manufacturing industry(0.79 ㎎/㎥), and in order of 0.19㎎/㎥ in the coke manufacturing industry and 0.05 ㎎/㎥ in the secondary lead smelting industry. COE/total particulates(%) was highest in the glass bottle manufacturing industry(58.1%) and in order of 10.3% in the coke manufacturing industry and 3.1% in secondary lead smelting industry. There were significant differences in the total particle concentration and Coe by the types of industry(p<0.05) 2. The levels of airborne total particulates was the highest at the smelting process of secondary lead smelting industry(2.30±0.72 ㎎/㎥), and the lowest at the smelting process of glass bottle manufacturing industry (0.99±1.22㎎/㎥) Concentration of COE was the highest at the casting process of glass bottle manufacturing industry (1.09±1.15㎎/㎥), the lowest at the smelting process of secondary lead smelting industry(0.06±0,03 ㎎/㎥). The COE/total particulates(%) was the highest at the casting process of glass bottle manufacturing industry(65.9±20.5%), and the lowest at the smelting process of secondary lead smelting industry(3.1±2.7%). 3. There were positive correlations between level of The airborne total particulates and concentration of COE in COKE manufacturing industry and glass bottle manufacturing industry(p<0.05), but negative correlation in secondary lead smelting industry. 4. The numbers of case and rates that over the Threshold Limit Values(TLVs) were 24 (77.4%)cases in glass bottle manufacture, 14(23.7%) cases in the coke manufacturing industry and no one case in secondary lead smelting industry. Total numbers of case and rates that over TLVs were 38(35.5%) cases. 5. The limit of detection(LOD) for PAH was 10 ㎍/㎖) in standard sample. All PAH levels of the cokes manufacturing industry and the secondary lead smelting industry and the glass bottle manufacturing industry were trace or not to detect.

다중 트랜스퓨터상에서 필기체 숫자 인식 시스템의 구현

李鍾國,權寧淡 嶺南大學校 基礎科學硏究所 1992 基礎科學硏究 Vol.12 No.-

In order that off-line handwritten digit recogniton system may be put to practical use, recognition speed as well as recognition rate must be considered. In this paper, we proposed a method of off-line handwritten digit recognition system and implemented it on Multitransputer in parallel. The whole processing scheme includes, thinning, feature extration, unique information extraction and recognition. We construct a 4-mesh connected processor array and allocate four processors for each processing tasks for parallel processing. In our experiment, recognition rate of 92% was obtained and recognition speed for each digit was 5856×64μsec and 2831×64μsec in sequential processing and parallel processing, respectively.