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.

Gryllus bimaculatus extract protects against palmitate‑induced β‑cell death by inhibiting ceramide synthesis

Park Ie Byung,Kim Min Hee,Han Jung-Soon,Park Woo-Jae 한국응용생명화학회 2022 Applied Biological Chemistry (Appl Biol Chem) Vol.65 No.6

Type I diabetes mellitus is an autoimmune disease characterized by the destruction of β-cells, leading to severe insulin deficiency. Environmental factors and genetic predisposition are implicated in β-cell destruction, which is the final step in a cascade of complex events. Possible triggers of β-cell destruction are activation of Fas, activation of perforin, increased generation of reactive oxygen species, increased production of inflammatory cytokines, and endoplasmic reticulum (ER) stress. In this study, we examined whether Gryllus bimaculatus (GB) extract could prevent palmitate-induced β-cell apoptosis. Exposure to GB extract prevented palmitate-induced death of MIN6 cells, a mouse pancreatic β-cell line. Palmitate increased total ceramide levels with the elevation of ceramide synthase (CerS)1, CerS4, and CerS6 expressions. Treatment with GB extract decreased the levels and expressions of ceramides related to insulin resistance. CerS4 and CerS6 overexpression, but not CerS1 overexpression, increased palmitate-induced MIN6 cell death by increasing ceramide synthesis. Oppositely, inhibition of ceramide synthesis by fumonisin B1 treatment partially recovered palmitate-induced MIN6 cell death. Furthermore, GB extract reduced ER stress (phosphorylation of PERK and eIF2α), NF-κB–iNOS signaling, and the phosphorylation of MAP kinase (JNK, p38). GB extract reduced pro-apoptotic Bax protein expression but increased anti-apoptotic Bcl2 expression. In addition, CerS4 and CerS6 overexpression aggravated impairment of insulin secretion by palmitate, but GB extract recovered it. In conclusion, GB could be a functional food that improves palmitate-induced β-cell death and insulin secretion.

허혈 유사 조건이 심방근의 활동전위 특성에 미치는 영향

김재하,주정민,조용범,신동호,안병희,주신배,김상형 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.11

The Red Badge of Courage에 나타난 Stephen Crane의 藝術性

閔丙喜 단국대학교 대학원 1983 學術論叢 Vol.7 No.-

The Red Badge of Courage is Stephen Crane's monumental masterpiece written, at the young age of 23, without any experience of actual war. The army camps and battlefields were vividly described, even though they were merely used for setting. Crane's main purpose seemed to be the treatment of psychology of men in battle. The conflicts in Henry Fleming's mind, in particular, were superbly shown. Extensive use of animal imagery was employed in the form of similies and metaphors. Henry's moral growth from a youth to a real adult was paralleled with the different animal imageries throughout the book. Crane painted with words exactly as the French impressionists painted with pigments using both pure colors and contrasts of colors. Those varied color images symbolize respectively courage, badge, war, blood, injury, enemy, death, rage, roar, fury, etc.. Religious imagery prevails and deep, powerful ironies are found constantly. Crane seldom used proper names for his characters, eve if they did have their own. Instead, they were referred to by their looks, characteristics, jobs, ranks and so on. Making Henry a point-of-character with a limited third-person objective, Crane's narrative technique was outstandingly well done. Rather more psychological than military was the tone. Making simple and crispy sentences with poetic cadence was Crane's tactic. Often he liked to coin hyphenated compound words and use passive forms and prepositional phrases. The Red Badge of Courage alone proves that Stephen Crane is a genius writer as well as a superlative artist. And with this novel Crane has contributed a great deal to American literature.

와이어 매시 레인포스트 시멘트에 관한 硏究

閔丙亨,朴雲龍,金勇熙,鄭昌植 동아대학교 공과대학 부설 한국자원개발연구소 1985 硏究報告 Vol.9 No.2

This study has been performed on the selective method of materials for MRC and the various mechanical tests through the testing manufacture of MRC pontoon. And we have attempted the enlargement of use by it's merits.

부산시 주거지역과 공업지역 여성모발에서 검출된 중금속 농도에 대한 비교 연구

민병윤,윤명희,안희정 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 1997 Journal of biomedical laboratory sciences Vol.3 No.1

부산시의 주거지역과 공업지역에서 거주하는 여성의 모발로 부터 Zn, Ni, Fe, Mn, Cu, Cr, Pb 및 Cd에 대한 중금속의 농도를 분석한 결과, 전체 시료에서 모든 중금속이 검출되었다.특히, 공장지역의 주구성원인 10대와 20대 여성 모발에서 필수원소인 Ni, Fe, Mn, Cu 및 독성원소인 Cr, Pb, Cd의 농도가 같은 연령의 주거지역 여성들의 모발에 비해 매우 높게 검출되는 점으로부터, 이 지역의 직업인이 이들 중금속 원소에 의해서 직접 노출되어 있음을 알 수 있었다. 즉 공장지역 여성 10대와 20대 모발 중의 Cr, Pb, Cd의 농도는 주거지역 같은 연령 여성 모발 중의 농도에 비해 높게는 Cr의 경우 110배 (20대 여성), Pb의 경우 92배 (10대 여성), Cd의 경우 23배 (20대 여성)까지 검출되어, 이 지역 환경이 극도로 오염되어 있음을 경고하고 있다. 주거지역 여성 모발 중의 독성원소인 Cr, Pb 및 Cd의 농도는 국외에 거주하는 외국인에서 검출된 농도와 거의 유사하였으나, 이들의 농도가 연령이 높아짐에 따라 높아지는 점으로부터 이들 원소들이 연령에 따라 체내에 점차 축적됨이 밝혀졌다. The concentrations in women's hair of essential and toxic elements such as Zn, Ni, Fe, Mn, Cu, Cr, Pb and Cd in residential and factory areas in Pusan were determined, and all the elements were detected from all the samples. It was apparent that employees working in factory areas in Pusan were exposed directly to the essential and toxic heavy matals. This is based on the fact that average concentrations of Ni, Fe, Mn, Cu, Cr, Pb and Cd in hair samples from women aged 10 to 29 in factory area, who were considered to be main members among women employees, were much higher than those of residential areas. That is, the highest concentrations found in the hair samples taken from women 10 to 29 years old living in factory areas were 110 times higher in Cr (in the women in their 20's), 92 times higher in Pb (in the women in their teens) and 23 times higher in Cd (in the women in their 20's) than those living in residential areas. Furthermore, it was suggested that the heavy metals may be accumulated gradually in human bodies as humans get older, based on the fact that the concentrations of Cr, Pb, and Cd in women living in residential areas were higher in older age groups, although the average contents of these elements in residents from residential areas were similar with those of several foreign countries.

水耕裁培 토마토의 生育 및 果實發育에 미치는 窒素源의 影響

郭倫僖,閔炳訓,李政明 경희대학교 부설 식량자원개발연구소 1990 硏究論文集 Vol.11 No.-

Experiments was conducted to investigate the shoot growth and fruit development in two cultivars of tomato(Lycopersicum esculentum Mill cv. 'Kangyuk and Ruby') as influenced by the composition of NO_(3)-N and NH_(4)-N in hydroponic culture solution. When the nitrogen was supplied entirely with NH_(4)-N, root browning and foliage withering were initially observed and most plants in this plot were eventually killed. The best shoot growth was obtained from the hydroponic culture containing an equal amount of NO_(3)-N and NH_(4)-N. The 2 tested cultivars exhibited similar response even though they possessed very different growth characteristics. Mean fruit fresh weight of 'Kangyuk' and Ruby tomatoes was significantly higher in nutrient solution composed of 70% NO_(3)-N and 30% NH_(4)-N and the fruits also showed the best qualities. However, higher composition of NH_(4)-N resulted in the lower mean fruit fresh weight. Total fruit yield and the number of fruits harvested per plant were not influenced by the composition of NO_(3)-N and NH_(4)-N in the nutrient solution except in the plot supplied entirely with NH_(4)-N. The composition of nitrogen form in nutrient solution had little or no effect on the soluble solids content, juice acidity, and juice titratable acidity unless the nitrogen was supplied only with NH_(4)-N.

대퇴골두 골괴사를 동반한 슬관절 골괴사 : 증례 보고

송준민,이병일,나수균,신영수,최창욱,박종석,권희 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.1

본 순천향대학교 의과대학 정형외과학 교실에서는 2명의 환자에서 발견된 대퇴골두 골괴사와 함께 발생한 양측 슬관절 골괴사를 경험하였기에 보고하는 바이다. 대퇴골두 골괴사가 있는 환자에서 슬관절 동통을 호소하는 경우 연관통 등으로 여겨 간과하기 쉬우며, 대개 고관절의 통증으로 체중부하 보행이 어려운 경우가 많아 통증이 약하게 나타나기도 하기 때문에 관심을 가지고 슬관절 골괴사를 동반하는지 여부를 판단하여야 할 것이다. Osteonecrosis of the knee associated with osteonecrosis of the femoral head was very rare and reported cases were quite rare. We have experienced two cases of osteonecrosis of both knees associated with osteonecrosis of the femoral head. One is a 44-year-old man who had avascular necrosis of the righ femoral head and osteonecrosis of both knees, femoral condyle and metaphysis of proximal tibia. Another case is a 39-year-old man who had osteonecrosis of both femoral head and osteonecrosis of the both knees, medial condyles of both tibias. They were treated with total hip replacement arthroplasty for avascular necrosis of the femoral head and conservatively for osteonecrosis of the knee. If a person complains of pain in hip and knee simultaneously, we should pay attention and rule out osteonecrosis of the knee.

EGDA 기능성 모노마로 희석된 Epoxy Acrylate의 전자빔 경화 및 코팅

조병기,윤경용,Petrov, S.E.,이재민,이정희,한도흥 영남대학교 공업기술연구소 2000 工業技術硏究所論文集 Vol.28 No.1

Electron beam curing of acrylated epoxy resin diluted with mono-functional monomer EGDA has been investigated under circumstances contacted with air and without air. The formulated resin in contact with N2 or covered with film could be cured up to 95% even with low dose of 5kGy and the surface of cured resin became very hard, but cured resin in existence of oxygen and without any additive had a low degree of curing and the surface became sticky due to insufficient curing. Additives such as curing agent P-115 or initiator BPO could increase the degree of curing to more or less one, but these additives could not remove completely surface stickiness. While, at high dose(more than 100kGy), addition of BPO were possible to make the irradiated surface of the resin be non-sticky even in existence of air. Degree of curing of the resin which contained pigment was very high at dose of around 20kGy. Elongation and stress at break on the cured resin with ferric oxide pigment were be higher than with non-ferric oxide pigment. Adhesion and anti-firing of the resin coated on cement block could be excellent.

지역사회와 병원에서 페니실린 내성 폐렴구균 감염의 임상적 특징 및 분자유전학적 성상

정희진,황병연,박정원,김우주,김민자,박승철,이영희 대한감염학회 2001 감염 Vol.33 No.2

Background : During the last three decades, the resistance of S. pneumoniae to penicillin has been rapidly increasing in many parts of the world, especially in Korea. To characterize the clinical features and epidemiology of penicillin-resistant S. pneumoniae (PRSP) infections in the community -and hospital, as well as to investigate the possible spread of resistant clone, we performed the antimicrobial susceptibility tests, pulsed filed gel electrophoresis (PFGE) and penicillin-binding protein (PBP) profile analysis of PRSP isolates. Methods : A total 48 PRSP isolates from patients who visited or were admitted to Korea University Guro hospital during the period form July 1998 to June 1999 were studied. Anitimicrobial susceptibility tests for 48 isolates were performed with microbroth dilution method to determine the minimal inhibitory concentration of 11 antibiotics. 39 isolates and 35 isolates were subjected to PFGE and PBP profile analysis, respectively to investigate the genetic relatedness between PRSP isolates. Results : Pneumonia was most common site of infection in the community and the hospital as 50%. There were no significant differences of clinical fentures and prognosis between community and hospital isolates. But, patients with serious underlying diseases had poor prognosis despite of acquisition site. High level penicillin resistance were observed in 69%, multi-drug resistance were 64.6% of isolates. PFGE showed that 13 of 29 community acquired infection were identical PFGE pattern but not that of 23F Spanish clone. There were various PFGE patterns were observed from community and hospital acquired infection isolates. Some of them were existed in both. PBP profiles showed more diverse, even if in isolates of the same PFGE pattern. Conclusion : In our study, high level penicillin resistance and multi-drug resistance were observed in PRSP clinical isolates. No clinical and prognostic differences were observed between community and hospital acquired infections. Molecular epidemiology study were suggest the there were various genotypes of PRSP within our society. Some of them were observed of the hospital and community. Therefore, there was an evidence of communication of PRSP clones between the community and hospital. (Korean J Infect Dis 33:112~122, 2001)