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      • KCI등재

        세로토닌 재흡수 억제제에 대한 아리피프라졸 및 부프로피온 부가요법의 우울증 세부증상에 대한 효과 비교 : 다기관, 개방표지, 무작위 연구

        이가원,이광헌,박영우,이종훈,구본훈,이승재,성형모,천은진,Lee, Ga-Won,Lee, Kwang-Hun,Park, Young-Woo,Lee, Jong-hun,Koo, Bon-Hoon,Lee, Seung-Jae,Sung, Hyung-Mo,Cheon, Eun-Jin 대한불안의학회 2017 대한불안의학회지 Vol.13 No.2

        우울증은 높은 유병률을 가지며 심각하고 만성화 될 수 있는 질병이다. 환자가 증상 없이 기능적 회복이 되어 일상을 영위하기 위해 임상가는 단독요법 이상의 치료 전략이 필요하다. 본 연구에서 SSRI와 aripiprazole 또는 bupropion 부가 요법은 우울증의 증상 호전을 보였다. SSRI와 aripiprazole 부가 요법은 우울증의 전반적 점수의 호전뿐 아니라 세부척도의 핵심 증상에서 bupropion 병합 요법에 비해 더 의미 있는 변화를 보였다. 또한 두 약제 모두 핵심 우울증상이라 할 수 있는 개별증상(우울한 기분, 일과 활동, 정신적 불안)에서 가장 큰 변화를 보였다 Objective : The purpose of this study was to examine the effects of adjunctive aripiprazole versus bupropion on specific symptoms of depression. Methods : Data were from 6-week, randomized, prospective, open-label multi-center study in 103 patients with major depressive disorders. Participants were randomized to receive aripiprazole (2.5-10 mg/day) or bupropion (150-300 mg/day) for 6 weeks. Change in four subscales of the 17-item Hamilton Depression Rating Scale (HAM-D17) that capture core depression symptoms was determined, and change in individual HAM-D17 items was also assessed. Changes in three composite subscales-anxiety, insomnia, and drive were also examined. Results : Within-group change in the four core subscales was large [effect size (ES)=1.30-1.47] and it was similar to that in the HAM-D17 total score. Differences between aripiprazole and bupropion were significant for each of the four core subscales and the HAM-D17 total score favored aripiprazole (p<0.001). On three composite scales, both treatments caused substantial changes in anxiety (within-group ES=1.10 (aripiprazole) vs. 1.00 (bupropion)], insomnia (ES=0.75 vs 0.50), and drive (ES=1.17 vs 1.15). Conclusion : This results suggested that both aripiprazole and bupropion adjunctive therapies with selective serotonin reuptake inhibitors resulted in significant and clinically meaningful changes in core symptom subscales for depression.

      • KCI등재후보

        리스페리돈(Risperidone)을 투약 중인 정신분열병 환자에서 지프라시돈(Ziprasidone)으로 교체 투약 시 보이는 임상적 및 대사적 이득에 대한 전향적 개방 연구

        이종훈(Jong Hun Lee),송진옥(Jin Ok Song),이승재(Seung Jae Lee),정성원(Sung Won Jung),구본훈(Bon Hoon Koo),이광헌(Kwang Heun Lee) 대한생물치료정신의학회 2009 생물치료정신의학 Vol.15 No.1

        Objectives:The purpose of this study was to assess clinical effectiveness and metabolic benefits by switching from risperidone to ziprasidone in chronic stable schizophrenic patients. Methods:A total of 19 patients taking risperidone were switched to a 12-week, open label, flexible dose(80- 160㎎/day) of ziprasidone. Current psychiatric status was evaluated by Positive and Negative Syndrome Scale(PANSS), Clinical Global Impression(CGI), and Global Assessment of Functioning(GAF). Drug induced abnormal movements were assessed using various scales. Laboratory tests including lipid profiles, HbA1c, fasting plasma glucose and electrocardiography were carried out. Results:Of the 19 enrolled patients, 14 patients(73.7%) completed the study. Mean daily dose were 6.1±2.0㎎ for risperidone at the baseline and 123.1±8.1㎎ for ziprasidone at the end point of the study. Significant improvements were found on PANSS negative subscale scores(p<.05), with trends towards improved positive and psychopathology subscale scores. Among metabolic parameters, mean total cholesterol, triglyceride, and free fatty acid showed significant improvements(all ps<.05). In line with these findings, mean body weight and hip size significantly decreased from baseline(each p<.05). Regarding tolerability, frequency and severity of abnormal movements were not significantly different between two drugs. The ECG results showed no significant change from baseline in the QTc interval. Conclusion:Our findings supported the use of ziprasidone as a good option for the treatment of stable yet partially resolved outpatients with schizophrenia who has been taking risperidone continually, with benefits in efficacy particularly negative symptoms, reduction of body weight as well as hip size, and improvements in metabolic risk factors.

      • KCI등재

        지역사회 거주 노인을 위한 인지훈련의 효과

        배나리(Na-lee Bae),이광헌(Kwang-hun Lee),이관(Kwan Lee),곽경필(Kyung-phil Kwak) 대한노인정신의학회 2015 노인정신의학 Vol.19 No.2

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

        Objective:This study was aimed to investigate the efficacy of cognitive training in community-dwelling elderly, and to sup-port mental health care system for the elderly. Methods:We investigated 1,994 and aged over 65 years elderly visiting senior center from April 2014 to July 2014. Their de-mographic data was investigated. Cognitive functions were evaluated by Korean Version of Mini Mental Status Examination for Dementia Screening (MMSE-DS) and Global Deterioration Scale. Quality of life was evaluated by Korean Quality of Life-Alzheim-er’s Disease (KQoL-AD) and depression by Short Korean Form of Geriatric Depression Scale. Before and after cognitive training, we analysed these data. Results:MMSE-DS, KQoL-AD were significantly higher in score after the cogintive training than before of that (p<0.001). SGDS-K were significantly lower in score after the cognitive training than before of that (p<0.001). Conclusion:Cognitive training resulted in improvement in cognitive functions, quality of life and depression for community-dwelling elderly. These results suggest that future mental health care policy has to consider the importance of community-dwelling elderly.

      • KCI등재

        Bifenthrin과 Imidacloprid의 호박 중 잔류특성

        이은영(Eun Young Lee),노현호(Hyun Ho Noh),박영순(Young Soon Park),강경원(Kyung Won Kang),이광헌(Kwang Hun Lee),이재윤(Jae Yun Lee),박효경(Hyo Kyung Park),윤상순(Sang Soon Yun),진충우(Chung Woo Jin),한상국(Sang Kuk Han),경기성(Kee Sun 한국농약과학회 2009 농약과학회지 Vol.13 No.2

        현재 우리나라 호박에 등록되어 사용하고 있는 살균제인 bifenthrin과 imidacloprid를 시설재배지에 살포한 후 생물학적 소실곡선식을 이용하여 수확 전 약제살포 후 경과일수별 잔류량을 예측하였다. 두 시험 농약의 검출한계는 0.005 ㎎㎏<SUP>-1</SUP>이었고, 분석법의 회수율은 bifenthrin와 imidacloprid에서 각각 100.87-104.31%, 79.71-92.54%이었다. 시험농약의 반감기는 기준량 처리구에서 bifenthrin과 imidacloprid에서 각각 1.8일, 1.5일 이었고, 배랑 처리구에서는 각각 2.9일, 2.5일 이었다. 시험농약의 약제 살포직후 농도는 잔류허용기준 미만이었으며, 수확예정일의 잔류량으로 산출한 시험농약의 ADI 대비 EDI의 비율은 기준량과 배량 처리구에서 모두 0.6% 미만으로 안전한 것으로 평가되었다. In order to elucidate the residual characteristics of the insecticides, bifenthrin and imidacloprid, the pesticides were sprayed onto the squash and their residues were analyzed with GC-ECD and HPLC. Detection limits of the pesticides were 0.005 ㎎ ㎏<SUP>-1</SUP> and recoveries of bifenthrin and imidacloprid in squash were from 100.87 to 104.31, and from 79.71 to 92.54%, respectively. Half-lives of bifenthrin and imidacloprid in squash were from 1.8 to 2.9 and from 1.5 to 2.5 days, respectively. Initial concentration of bifenthrin and imidacloprid sprayed at the recommended rate and double rate of recommendation were less than their MRLs. And also, residueal concentrations of the pesticides were rapidly decreased in squash with time. At harvest, estimated daily intakes (EDIs) of the pesticides were less than 0.6% of their acceptable daily intakes (ADIs).

      • KCI등재

        인삼 가공품 중 azoxystrobin의 가공계수

        이재윤(Jae Yun Lee),노현호(Hyun Ho Noh),이광헌(Kwang Hun Lee),박효경(Hyo Kyoung Park),오재호(Jae Ho Oh),임무혁(Moo Hyeog Im),권찬혁(Chan Hyeok Kwon),이중근(Joong Keun Lee),우희동(Hee Dong Woo),권기성(Ki Sung Kwon),경기성(Kee Sung Kyu 한국농약과학회 2012 농약과학회지 Vol.16 No.3

        인삼 및 가공품 중 azoxystrobin의 잔류특성 및 가공계수를 산출하기 위하여 재배중인 4년근 수삼에 2년간 안전사용기준에 따라 시험농약을 살포한 후, 각각 4년근과 5년근을 수확하였다. 인삼은 (주)한국인삼공사의 공인된 방법에 따라 건삼과 홍삼을 제조한 후 건삼 및 홍삼의 물농축액과 알코올농축액을 제조하였다. 수삼과 가공품 중 시험농약의 검출한계는 각각 0.001과 0.002 mg/kg이었으며, 정량한계는 각각 0.003과 0.007 mg/kg이었다. 분석법의 회수율은 69.3-114.8%이었으며, 인삼 중 최대잔류량은 수삼 0.025, 가공품 0.118 mg/kg이었다. 4년근 수삼 중 시험농약의 잔류량을 기준으로 산출한 가공품의 가공계수는 1.85-3.17의 범위였으며, 5년근의 경우 2.48-5.84의 범위이었다. This study was carried out to evaluate the residual characteristics of azoxystrobin in fresh ginseng and calculate its processing factors in processed products, such as dried ginseng, red ginseng and their extracts. Azoxystrobin was sprayed annually onto four-year-old ginseng according to its pre-harvest interval (PHI) for two years. Harvested ginsengs were processed according to the commercially well-qualified conventional methods provided by the Korea Ginseng Corporation. Limits of detection (LODs) of azoxystrobin in fresh ginseng and its processed products were 0.001 and 0.002 mg/kg, respectively. Also limits of quantitation (LOQs) in fresh ginseng and its processed products were 0.003 and 0.007 mg/kg, respectively. Recoveries of the analytical methods in fresh ginseng and its processed products ranged from 69.3 to 114.8%. Highest residue amounts in fresh ginseng and its processed products were 0.025 and 0.118 mg/kg, respectively. Processing factors of the processed products ranged from 1.85 to 3.17 in four-year-old ginseng and from 2.48 to 5.84 five-year-old ginseng.

      • KCI등재

        음식물 폐기물의 혐기성 산 발효액이 슬러지 저감과 바이오가스 생산에 미치는 영향

        손병권 ( Beong Keon Sun ),이광헌 ( Kwang Hun Lee ),김길수 ( Gil Su Kim ),최찬섭 ( Chan Sup Choi ),최희정 ( Hee-jeong Choi ) 한국수처리학회(구 한국수처리기술연구회) 2019 한국수처리학회지 Vol.27 No.3

        Food wastes were fermented to produce food waste fermentation liquid (FWFL). The purpose of this study was to investigate the influence of organic matter, nutrients, biogas and sludge in anaerobic process using a mixture FWFL and sewage sludge with various ratios. The mixing ratio of sewage sludge to FWFL of 7: 3 (R-2) had the best effect on sludge reduction and biogas production. FWFL influenced the removal of organic matter and nutrients, and TN and SCOD was obtained a maximum reduction of 81.4% and 29.3% by R-2, respectively. Moreover, R-2 consumed 1.7 to 3.2 times more TS and VS than only sewage sludge sample (R-1). In addition, the R-2 sample was found to be 3.9 times higher biogas production than R-1. As a result of analyzing the composition of the produced biogas, the biogas of R-2 had the highest methane content (71%) and was superior in quality to the other samples. Mixing FWFL with sewage sludge was effective in reducing sludge, and also had an effect on the increase of biogas production.

      • KCI등재

        유통 친환경 과실류와 과채류 중 농약잔류 실태조사 및 안전성 평가

        이재윤(Jae Yun Lee),노현호(Hyun Ho Noh),박소현(So Hyun Park),이광헌(Kwang Hun Lee),박효경(Hyo Kyoung Park),홍수명(Su Myeong Hong),김두호(Doo Ho Kim),경기성(Kee Sung Kyung) 한국농약과학회 2012 농약과학회지 Vol.16 No.4

        국내 유통 중인 친환경농산물 중 과채류와 과실류의 잔류농약 모니터링을 통해 친환경인증 농산물의 잔류농약 실태조사 및 안전성을 평가하기 위하여 서울을 포함한 전국 8개 도시 9개 지점의 대형마트와 친환경농산물 전문판매점에서 25종의 과채류와 과실류를 555점 채취한 후 acetamiprid를 포함한 245종 농약을 대상으로 GC-ECD/NPD와 HPLC-DAD/FLD를 이용한 다성분동시분석법으로 잔류농약을 분석하였으며, 분석결과 농약으로 추정되는 peak는 GC-MSD를 이용하여 재확인하였다. 잔류농약 분석결과 555점의 시료 중 사과를 포함한 4점의 시료에서 bifenthrin, EPN 및 chlorpyrifos가 검출되었으며, 검출율은 0.72%이었다. 농약이 검출된 4점의 시료 중 잔류량은 모두 잔류허용기준(maximum residue limit, MRL) 이내였으나 EPN이 검출된 배는 잔류량이 허용수준인 MRL의 1/20을 초과하였다. 일일최대섭취허용량(maximum permissible intake, MPI) 대비 일일섭취추정량(estimated daily intake, EDI)은 0.76% 미만이었다. In order to monitor the residual pesticides in environment friendly agricultural commodities, fruits and fruiting vegetables. Twenty-five agricultural commodities were collected twice in May and August 2011 from nine environment friendly agricultural commodities-selling supermarkets and retail stores located in eight major cities in Korea. The number of each agricultural commodity collected, 555 samples in total, was 152 organic agricultural products, 202 pesticide-free agricultural products and 201 low-pesticide agricultural products. Pesticide residues in samples were analyzed by multiresidue method for 245 pesticides using a GCECD/ NPD and an HPLC-DAD/FLD and the peaks suspected as pesticides were identified with a GC/MSD. As a result of pesticide residue analysis, three pesticides, bifenthrin, EPN and chlorpyrifos, were detected from four samples including apple, representing a detection rate of 0.72%. The residue levels of the four pesticide-detected samples were less than their maximum residue limits (MRLs) but one pesticide EPN detected from pear exceeded its legible criterion of one twentieth MRL. Estimated daily intakes of the pesticides detected from fruits and fruiting vegetables were less than 0.76% of their maximum permissible intake.

      • KCI등재

        Neonicotinoide계 농약 dinotefuran과 thiacloprid의 오이 중 잔류특성

        이은영(Eun Young Lee),노현호(Hyun Ho Noh),박영순(Young Soon Park),강경원(Kyung Won Kang),이광헌(Kwang Hun Lee),박효경(Hyo Kyung Park),윤상순(Sang Soon Yun),진충우(Chung Woo Jin),한상국(Sang Kuk Han),경기성(Kee Sung Kyung) 한국농약과학회 2009 농약과학회지 Vol.13 No.2

        현재 오이에 등록되어 사용되고 있는 neonicotinoid계 살충제 dinotefuran과 thiacloprid를 시설재배 오이에 살포하여 생물학적 소실곡선식을 통한 수확 전 약제 살포 후 경과일수별 잔류량을 예측하였다. Dinotefuran의 검출한계는 0.01 ㎎/㎏이고 thiacloprid의 검출한계는 0.005 ㎎/㎏ 이었다. 두 시험농약의 회수율은 dinotefuran과 thiacloprid에서 각각 85.78-89.52%와 85.71-95.31% 이었다. 회귀곡선식을 이용한 시험농약의 반감기는 dinotefuran의 경우 기준량 배량에서 모두 2.8일 이었고, thiacloprid의 경우 기준량 배량에서 각각 1,8일과 1.5일 이었다. 두 시험약제 초기 잔류량은 모두 잔류허용기준 이상이었으나 수확예정일의 시험농약의 잔류량은 모두 잔류허용기준 미만이었으며, 수확예정일의 잔류량으로 산출한 시험농약의 1일섭취허용량 대비 식이섭취량 비율은 모두 0.1% 미만이었다. This study was carried out to investigate the residue patterns of two neonicotinoid insecticides, dinotefuran and thiacloprid, commonly used for cucumber, were subjected to indicate a residual characteristic under greenhouse conditions. The pesticides were sprayed onto the crop at recommended and double doses 7 days before harvest and then sampling was done 0, 2, 3, 5, and 7 days after spraying. The amounts of their residues in the crop were analyzed with an HPLC. Their detection limits were 0.01 ㎎/㎏ for dinotefuran and 0.005 ㎎/㎏ for thiacloprid. Mean recoveries of dinotefuran and thiacloprid were from 85.78 to 89.52 and from 85.71 to 95.31%, respectively. Half-lives of dinotefuran and thiacloprid were 2.8 and 1.8 days at the recommended dose and 2.8 and 1.5 days at the doubled dose, respectively. The ratios of the EDI to ADI by intake the crop harvested 7 days after spraying were less than 0.1% of their ADIs.

      • KCI등재

        지역사회 거주 노인의 자살경향성 유병률과 위험요인

        김문범(Moon Beom Kim),이광헌(Kwang-Hun Lee),이관(Kwan Lee),곽경필(Kyung-Phil Kwak) 대한생물치료정신의학회 2018 생물치료정신의학 Vol.24 No.3

        Objectives:The purpose of this study was to investigate the prevalence and risk factors of suicidality among community-dwelling elderly. Methods:The participants were 2,201 elderly people whose ages were over 65. The participants were asked to complete questionnaires, including Mini International Neuropsychiatric Interview(MINI), module C, Short Geriatric Depression Scale of Korean version(SGDS-K), Korean Geriatric Anxiety Inventory(K-GAI), The Korean Health Status Measure for Elderly V 1.0, Korean version of Mini-Mental Status Examination for Dementia Screening(MMSE-DS). Their sociodemographic factors were investigated. The data were analyzed using the chi-square test and the logistic regression test to examine the relationship between suicidality and participants’ risk factors. Results:The prevalence rate of suicidality was 23.3%. In multiple logistic regression, depressive symptoms (OR=3.301, 95% CI : 2.453-4.440), anxiety symptoms(OR=3.289, 95% CI : 2.515-4.303), low physical function (OR=1.606, 95% CI : 1.229-2.098), no spouse(OR=1.571, 95% CI : 1.037-1.690), elderly aged 80 years or older (OR=1.506, 95% CI : 1.094-1.740) were independently associated with suicidality. Conclusion:Suicidality in community-dwelling elderly was quite high, particularly related to depressive symptoms. The results of this study can be useful for development of community-based prevention and management programs for suicidality.

      • KCI등재

        인지훈련이 지역사회 노인의 도구적 일상 활동에 미치는 효능

        이성민(Sung-Min Lee),이광헌(Kwang-Hun Lee),이 관(Kwan Lee),곽경필(Kyung-Phil Kwak) 대한노인정신의학회 2016 노인정신의학 Vol.20 No.2

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

        Objective:This study was aimed to investigate the effectiveness of cognitive training to Instrumental Activities of Daily Living (IADL) in community-dwelling elderly. Methods:The participant were 786 elders who were aged over 59 years visiting local rest area from February 2015 to November 2015. The demographic data was collected. IADL were evaluated by Seoul-Instrumental Activities of Daily Living (S-IADL). Cognitive functions were evaluated by Korean Version of Mini Mental Status Examination for Dementia Screening (MMSE-DS). Before and after cognitive training, we analysed these data. Results:In all 15 items of S-IADL, 4 items (using the telephone, grooming, managing belongings, talking recent events) were specially improved (p<0.05). Conclusion:After cognitive training, indoor activities of S-IADL were improved but some items, especially outside activities were not improved for community dwelling elderly. In future, other programs to increase outside activities or social activities should be included in cognitive training programs for community dwelling elderly.

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