한국형 우울장애 약물치료 알고리듬 2006 (Ⅰ)

서정석,민경준,김원,석정호,박원명,송해철,이상열,전덕인,전현태,홍진표,한국형 우울장애 약물치료 알고리듬 2006 연구그룹 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.5

Objectives : Since the publication of Korean Medication Algorithm Project for Major depressive Disorder (KMAP-MD) in 2002, there has been a substantial need for a revision due to rapid progress in the pharmacological management for depressive disorder. We revised KMAP-MD to Korean Medication Algorithm Project for Depressive Disorder (KMAP-DD) in 2006. This paper is one of the following 4 papers consisting of Korean pharmacological algorithm for depressive disorder. Methods : The questionnaire consisted of 4 parts ; initial treatment of 1) non-psychotic depressive disorder, 2) psychotic depressive disorder, 3) treatment strategy for clinical subtypes and drug choice considering adverse effects, and 4) treatment for depressive disorder in women. It was composed of 22 questions, and each question had 54 sub-items. The questionnaire was completed by the review committee consisting of 101 experienced Korean psychiatrists. We classified the expert opinion to 3 categories (the first-line, the second-line, or the third-line). Results : For non-psychotic major depression, regardless ofthe severity of an episode, the antidepressant (AD) monotherapy was the optimal first-line treatment. SSRI, venlafaxine, and mirtazapine were the 1st-line AD. In case of a partial or no response to initial strategy, adding another AD was recommended. For psychotic major depression, combination of an AD and an atypical antipsychotic (AAP) was the treatment of choice. Among AAPs, quetiapine, rispendone, olanzapine were preferred. For non-responder to initial strategy, the next step was adding or changing AD before changing AAP. For women with premenstrual dysphoric syndrome or postpartum depression without psychotic features, AD monotherapty was a preferred strategy while for psychotic postpartum depression, combination of AD and AAP was recommended. Experts recommended various ADs according to adverse effect. Conclusion : These results suggest that the medication strategies for depressive disorder are rapidly changing and reflect the recent studies and clinical experiences.

비만환자의 전기지방분해침 시술 후 허리둘레 감소에 대한 임상적 고찰

김정환 ( Jeong Hwan Kim ),고연석 ( Youn Seok Ko ),이정한 ( Jeong Han Lee ),원재균 ( Jea Kyun Won ),신병철 ( Byung Cheul Shin ),권영달 ( Young Dal Kwon ),송용선 ( Yung Sun Song ) 한방재활의학과학회 2005 한방재활의학과학회지 Vol.15 No.3

Objectives : To see if there were any differences in waist circumference reduction when certain variable such as age, sex, BFR(BFR; Body Fat Rate), PIBW(PIBW; Percent Ideal Body Weight), WHR(WHR; Waist Hip Ratio) and BMI(BMI; Body Mass Index) were given. Methods : Among outpatients who admitted to department of Oriental Rehabilitation Medicine, Jeon-Ju Oriental Medicine Hospital, Won-kwang University from August 2003 to september 2004, 89 obese patients were chosen and electroacupunture was practiced to these groups in order to treat abdominal obesity and waist circumference reduction. Results : There were no significant correlation between sex, age and waist circumference reduction. Compared to groups who had shown lower BMI, higher BMI groups have shown greater change in waist circumference reduction. As BFR increase waist circumference reduction tended to increase as well. Conclusions : From the above results, higher BMI groups had shown greater change in waist circumference reduction compared to lower BMI groups.

Oxalate와 Enrofloxacin투여한 랫트신장에 대한 병리조직학적관찰

오원석,이차수,오규실,정원일,정재용,정다히,정규식 한국임상수의학회 2003 한국임상수의학회지 Vol.20 No.4

To investigate the renal effects of enrofloxacin administration on rats induced with dehydration or hyperoxaluria, male rats were treated with enrofloxacin of 50 mg to 500 mg/kg b.w.. The microscopical observations of kidney and urine sediment were carried out in the experimental groups. The result obtained were as follows; The male rats deprived of water for 72 hours and administered with enrofloxacin. As enrofloxacin administration dose was increased, clinical signs such as loss of appetite, depression, weakness, and loss of urine output became more severe. In the histopathological findings, there were hyperemia and hemorrhage in renal cortex, vacuolation and necrosis of renal tubular epithelia, proteinous casts within renal tubules. The male rats were orally administered with sodium oxalate and injected with enrofloxacin for 7days. As enrofloxacin administration dose was increased, clinical signs such as the loss of appetite and water consumption, and weakness became more severe. In the histopathological findings, there are hemorrhage of glomeruli and cortical hyperemia, vacuolation and necrosis of tubular epithelia, proteinous casts in renal tubules. In the microscopical findings of urine sediment, there are calcium oxalate crystal (diamond-like type) and magnesium ammonium phosphate crystals (rhomboid). The male rats were intraperitoneally injected with sodium oxalate and administered with enrofloxacin for 7days. As enrofloxacin administration dose was increased, clinical signs such as the loss of appetite and water consumption, weakness were more severe. In the histopathological findings, there were hyperemia and hemorrhage in both glomeruli and renal cortex. Severe necrosis of renal tubular epithelia, bluish materials within renal tubules were also found. In the microscopical findings of urine sediment, there were many calcium oxalate crystals. The present results suggest that enrofloxacin has some injurious effects in rats having dehydration or hyperoxaluria, and clinically, we should consider these renal injury effects when we use enrofloxacin in patients accompanied renal disease, dehydration and hyperoxaluria conditions.

한국형 우울장애 약물치료 알고리듬 (Ⅳ) : 우울장애의 아형 및 부작용에 따른 항우울제의 선택과 여성우울장애에서의 치료전략

전현태,이상열,김원,민경준,박원명,서정석,석정호,송해철,전덕인,홍진표,한국형 우울장애 약물치료 알고리듬 2006 연구그룹 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : In 2002, the Korean Medication Algorithm Project for Major depressive Disorder (KMAP-MD) was published, but there has been a need for a guideline about detailed issues of depressive disorder. We revised KMAP-MDD andreestablished Korean Medication Algorithm Project for Depressive Disorder (KMAP-DD) in 2006. Methods : A questionnaire had been developed by the executive committee for KMAP-DD. The review committee consisted of 101 experienced psychiatrists. From the total of 22 questions in the questionnaire, 7 questions were evaluated for these subjects . We classified the expert opinions to 3 categories according to its confidence interval; first, second and third line. Results : SSRI and venlafaxine were the first line antidepressants (AD) for atypical and melancholic depression. For dysthymic disorder and minor depressive disorder, SSRI was recommended as the first line medications. Only AD medications was a preferred initial strategy for treating premenstrual dysphoric disorder, mild to moderate and severe non-psychotic postpartum depression. In severe psychotic postpartum depression, combination therapy of AD and atypical antipsychotics was the treatment of choice. SSRI was preferred when considering sedation, anticholinergic and cardiovascular adverse effects. Also, experts recommended mirtazapine against gastrointestinal adverse effects and bupropion in avoiding sexual dysfunction. Conclusion : These results suggest that clinicians have to consider both clinical situations and drug adverse effects in the choice of antidepressant medications.

장방형내 저온 단일 수평 원관 주위의 동결현상에 관한 실험적 연구

정현철,윤재원,장원택,전승배,이동석,김병철 朝鮮大學校 機械技術硏究所 2007 機械技術硏究 Vol.10 No.1

An experimental study on water in a rectangular cavity with a horizontal cooling tube was carried out to investigate the flow character and thermal behavior in the system. Each experiment was performed with variation of initial temperature and cooling tube temperature. When the cooling tube temperature was -4℃, the supercooling phenomenon was observed regardless of the initial water temperature. And the case of cooling tube temperature was -6℃ with initial temperature was below 4℃, the supercooling phenomenon was also observedin the large region of the test section. When the cooling tube temperature was -10℃, the local region of supercooling phenomenon was observed during the freezing process. And the higher initial temperature was, the higher supercooling degree and the less difference of the ice thickness between upward and downward was observed. It is shown that by controllingthe supercooling phenomena and the cooling tube temperature, it would lead to an increase efficiency of ice making.

인삼을 천연배지로 하는 고등균류 배양에 관한 연구

鄭宰顯,崔元碩,曺柱鉉 충주대 2004 産業科學論文集 Vol.12 No.-

This research to develop a functional food by using higher fungi from white ginseng, investigated the higher fungi using with ginseng media, the optimal culture conditions of the solid culture and the consistent of solid-product cultured. The results obtained were as follow; 1. Hericium erinaceum, Phellinus linteus and Ganoderma lucidum were observable the growth which is most excellent among 14 strains of the higher fungi using substrate with ginseng residue extract, therefore, it were used for the breed strain. 2. The optimal culture conditions of the solid culture for mycelial growth of Hericium erinaceum, Phellinus linteus and Ganoderma lucidum were added 10%(w/w) of nutrient material as brown rice etc. supplement for maximum mycelial growth. 3. The Ginseng-H. erinaceum (Ginseng-P. linteus, Ginseng-G. lucidum) solid-product cultured under these conditions consisted that were moisture of 3.5%(3.5, 3.6), crude proteins of 7.65%(9.22, 13.57), crude lipid of 8.79%(4.66, 12.02), ash of 9.86%(8.27, 13.38) and carbohydrate of 70.246%(74.33, 57.43).

수직 냉각면이 있는 정방형내 성층유체의 열적거동에 관한 실험적 연구

정현철,윤재원,장원택,전승배,이동석,김병철 朝鮮大學校 機械技術硏究所 2007 機械技術硏究 Vol.10 No.1

This study was investigated by experimentals on the thermal behavior of stratified fluids in the square cavity with the vertical cooling surface by variation of initial temperature and cooling surface temperature and concluded as follows: 1. When the cooling surface temperature of the square cavity was -4℃. the supercooling phenomena was occurred every times regardless initial temperature of fluids and when -6℃ freezing was begun with out supercooling phenomena. 2. The higher the initial temperature was, the longer supercooling phenomena duration was, and the longer the supercooling phnomena was, the higher the temperature of the upper fluids was. 3. When the supercooling phenomena of water was occurred, the rate of temperature decrease of silicon oil was higher and when there was no supercooling phenomena, it was almost same the rate of temperature decrease.

한국전통음악공연장의 건축음향특성에 관한 연구Ⅰ : 물리적 음향특성을 중심으로

정대업,최석원 대한건축학회 2005 대한건축학회논문집 Vol.21 No.3

The present study aims at providing practical design data by measuring room acoustic parameters in 10 rooms for traditional Korean Music. The room acoustic parameters considered in this work were RT, EDT, BR, TR, Ts, C50, C80, (1-IACCE3), and LF. The measured room acoustic parameters were analyzed and compared with the optimum ranges for each parameters suggested by previous works. It was found that the acoustics of rooms considered in the present work were generally in accordance with suggested optimum ranges for reverberation and energy related parameters. Also, majority of rooms were designed to have monaural spatial impressions in audience area. The correlation analysis between room acoustic parameters suggested that RT, TR, C50, 1-IACCE3 and LF were orthogonal. However, negative responses from professional musicians and acoustic engineers who have experienced the acoustics of those 10 rooms for traditional Korean Music implies that further extensive researches are strongly necessary in both room acoustic parameters and optimum acoustic design criteria. Further studies will give an emphasis on the subjective listening test using binaural impulse responses obtained in those 10 rooms.

TNF-α 유전자형과 방광암과의 관계

정필두,김은정,엄민식,서정원,윤석중,김종석,이상철,김원재 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.2

연구목적: TNF-α는 일부 종양의 종양화 과정과 관련이 있는 것으로 알려져 있다. 본 연구는 TNF-α 발현에 영향을 미치는 TNF-α 촉진자 -308 부위의 유전적 다형성이 방광암과 관련이 있는지 유무를 알고자 시행하였다. 대상 및 방법: 유전자 분석을 위하여 환자 113명 및 대조군 109명으로부터 혈액을 채취하여 genomic DNA를 분리한 후 PCR-RFLP 및 direct DNA sequencing을 통하여 TNF-α유전자의 다형성을 조사하여 방광암의 발생, 병기 및 분화도와 비교 검토하였다. 결과: TNF-α 촉진자 -308 부위의 유전형은 대조군에서는 GG형이 83.5%(90례 및 GA형이 16.5%(19례)로 관찰되었으며 AA형은 없었다. 환자군에서는 GG 형이 85.4%(97례), GA형 및 AA형은 각각 13.1%(15례)및 0.8%(1례)에서 관찰되었다. 두 군 모두에서 GG형이 가장 많이 나타났으며 다음으로 GA형을 보이고 AA형은 1례의 방광암 환자에서만 관찰되었다. -308부위의 경우도 두 군 사이에 유전자형의 차이는 없었다(p=0.259) 분화도별 분포를 보면 grade I이 20례, grade II가 49례, grade Ⅲ은 34례였고 병기별로 표재성인 경우가 90례였으며 침윤성은 14례였다. 분화도가 나빠질수록 GA형이 증가하였다(p=0.04). 그러나 병기와 TNF-α promoter -308부위의 유전자형 사이에는 유의한 상관 관계가 없었다(p=0.123). 결론: 방광암 환자의 혈액에서 GA genotype이 관찰되는 경우, 분화도가 나쁠 가능성이 매우 높기 때문에 좀 더 적극적인 치료와 세밀한 추적관찰을 함으로써 방광암으로 인한 사망과 암의 진행을 예방할 수 있을 것으로 기대한다. Purpose : Tumor necrosis factor-alpha (TNF-α) is involved in tumorigenesis of several cancers as an endogenous tumor promoter. The purpose of this study was to investigate whether genetic polymorphism of TNF-α promoter region (-308) was associated with human bladder tumor. Materials and Methods: The DNA from 113 and 109 respective blood samples of bladder tumor Patients and control group was analyzed by PCR-based restriction fragment length polymorphism (RFLP) and direct DNA sequencing methods to characterize the genetic polymorphism of -308 promoter region of the TNF-α gene in bladder tumor patients. We compared the association of bladder tumor with genetic Polymorphism of TNF-α promoter region(-308) in relation to the stage, grade, recurrence and progressio. Results : Eighty-six percents(97/113) of bladder tumor patients and 83.5% (90/109) of control group showed genotype GG at -308 region of TNF-α. Difference in genetic variations of TNF-α promoter (-308) did not exist between bladder tumor patients and control group(p=0.259). Tumor grade was significantly related to the GA genotype (p=0.04). The higher is the grade in bladder tumor, the more frequent was the GA genotype. Tumor stage, recurrence and progression were not significantly associated with genetic polymorphism of TNF-α promoter region (-308). Conclusion: The GA genotype of TNF-a promoter region (-308) had a significant impact on TNF-α production and was related to higher grade tumor compared to GG genotype. TNF-α serum levels in bladder tumor patients were significantly higher than controls. These data suggested that TNF-α might involve the tumorigenesis of the bladder rather than treatment or prevention of bladder tumor.

2단계 醱酵에 의한 人蔘食醋와 市販食醋의 品質比較

鄭宰顯,趙載敏,崔元碩,曺柱鉉 충주대 2003 産業科學論文集 Vol.11 No.-

본 연구는 인삼의 약리성분과 식초의 기능성을 갖는 인삼식초를 제조하기 위하여 시판 식초와 2단계 발효를 거친 인삼식초와의 품질 을 비교 평가하여 다음과 같은 결과를 얻었다. 가. 인삼식초의 산도는 시판식초보다 약간 낮았으며, pH는 3.7정도로 시판식초보다 약간 높았다. 나. 인삼식초 중에는 fructose, maltose, sucrose, glucose등의 유리당이 존재하였으며 시판중인 식초에는 fructose의 양이 많이 함유되어 있었으며 기타 maltose, sucrose 등도 일부 존재하였다. 다. 인삼식초에는 acetic acid, tartaric acid, propionic acid, lactic acid, malic acid, succinic acid 등의 유기산이 함유되어 있었고 일반 시판식초에는 oxalic acid, citric acid, malic acid, acetic acid등을 함유하고 있었다. We producted the ginseng vinegar through two stages fermentation(alcohol fermentation and acetic acid fermentation). At the first stage, ginseng wine contained 17% alcohol was producted at the 11th day. And through the second stage, acetic acid fermentation ginseng vinegar of which total acidity is 5.8% were produced. In comparison with commercial vinegars for physicochemical quality, acidity of ginseng vinegar was lower than those of commercial vinegars and ph was higher than those of commercial vinegars. The major free sugar compositions in ginseng vinegar were fructose, maltose, sucrose and glucose and in commercial vinegar were fructose, sucrose and maltose. The major organic acid compositions were acetic acid, tartaric acid, propionic acid, lactic acid, malic acid and succinic acid and in commercial vinegar were oxalic acid, citric acid, malic acid and acetic acid.