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.

흰쥐의 내측 전정신경핵 흥분성에 대한 전침자극의 효과

김재효 ( Jae Hyo Kim ),이성호 ( Sung Ho Lee ),손인철 ( In Chul Sohn ),김영선 ( Young Sun Kim ),김민선 ( Min Sun Kim ) 대한경락경혈학회 2009 Korean Journal of Acupuncture Vol.26 No.3

Objectives: The vestibular system detects head movement and serve to regulate and maintain the equilibrium and orientation of the body. It is known that the vestibular imbalance leads to vestibular symptoms such as nausea, vomiting, vertigo and postural disturbance. The objectives of the present study were to examine a modification of the dynamic activities of medial vestibular nucleus (MVN) neurons following electroacupuncture (EA) of GB43 (Hyepgye). Methods: In Sprague-Dawley rats weighing 250~300g, dynamic responses induced by sinusoidal whole body rotation about vertical axis at 0.2 ㎐were observed in MVN of rats during EA of GB43 (Hyepgye) with 0.2 ms, 40 Hz and 600±200 ㎂. Also, expression of cFos protein was observed 2 hours after EA for 30 mins. Results: In dynamic response of vestibular neuron, the excitatory or inhibitory responses of gain were predominant in the ipsilateral MVN neurons during EA but not predominant in the contralateral MVN. Most neurons showing decreased gain were classified to inhibitory responses of spontaneous firing discharge during EA and ones showing increased gain were classified to excitatory response of spontaneous firing discharge during EA. Also, EA of the left GB43 (Hyepgye) for 30 mins produced the expression of cFos protein in MVN, inferior olive (IO) and solitary tract nuclei (SOL). Spatial expressions of cFos protein were predominant in the contralateral MVN, ipsilateral IO and bilateral SOL. Conclusion: These results suggest that the excitability of MVN neurons was influenced by EA of GB43 (Hyepgye) and EA may be related to the convergence on MVN.

거자법(巨刺法)에 의한 전침자극(電鍼刺戟)이 흰쥐의 formalin 유도(誘導) 통증(痛症)에 미치는 영향(影響)

박상균,김재효,김민선,박병림,손인철,김경식,Park, Sang-Kyun,Kim, Jae-Hyo,Kim, Min-Sun,Park, Byung-Rim,Sohn, In-Chul,Kim, Kyung-Sik 대한침구의학회 2000 대한침구의학회지 Vol.17 No.2

Acupuncture has been used for treatment of numerous diseases, especially for pain control in the oriental culture. However, the mechanism of pain control by acupuncture was not clear so far. The present study was examined that the effects of electro-acupuncture (EA) applied to the acu-point of extra-segmental area on modulation of formalin induced pain in Sprague - Dawley rats. In order to apply EA to acu-points in the plantar area of right fore paws, a pair of teflon - coated stainless steel wires were implanted in HT 7 (shin-mun) and PC 7 (dae-neong) 5 days before behavioral test. A behavioral test was performed by means of video camera after injection of 5% formalin ($50{\mu}l$) into the lateral plantar region of left hind paw. EA was delivered by a constant current stimulator at 4~5 mA, 2 ms, and 10 Hz for 30 min. The electromyographic activities were recorded in the biceps femoris muscle under chloral hydrate anesthesia. Test stimuli with 1~9mA were applied to the sural nerve territory including the medial portion of the 4th toe and the lateral portion of the 5th toe. Behavioral responses including favoring, flinching and bitting were occured in the biphasic pattern, such as the lst phase (0~5 min) and the 2nd phase (20~45 min) after formalin injection. However, EA (4~5 mA, 2 ms, 10 Hz) significantly inhibited Che behavioral responses. EMG activities of flexor reflex had a latency of 100~300 ms and thresholds of test stimuli for EMG were 4~5 mA in normal rats. Injection of formalin decreased threshold of test stimuli and increased EMG activities for 2hrs after injection. However, EA significantly inhibited EMG activities of flexor reflex increased by formalin and recovered EMG evoked thresholds. These results suggest that contralateral extra-segmental EA inhibits the first and second phases of formalin induced pain but their mechanism be needed to examine additionally.

전단자극 시 나트륨-칼슐 교환체 활성에 의한 횡방향 심방 근세포 Ca2+ 웨이브의 발생

김준철, 왕준, 손민정, 김경희, 우선희 충남대학교 약학대학 의약품개발연구소 2017 藥學論文集 Vol.32 No.-

In the present study, we investigated possible mechanism for the triggered global CaH wave from local Ca2+ wave in atrial myocytes under shear stress. Shear stress was applied onto single cells isolated from rat atria and two-dimensional confocal Ca2+ imaging was performed to measure Ca2+ signal. Shear stress of 16 dyn/cm2 induced local Ca2+ wave, which was followed by a rapid transverse global Ca2+ wave inhibition of Na + -ci+ exchange using KB-R7943 suppressed the occurrence of rapid transverse wave ob served under shear stress, but not the shear-induced local wave. in the presence of this chemical local wave was developed to global wave under shear stress which results in slower time to peak of peripheral and central CaH transients. As the preceding local Ca"+ wave signal was higher, the latency of the occurrence of transverse global wave was shorter, suggesting Ca2+ dependence of transverse Ca2+ wave. The results sug-gest that shear stress may activate Na+ -Ca2+ exchange via local CaZ+ wave, triggering the rapid global Ca2+ wave

전통민가를 통해 살펴본 제주도 건축의 생태적 특성과 그 현대적 적용에 관한 연구

선은수,박철민 제주대학교 공과대학 첨단기술연구소 2005 尖端技術硏究所論文集 Vol.16 No.2

The vernacular houses in Jeju island are never found in any other places and they also make it a particular living culture. The wind is acted as the binding force of the obvious culture formation in Jeju island with stone, especially the physical characteristics in the living style can be influenced by the wind. The conclusions are as follows. 1) As Mt.Hanra is located in the middle of Jeju, it is expressed by the difference in the arragement and style of vernacular houses. In the Southern Jeju, most of houses facing south and their style is the 'ㄱ-type'. In the other hand, there are houses facing east, west and having style of the '二-type' in the Northern Jeju. 2) The size of lumber used in vernacular houses in Jeju island is small but strong, '2-Goju 7-Ryang' is very available construction. 3) The height of stylobate and floor is lower than that of the Korean Peninsula, the height of them in the Northern Jeju is far lower than that of the southern Jeju. 4) The slope of roof is lower than that of the Korean Peninsula. This puts the stress on the defense against the wind rather than the rain. 5) The windbreaks in the Northern Jeju are three times as many as that of the Southern Jeju, stone walls in Jeju island are so higher than those of the Korean Peninsula and the windbreak forest is so much developed that the vernacular houses in Jeju island are characteristic of closing.

자연관에 근거한 전통마을의 공간 구조분석에 관한 연구

선은수,박정근,박철민 제주대학교 공과대학 첨단기술연구소 2006 尖端技術硏究所論文集 Vol.17 No.1

As a plan to actively utilize an alley in a single residential complex, a circular road and a passage of a village should be divided, and the former should be used as a means for vehicle they should play both roles of activity space for children and place for social life among residents. An opportunity to meet among residents should be prepared by preparing a public space, a sense of community among village residents should be formed by supervising various village events, and a natural sense of community should be encouraged around a cross in a residential district or an alley with change in its width. In addition, a sense of community should be guaranteed by introducing elements of landmark in the entrance and center of the village. It is meaningful that this study found elements for community formation at alleys and yards of Korean traditional villages, and this study will be basic data to plan and design traffic line in exclusive residential complexes. For this, a conversion of recognition from that alleys and yards just have functions of movement and illuminance to that they are places for community formation, and related institutions should be supported.

Effect of Forging Type on the Deformation Heterogeneities in Multi‑Axial Diagonal Forged AA1100

Min‑Seong Kim,Sang‑Chul Kwon,Sun‑Tae Kim,Seong Lee,Hyo‑Tae Jeong,Shi‑Hoon Choi 대한금속·재료학회 2019 METALS AND MATERIALS International Vol.25 No.3

The present study investigated the effects that different types of forging exert on the deformation heterogeneities developedin AA1100 during multi-axial diagonal forging. To measure the deformation heterogeneities of deformed workpieces, thevalues for hardness and Kernel average misorientation were measured at the center section following each forging process. Type-D forging that consists of diagonal forging and return-diagonal forging was relatively advantageous compared withType-P forging that includes plane forging and return-plane forging for minimizing the non-uniformity of deformationdeveloped in workpieces. The effective strain developed in a workpiece during the 2 types of forging was simulated using3-D FEA. FEA revealed that the positions and degrees of occurrence for soft and hard-zones in workpieces vary greatlydepending on the forging type. Type-D forging was relatively advantageous compared with Type-P forging for minimizingthe non-uniformity of effective strain developed in workpieces.

디지털공제방사선촬영술을 이용한 치근단 흡수의 평가

허민석,이삼선,이경희,최항문,최순철,박태원 대한구강악안면방사선학회 2001 Imaging Science in Dentistry Vol.31 No.1

Purpose : This study was performed to compare the diagnostic ability of conventional intraoral radiographs with that of digital subtraction image and to assess the quantifying ability of digital subtraction image for simulated apical root resorption Materials and Methods : Conventional intraoral radiographs and digital images of ten sound maxillary central incisors and those with simulated apical root resorption were taken with varying horizontal and vertical angulations of the x-ray beam. The diagnostic accuracy to detect the lesion was evaluated on conventional intraoral radiographs and digital subtraction images by ROC analysis. The amount of simulated apical root resorption was also estimated on the reconstruction images by Emago□ and compared with actual amount of tooth loss using paired t-test. Results : The diagnostic accuracy of conventional intraoral radiographs to detect the apical root resorption was low(ROC area = 0.6446), and the sensitivity and the specificity of digital subtraction images were 100%, respectively. The calculated amounts of apical root resorption showed no statistically significant difference with the actual amounts of the lesion (p 〉 0.05). Conclusion : Digital subtraction radiography is powerful tool to detect the small apical root resorption, and quantitative analysis of small amounts of the lesion can be evaluated by digital subtraction radiography.(Korean J Oral Maxillofac Radiol 2001;31:51-5)

2차원 Vortex계의 Pinning에 관한 연구

이선중,차민철 한양대학교 이학기술연구소 1999 이학기술연구지 Vol.1 No.-

In order to investigate the relationship between the pinning effects and the topological defects, we compare two models: one allow the plastic deformation while the other does not allow the plastic deformation. As a result, we find that, in the model which allows only the elastic deformation, melting does not occur and the pinning strength is proportional to the pinning center strength. We find also that, in this model, noise generated by moving lattice will have washboard type. 위상결점이 pinning 효과에 미치는 영향을 알아보기 위해 plastic 변형이 허용되는 모델과 그렇지 않은 모델로 기술되는 vortex계를 비교하여 본다. 그 결과 탄성적인 변형만이 혀용되는 계는 녹지 않으며 그 pinning의 효과가 불순물의 세기에 비례하고, 흐름이 있을 경우의 noise가 washboard 형태일 것임을 알 수 있었다.

DSP를 이용한 CCD 레이저 거리 측정 센서 구현

정광민,김순철,최길림 慶南專門大學 2000 論文集 Vol.28 No.1