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.

치환용매 변화에 따른 비대칭 Ceellulose Acetate 막의 기체투과특성

정광보,장승현,남석태 한서대학교 산학협력연구원 부설 환경연구소 2000 환경연구소 논문집 Vol.3 No.-

Gas permeation behavior was examined for asymmetric cellulose acetate membrane prepared by changing the acetone evaporation time and drying solvent. By changing the acetone evaporation time, the gas permeation rate decreased for the first 2 minutes and then increased gradually for the membrane of i-PrOH exchange drying. Gas permeation rate was in the order of He>N₂>O₂ and separation factor was about 1.9 for the membrane of 9 minute acetone evaporation. The permeation mechanism appears to be the combination of Knudsen flow and viscous flow. The effect of Knudsen flow was increased with acetone evaporation time, while the effect of viscous flow increased for the membrane of EtOH exchange drying.

한국인 인슐린비의존형 당뇨병환자에서 엔지오텐신 1-전환효소 유전자의 다형성과 당뇨병성 만성합병증 및 관상동맥질환과의 관계

정민영,천남일,이창훈,조동혁,강호철,정동진,정명호,강정채,박종태,양승원 全南大醫大 2001 전남의대학술지 Vol.37 No.3

급성 심근경색 : Gd-DTPA 조영증강 자기공명영상 Gd-DTPA Enhanced Magnetic Resonance Imaging

정경일,김제현,이창호,이영주,김한수,소동문,이영돈,박경주,왕희정,탁승제,이철주,김선용,김옥화,임태환,문창현,최병일,서정호 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

This study was undertaken to determine the value of gadolinium dimeglumine (Gd-DTPA) enhanced MRI in the diagnosis of acute myocardial infarction. Seven cats were subjected to 2 hours of left anterior descending coronary arteryocclusion (group 1) and 8 cats to 1 hour of occlusion (group 2). Reperfusion was followed by taking Tl-weighted MR images at 5, 15, 30, 45, 60 minutes after Gd-DTPA (0.2 mmol/kg) injection. Myocardial enhancement patterns were categorized into three zones (central ischemic, peripheral ischemic, and normal) or two zones (ischemic and normal) and the presence of injured myocardium in each zone was confirmed by 2,3,5-triphenyltetrazolium chloride (TTC) staining. Signal intensity (SI) of each zone was evaluated relative to back muscle in regard to its chronological changes and difference among the zones. Group 1 displayed three zones of enhancement in 6 cats whereas 1 cat in group 1 and all in group 2 showed two zones of enhancement. Intermediate SI central zone was compatible but smaller than TTC nonstained area, and determined to be a persistently occlusive injury. High SI peripheral zone in group 1 and high SI ischemic zone in group 2 were stained and determined as reperfused injury although reversibility was not definite. The peak SI, occurring 15 minutes after Gd-DTPA injection, of 2.47±0.48 at peripheral zone was greater than that of 1.66±0.36 at central zone in group 1 and of 1.81±0.41 at ischemic zone in group 2 (p < 0.05). SI of injured myocardium increased more rapidly and decreased more gradually than that of normal myocardium. That the features of SI change with time in injured myocardium was compatible with the results of other studies using different contrast agents. Gd-DTPA enhanced MRI differentiated persistently occlusive injury as central intermediate SI, and reperfused injury as homogenous high SI, with the maximal contrast between the two at 15 minutes after contrast injection, thus indicating the value of Gd-DTPA enhanced MRI in the diagnosis of acute myocardial infarction.

원발성 폐암 환자의 생존율에 관한 보고

김현태,이상무,어수택,박춘식,정성환,허승재,남충희,강창희,김용훈 순천향대학교 1994 논문집 Vol.17 No.4

We analysed 404 patients with primary lung carcinoma who were treated at Soonchunhyang University Hospital from July, 1985 to september, 1993 in order to investigate the survival rate and epidemiolgical properties of primary lung cancer. They were 330 males and 74 females. The most prevalent decade was seventh. In terms of cell type, the squamous cell was 225 patients (55%), and adenocarcinoma, small cell, mixed type was 21%, 19%, 4%, respectively. Among non-small cell lung carcinoma, stage Ⅲa was the most prevalent one(92%). In case of small cell carcinoma, the limited stage was 64%. The 12-, 24-, 36- month survival rate of total patients was 57%, 31%, 22%, respectivley and median sruvival time was 15 months. The 36-month survival rate tended to be longer in non-small cell lung carcinoma than that of small cell lung cancer, but there was no difference between two groups, statistically. In non-small cell carcinoma, The 36-month survival rate and meidan survival time were longer in the stage Ⅰ and Ⅱ than those of Ⅲa, Ⅲb, Ⅳ (80% versus 38%, 22%, 0%, p<0.05). According to involvement of lymph node, the 36-month survival rate was longer in NO and N1 than those of N2, N3 (61.9%, 48.7% versus 17.7%, 17.3%, p<0.05). In small cell carcinoma, The 36-month survival rate and median survival rate were higher and longer in limited stage than those of extensive stage(16.1% and 13 month vs 10% and 8 month, p<0.05). In conclusion, we report here the incidence of primary lung carcinoma and the survival rate of paients with primary lung carcinoma who were treated in Soonchunhyang University Hospital.

體操競技의 基礎 트레이닝에 關한 理論的 考察

金忠泰,金東敏,韓忠湜,南勝久 韓國體育大學校 1995 論文集 Vol.18 No.-

This study aimed to make an inquiry into the problem of basic skills in techniques in the gymnastic game and into the means for the training of basic skills. It become apparent that the training means must be performed to fit into the structure of the fargetrd technique. But the training means for some technique can be used in the training of the technique only through the setting of the more elaborate objectives and tasksand the training task will have to be determined based on an inquiry into structure of exercise as to how exercise should be performed as the means for training of basic skills on its spot is being performed based on the means for training of basic skills on its spot is being performed based on the director's experiences and there are few theoretical studies on this area. Only when both theoretical inquiry and reflection are simultaneously made of the content taken for granted on the spot for the purpose of developing the methodology of training. The vehicle for training will proceed to be rationalized in the future.

鐵棒競技의 着地 成功率에 關한 分析

金忠泰,南勝久,韓忠湜 韓國體育大學校 1990 論文集 Vol.13 No.-

The puropse of this study was to analyze the success rate of landing in Horizentar Bar. The subjects were 24 gymnasts who were participated in the 24th world championships, the 25th Olympic game in Seoul and the 25th world-championships especrally who made a good record at fesults were as follows. 1. Landing success rate as the games. The success rate was 77.5% in Olympic and in 25th world championships was 70% and in the 24the world champions was 80% whick was the highest rate. 2. Landing success rate as performances. The skill of Double salto backward stretched art was 9 times, and its rate was 88.8% through the 3 Games. The skill of Double salto backward stretched 1/1 turn to dismount Art was used 7 times, its success rate was 82.2%. 3. Landing success rate as art form. Tucked form was used 7 times and its rate was 57%, stretched form was used 16 times and was 85% (which was performed rather than Tucked formed and picked form).

디자인 실기교육 방법에 관한 연구 : A Vision of 21C展을 통한 작품제시를 중심으로

김태진,김윤희,정승혜,홍철순,양재범 경남정보대학 1999 論文集 Vol.27 No.1

Musgrave變法을 이용한 컵상귀(Constricted Ear)교정

한승규,김태연,정전은 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.5

The constricted ears are relatively rare and constitute only 10% of all auricular malformations. whereas the minor forms occur in 2% of the general clinical population. the superior portion of the ear, including the helix, scapha, and posterior crus of the antihelix, are bent over and curl downward. The principles of surgical correction are the straightening of the cupping and the coverage of skin. For the correction of consticted ear, there are numerous techniques but they are relatively extensive, involving cartilage or skin flaps, cartilage graft, multi-stage operations. We adopted a modified Musgrave's technique by multiple radiating cartilage incisions and horizontal mattress sutures. 5 cases with constricted ear were treated with this technique and satisfactory aesthetic results were achieved and no significant postoperative complication was developed. The adventages of the modified Musgrave's technique were as followings : 1. The design was simple. 2. The procedure was easy under local anesthesia. 3. The operation time was short. 4. No donor site sacrifice was required.

급성 췌장염으로 발현된 부갑상선 선종

유태양,박종빈,류한승,조미영,노혜정,박병현,조정구 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.1

저자들은 급성 훼장염 환자에서 심한 고칼슘혈증을 동반한 부갑상선 선종에 의한 원발성 부갑상선 기능항진증을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Primary hyperparathyroidism is characterized by hypercalcemia and hypophosphatemia induced by an increased level of parathyroid hormone(PTH). Patients with primary hyperparathyroidism are usually asymptomatic, but can present with symptoms of renal stones, peptic ulcer disease, muscle weakness and depression. In addition, primary hyperparathyroidism-related with hypercalcemia is considered to represent a risk factor for the development of pancreatitis. We report a case of a 66-year-old woman with primary hyperparathyroidism who was accompanied with acute pancreatitis. The chief complain was abdominal pain and general weakness. The serum levels of amylase, lipase, calcium and intact PTH were 17391U/L, 4160IU/L, 21.2mg/dL and 1836pg/mL. A parathyroid mass was detected by neck computed tomography, ultrasonography and 99m-Tc sestamibi scintigraphy. After the surgical procedure, the symptoms were improved and the calcium level was normalized.