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.

몇가지 소독약의 향균작용에 대한 실험적 검토

정병기,조윤희 中央醫學社 1971 中央醫學 Vol.20 No.3

Since the antimicrobial activities of disinfectants are known to be modified by the various factors, it was thought worthwhile to investigate the activities of some commercially available disinfectants under the varied conditions. Thus, the activities of disinfectants A,B,C,D, and E, all of which may be purchased at the drug-stores, to the stock and freschly isolated strains of Staph. aureus, Es. coli and Ps. aeruginosa were investigated at the environmental temperatures of 5°C, 20°C, and 30°C. The results of observation might be summarized as follows: 1) The antibacterial effects of disinfectants A were more powerful in lower temperature than in higher temperature tested. After 15 minutes of exposure at 5°C. to the 1 : 250 dilution, it appeared to have caused the loss of viability of all the strains. 2) The antibacterial effects of disinfectant B increased with the elevation of temperature. After 10 minutes of exposure at 30°C. to the 1 - 625 dilution, it appeared to have caused the loss of viability of all the strains. 3) Under the experimental conditions employed, disinfectant C did not show any antibacterial activity. 4) The antibacterial activity of disinfectant D was found stronger at 20°C, or 30°C, than at 5°C. After 10 minutes of exposure at 20°C. to the 1 : 120 dilution of the disinfectant, all the strains appeared to have lost the viability. 5) The antibacterial effects of disinfectant E (Phenol) increased with the elevation of

AE 신호의 주파수분석에 의한 Chatter진동의 감시

조대현,이상태,원종식,정윤교 韓國工作機械學會 2000 한국생산제조학회지 Vol.9 No.5

A machine tool generally has some serious stability problems in the form of tool chatter during the cutting process. Chat-ter vibration deteriorates the surface finish, reduce tool and machine life, accelerates machine tool system component wear, and may lead to an unacceptable noise sound in the working environment. In this study, the behavior of spectral density of AE signal and principal cutting force signal in order to monitor the chatter vibration in the cutting process has been investi-gated. From the results, the reliability of proposed monitoring method has been confirmed.

3차원 자유곡면의 정밀연마기술에 관한 연구

조종래,정윤교 한국공작기계학회 2006 한국공작기계학회 추계학술대회논문집 Vol.2006 No.-

In the current environment, the mold industry should response to the human's need more quickly. However, in the manufacturing of molds, the most time consuming process is on the final stage-the polishing process. The polishing process of the mold not only affects the final appearance and the quality of the mold, it also occupies the total production time and cost up to 30 ∼ 50%. Almost all the polishing process in the mold industry are conducted manually. The dust and noise producted by the polishing process are not good for human health. the monotonic nature of polishing process even lends itself to bo rejected by workers. Beside, the polishing process needs exceptional skill that can only be taught by experienced master. For mass production of molds, automatic polishing of the mold is a necessary. For the automation of the polishing process, that is classified the sculptured surface as 3 parts according to the surface characteristic. it classified the case which the structure inside is the sculptured surface, the case which a structure outside is the sculptured surface, the case which the one sided of the structure consists of complex surface. According to each picture characteristic, it is applied MAGIC polishing technique, Hydrostatic polishing technique and Magnetic fluid polishing technique and is polished precisely. And it is evaluated each about the sculptured surface polishing characteristic.

C^(++)과 신경망을 이용한 In-process 감시 시스템의 구축

조종래,정운교 한국공작기계학회 2002 한국공작기계학회 추계학술대회논문집 Vol.2002 No.-

Monitoring of the cutting trouble is necessarily required to do Factory Automation and Intelligent manufacturing system. Therefore, we constructed a monitoring system using neural network in order to monitor of the cutting trouble. From obtained result, it is shown that the cutting trouble can be monitored effectively by neural network

특발성 자발성 신장 파열 1예

윤재철,김원,조규종,홍정석,이미우,장성은,오세현,임경수 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Primary aldosteronism is a syndrome characterized by hypertension, hypokalemia, suppressed plasma renin activity, and elevated serum aldosterone levels. Conn first described it 1955 in association with adrenal cortical adenoma(Conn's syndrome). Today, it can be divided into at least six distinctive sub-groups. The diagnosis of primary aldosteronism is usually suspected when the patient presents with poorly controlled hypertension with hypokalemia. The main issues in the evaluation of primary aldosteronism are to differentiate an adenoma from hyperplasia and to localize the adenoma. Basic hormonal studies and computed tomographic(CT) scanning can be used effectively for that differentiation. An adenoma is one of a few potentially curable forms of hypertension, and it is best treated by removing the adrenal tumor. We experienced a case of a typical adrenal adenoma. The patient was a 37-year-old male who had experienced in both his legs over a period of several days a weakness due to hypokalemia. He was diagnosed using basic hormonal studies and adrenal CT scanning. After, he received laparoscopic adrenalectomy and was discharged with improved condition.

응급의료센터로 내원한 급성심근경색증 환자

정윤석,김준식,유인술,조준필 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

Early reperfusion can prevent myocardial necrosis, and clinical trials with reperfusion therapy demonstrating a significant reduction in acute myocardial infarction(AMT) mortality have dramatically changed the treatment paradigm for AMI. All patients with symptoms and ECG findings suggestive of AMI should be considered for treatment with thrombolytic agents. However, only a minority of AMI patients actually receive a thrombolytic therapy. Many patients are often excluded from treatment because they do not meet the criteria for age, duration of the chest pain, and a qualifying ECG. And late arrival at the hospital is a frequently cited reason for not giving a thrombolytic agent. To confirm the reason for not receiving an early reperfusion therapy, we obtained the data for the clinical characteristics, the time intervals between the symptom onset and the start of a thrombolytic agent infusion, the method of reperfusion therapy, the reason for not giving a thrombolytic agent and overall outcomes by retrograde chart review. During the 12-month study period between July 1994 and June 1995, 113 patients were finally diagnosed to AMI, who presented to Emergency Center of Ajou University Hospital in total 30,819 patients. The results were followings: 1. The average age was 59±12 years old, the ratio of male to female was 3.2:1. The direct visited patients to our hospital were 31 and the transfered were 82. 2. The chief complaints were chest pain(86.7%), dyspnea, dyspnea, and mental change. The common preceding diseases were angina pectoris(10 cases), old myocardial infarction(9 cases), congestive heart failure(2 cases) and typical chest pain but not diagnosed(23 cases). The risk factors were smoking(81 cases), hypertension (46 cases) and DM (22 cases). 3. 75 patients had arrived within 12 hours from symptom onset and 38 patients after 12 hours. 45cases (54.7%) were performed the reperfusion therapy ; 31 patients were taken the thrombolytic therapy by tissue-type Plasminogen Activator. 4. The most common reason for not receiving a reperfusion therapy was the time delay and the main was the patient/bystander factor. 5. 75.2%(85 cases) of the patients discharged with or without complications, 7.1% (8 cases) died, 10.6% (12 cases) discharged moribundly, and 7.1% (8 cases) discharged against advise. In conclusion, the time delay was the first reason for not receiving a reperfusion therapy in AMI patients. And the education for the AMI symptom and BLS (Basic Life Support) to the people, good EMS(Emergency Medical Service) system, early definite diagnosis and aggresive therapy may decline the mortality rate.

육상 양식장 인접해역의 해양학적 환경특성

조규대,이충일,김동선,양윤정 한국환경과학회 2002 한국환경과학회지 Vol.11 No.4

Field observations for research of oceanographic characteristics in waters adjacent to fish farm on land and water quality at area where water is supplied to fish farm and area where water is discharged from fish farm are carried out in coastal waters of Pyoson located in the southeastern region of Jeju Island in March, May, August and November of 2000. Semidiurnal tides to the northeast and southwest dominate. The mean velocities of current around neap tides and spring tides are 8.52㎝·s^-1, 28.36㎝·s^-1, respectively. The difference of temperature between area where water is supplied to fish farm and area where water is discharged from fish farm is about 0.6℃. Seasonal variation range for temperature and salinity is 13.5℃ and 3.5psu, individually. Concentrations of nitrate(NO_3), phosphate(PO_4^3-), silicate(SiO_2) and COD(chemical oxygen demand) are high in autumn. Particularly, concentrations of nitrate and COD in winter and spring at station where water is supplied to fish farm are higher than these at station where water is dischared from fish farm. However, concentration of phosphate and silicate at station where is supplied to fish farm in spring, summer and autumn is higher than that at station where water is dischared from fish farm. Water quality in the study area is grade 1 and this level is kept up in the whole year.

후천성 림프관종과 동반한 소타액선의 선종양 증식

윤정훈,조세인,김수관 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.6

A 24-year-old male presented clinically as an asymptomatic tumor-like nodule associated with superficial multiple hemorrhagic papules on the right retromolar area. A histological examination revealed acanthotic epithelium and dilated lymphatic vessels in the submucosa together with a proliferation of mucous salivary gland tissue. The clinical and histological features were compatible with those of lymphangiectasis or acquired lymphangioma and adenomatoid hyperplasia of the minor salivary glands. This patiend had past history of third molar extraction 2 years ago. The exact nature of this lesion is not known, but obstruction of the lymph vessels due to a pervious tooth extraction has been suggested as a possible cause. In addition, local trauma may play a role of the pathogenesis of adenomatoid hyperplasia of the minor salivary glands.

혀에 발생한 낭 선종 : A CASE REPORT

윤정훈,조세인,김운규,김수관 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.5

Cystadenoma of the minor salivary glands is a rare benign neoplasm. Characteristic histological features of varying sized cystic spaces with intraluminal papillary projections are diagnostic. However, salivary gland tumor is particularly difficult to interpret. Primarily, as further clinical and histological differential diagnoses have to take into account the mucoepidermoid carcinoma and the papillary cystadenocarcinoma. And also, biologic behavior of this peculiar lesion i uncertain. We report on a 71 year old female with a mucosal lesion at the tongue with its histologic features and differential diagnosis. Post-operative course was uneventful and there was no recurrence sign at this time. However, close follow-up is necessary, because the recurrent cases had been reported in literatures.