정신분열병 및 정신분열형 장애에 대한 올란자핀의 효과와 안전성

안용민,강대엽,권준수,김창윤,김철응,반건호,신영민,이기철,이동우,이중서,조현상,채정호,김용식 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.4

연구목적 : 본 다기관 공동임상연구는 국내 환자를 대상으로 새로운 항정신병약물인 올라자핀의 치료 효과와 안전성을 확인하고자 시행되었다. 방 법 : 1999년 7월부터 2000년 3월까지 국내 10개 병원에 방문한 정신분열병 및 정신분열형 장애 105명을 대상으로 비대조 개방 임상연구를 시행하였다. 중등도 이상의 정신병 증상을 지니거나, 부작용으로 약물교체가 필요한 경우 또는 기분장애 증상의 치료가 필요한 환자를 대상으로 하였다. 2∼7일간의 약물 배설기간 후에 1일 10mg의 올란자핀을 투여하였고, 이후로 3∼7일 간격으로 용량을 조절하여 총 8주간 투여하였다. 치료 효과는 PANSS(Positive and Negative Syndrome Scale), BPRS(Brief Psychiatric Rating Scale), CGI(Clinical Global Impression-Severity), MADRS(Montgomery-Asberg Depression Rating Scale), HAM-A(Hamilton Rating Scale for Anxiety)로 판정하였다. 안전성 평가는 자발적인 이상반응 보고, 활력징후와 혈액 검사 및 SAS(Simpson-Angus Scale), BARS(Barnes Akathisia Rating Scale), AIMS(Abnormal Involuntary Movement Scale)척도를 이용하였다. 결 과 : 105명중에서 85.7%인 90명이 8주간의 치료를 완료하였다. 평균 최빈 용량은 일일 16.1(±4.7)mg이었고, 종료시점에서의 BPRS전체 점수가 기저 상태에 비해 40%이상 감소된 반응군은 69.5%이었다. PANSS의 양성 증후군과 일반정신병리 뿐만 아니라 음성 증후군 소척도에서도 유의한 감소를 보였으며, 이 감소들은 치료 초기부터 나타나서 8주간 지속되었다. 43.8%의 피험자가 중등도 이상의 우울증상을 같이 지니고 있었으며, 올란자핀에 의해 MADRS와 HAM-A가 유의하게 감소하였다. 치료 기간 동안에 활력징후에는 뚜렷한 변화가 없었으나 체중은 8주간 지속적으로 증가하였다. SAS와 AIMS는 감소하였으며, 정좌불능증을 제외한 나머지 추체외로 증상의 발생비율도 낮았다. 임상적인 증상이나 징후를 동반하지 않는 ALT/SGPT의 상승을 보였지만 프로락틴을 포함하는 대부분의 혈액 검사상 뚜렷한 이상 변화는 없었다. 결 론 ; 비록 본 임상연구가 비대조 개방 임상연구로서 많은 제한점을 가지고 있지만, 올란자핀이 기존 약물에 내약성을 보이거나 기분증상을 동반하는 정신병에 치료 효과가 있었다. 그리고 기존 항정신병약물 치료시에 문제가 되었던 추체외로 증상과 고프르로락틴 혈증을 포함하는 대부분의 부작용면에서 안전성을 보여 주었다. Objective : This multicenter clinical trial was carried out to investigate the efficacy and the safety of olanzpine for the treatment of Korean patients. Mothod : 105 patients with schizophrenia and schizophreniform disorder, visited at 10 mental or university hospitals, had received an open and non-comparative treatment with olanzapine for 8 weeks. Patients had psychotic or depressive symptoms with the severity above moderate degree or intolerable side effects to previous antipsychotics. After a wash-out period of 2-7 days, 10mg olanzapine was prescribed initially to all the patients, and then the dosage could be adjusted within the range of 5-20mg/day of olanzapine by 3-7 days. Results : 90(85.7%) of 105 patients completed the 8-weeks trial and the mean modal dose of olanzapine was 16.1(±4.7%)mg/day. At the end of the trial, 73 patients(69.5%) were classified as responder, which was defined as 40% or more improvement in BPRS(Brief Psychiatric Rating Scale) score comparing to baseline. There was a significant reduction in the scores of PANSS(Positive and Negative Syndrome Scale)and subscales including negative symptom scores and CGI. Also weekly analysis showed that the reductions in scores were kept on for the whole period of the trial. 43.8% of all the patients had depressive symptoms at the baseline and total scores of MADRS(Montgomery-Asberg Depression Rating Scale) and HAM-A(Hamilton Rating Scale for Anxiety) were also reduced after the trials. Vital signs revealed no clinically significant changes but continuous weight gain was observed during the treatment with olanzapine. The scores of SAS(Simpson-Angus Scale) and AIMS(Abnormal Involuntary Movement Scale) for assessing the EPS(extrapyramidal symptoms)and tardive dyskinesia respectively were significantly decreased and only a few patients reported EPS as adverse events. Although mild and clinically non-significant of ALT/SGPT was observed, most laboratory parameters including plasma prolactin level showed to significant changes during the trial. Conclusions : Although this trial had many limitations because it was a non-comparative and open study, olanzapine showed high efficacy on the positive, negative and depressive symptoms in schizophrenia and schizophreniform disorder.In addition to that, olanzapine showed a substantially favorable safety profile, such as low incidence of EPS and hyperprolactinemia.

정상교합과 부정교합에서의 상·하악골과 제 1 대구치 위치에 관한 비교연구

윤병모,안병근,이건주,김선해,박영주,한호진 대한치과교정학회 1993 대한치과교정학회지 Vol.23 No.4

There has been so much controversies about the position of upper and lower jaws, and their first permanent molars in normal occlusion and Angle's class ⅠㆍⅡㆍⅢ malocclusions. So, the purpose of this study is to compare the position of upper and lower jaws, and their first molars in normal occlusion and Angle's class ⅠㆍⅡㆍⅢ malocclusions by lateral cephalometric analysis. The sample consisted of one hundred and twenty girls(thirty in each group) who had completed growth. The findings of this study were as follows : 1. In class Ⅰ malocclusion, both maxilla and mandible were slightly posterior position than normal occlusion, but they showed harmonious relationship. 2. In class Ⅱ malocclusion, the mandible was greatly retruded, and the maxilla was also slightly retruded to the cranial base as compared with normal occlusion. 3. In class Ⅲ malocclusion, the maxilla was significantly retruded to the cranial base, but no significant difference was found in mandibular position as compared with normal occlusion. 4. The maxillary first molar was located at posterior position in class Ⅱ malocclusion, and anterior position in class Ⅲ malocclusion to the cranium, so that the rotation of mandible was influenced by that. 5. The mandibular first molar showed constant relationship to the mandible in all four group, but different position to the cranial base in direct proportion to the mandibular position. 6. On the treatment planning of class Ⅲ malocclusion, it seems to be better to promote the mandibular horizontal growth by ingibiting the verbical growth of masillary molar area, and on the treatment planning of class Ⅲ malocclusion, it seems to be better to promote the antero-inferior growth of maxilla and to promote the mandibular vertical growth by inducing the vertical growth of maxillary molar area.

3급 부정교합 환자와 정상인에 있어서 하악소설과 Sigmoid Notch간의 거리에 관한 비교연구

박해승,안병근,이건주,김선해,박영주,유기준 한림대학교의료원 1994 人間科學 Vol.18 No.2

웹 기반 공동작업 지원시스템의 개발

문남두,안건태,김진홍,박양수,이명준 울산대학교 2001 공학연구논문집 Vol.32 No.1

최근 웹의 확산과 더불어 제품개발을 위하여 공동작업 구성원들 사이의 정보 공유와 재사용을 지원하는 웹 기반의 공동작업 지원 시스템 개발에 대한 관심이 고조되고 있다. 기업 및 공공기관의 공동작업은 광범위하게 분산되어 있는 경우가 많으며, 여러 작업그룹 내의 구성원은 이러한 환경에서 효과적으로 서로의 정보를 교환하고 공유할 수 있는 작업공간을 필요로 한다 또한 공동작업의 결과로서 생성된 기술문서의 체계적인 관리 기능과 실시간 의사전달의 기능 등이 함께 제공되는 것이 바람직하다. 본 논문에서는 웹 기반의 공동작업 지원 시스템인 CoWare의 설계와 구현에 대하여 설명한다. CoWare는 통합시스템으로서 CoSpace, CoDocs, CoMail로 명명된 세 개의 관련된 시스템으로 구성된다. CoSpace는 자료의 저장과 공유를 위하여 개인 및 작업그룹을 위한 작업공간을 제공하고, CoDocs는 전자문서의 체계적인 관리를 지원하며, CoMail은 실시간 의사전달의 기능을 제공한다. CoSpace, CoDocs, 그리고 CoMail은 기본적으로 사용자 정보, 사용자 그룹정보, 작업그룹정보의 공유를 통하여 상호 연계되어, 보다 자연스럽고 효율적으로 공동작업을 지원할 수 있다. With rapid growth of World-Wide Web(WWW or Web), much interest has shifted to develop a Web-based collaborative work system which supports information sharing and reusing. Most of collaborative works in a company or a public corporation are widely distributed. In such an environment, members of work groups require workspaces for exchanging and sharing information. In addition to those workspaces, it is desirable to support real-time messaging facility and systematic management of technical documents produced during collaborative works. In this paper, we describe the design and implementation of a Web-based groupware, named CoWare, which supports effective collaboration. The CoWare system is an integrated system including three related systems : CoSpace, CoDocs and CoMail. The CoSpace system provides personal workspace and shared workspace for storing and sharing informations. The CoDocs system manages electronic documents systematically, while the CoMail system supports real-time messaging facility. Basically, the user information, the user group information, and the work group information are shared among CoSpace, CoDocs, and CoMail. Thereby, the CoWare system supports more natural and effective collaboration.

정상인에서 전기 및 자기 자극을 이용한 설 근육의 전기생리학적 평가

조은미,류종현,안성환,조경원,임건한,김진호,김후원 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.1

Background: Abnormality of lingual muscles is clinically common. But its exact clinical assessment is quite difficult. Evaluation of motor power of the lingual muscles and their neural pathway is limited because of anatomical inaccessibility and individual variation of subjective symptoms. Transcranial magnetic stimulation (TMS) of the human motor cortex is a non-invasive tool to assess the functional integrity of the fast conducting central motor pathways and electrical stimulation of lingual nerve is a conventional method of peripheral nerve conduction. Therefore both study will be helpful to understanding of pathophysiology of lingual abnormality. Until now there is no such report in Korea. This study was conducted to acquire the easier method and normal control values of Korean subjects. Method: We recorded the motor responses from the lingual muscles of 32 healthy subjects (22 men, 10 women) by focal cortical TMS with a circular coil. Motor potentials were recorded by means of surface electrodes applied on the both side of the tongue, following TMS several centimeters lateral from the vertex and parietooccipital cortex and peripheral electrical stimulation of the 12th cranial nerve at the lateral 1/3 point of the line between the midline and angle of mandible. Results: During moderate motor activation, majority of maximal motor response were obtained 4-6cm lateral to the vertex with similar latencies. And the responses from magnetic stimulation of the intracranial segment of hypoglossal nerve were discarded because of difficulty to obtain and unsatisfactory reproducibility. The latency of motor evoked potentials in right cortical stimulation was 10.08 ± 1.17 msec and in left stimulation 10.04 ± 1.32 msec. The amplitudes in right 2.15 ± 1.02, left 2.09 ± 1.11 mV. The latencies electric hypoglossal nerve stimulation were 2.42 ± 0.34 in right, 2.49 ± 0.35 msec in left side. The amplitudes were 2.90 ± 2.37 in right, 2.43 ± 1.86 mV in left side. Central conduction times as calculated by subtracting the response latencies obtained by magnetic and electric stimulation are right 7.65 ± 1.19, left 7.55 ± 1.35 msec. There was no significant difference between man and woman, Conclusion: The method may be efficient, noninvasive, painless, and easy reproduced. With more extensive application to various neurological disorders, it comes close to being an ideal clinical conduction study technique for this cranial nerve.

고주파 에너지 절제술로 확인된 중중격 우회로의 전기생리학적 특성

이승환,류종철,김건영,안신기,이문형,김성순 대한순환기학회 1997 Korean Circulation Journal Vol.27 No.7

이기종간의 상호운용성을 지원하는 이동 에이전트 시스템

이명준,박양수,유양우,문남두,김진홍,안건태 울산대학교 2000 공학연구논문집 Vol.31 No.1

현재 대부분의 이동 에이전트 시스템들은 그들 자신의 구조를 가지며 서로 다른 방법으로 구현되어 있다. 이러한 에이전트 시스템들은 서로 다른 인터페이스를 제공하고 있어서 이기종의 에이전트 시스템에서 새성된 에이전트들은 상호 이동하여 작업을 수행할 수 없다. 이러한 문제를 해결하기 위하여 이동 에이전트 시스템간의 상호운용성 지원이 중요한 과제로 다루어지고 있다. OMG(Object Management Group)는 이질적인 에이전트 시스템간의 상호운용성을 증진시킬 목적으로 MAF(Mobile Agent Facilities)명세를 제안하였다. MAF명세는 MADAgentsystem과 MAFFinder 두개의 인터페이스로 구성되어 있으며 에니전트 관리, 코드의 이동성, 명명 규칙에 관한 기능을 제공한다. 본 논문에선는 OMG의 MAF 명세를 만족하는 SMART 이동 에이전트 시스템의 설계와 이의 구현에 대하여 설명한다 SMART 이동 에이전트 시스템의 구성은 에이전트를 실행시키는 환경을 제공하는 플레이스(place), 에이전트의 라이프사이클과 플레이스를 감시하는 모니터(monitor) 그리고 에니전트에게 시스템의 자원을 할당하는 자원관리자(resource manager)로 이루어져 있다. Most current mobile agent systems adopted their own architectures, being implemented in various ways. Since those agent systems provide different interfaces, agents created in one mobile agent system could not move to other agent systems to perform their tasks. To solve this problem, interoperability becomes one of the important issues on mobile agent systems. The OMG(Object Management Group) proposed the MAF(MAF(Mobile Agent Facilities) specification for the interoperability among heterogeneous mobile agent systems. the MAF specification contains MAF Agent System and MAFFinder interfaces, and defines agent management, code mobility and naming rules. In this paper, we describe the design and implementaion of the SMART mobile agent system which satisfies the OMG MAF specification. The SMART system consists of Places that provide execution environments for agents, Monitor that monitors life-cycle of agents and places, and Resource Manager that allocates resources of system for agent.

Notes : BioPlace: A Web-Based Collaborative Environment for Effective Genome Research

( Geon Tae Ahn ),( Jin Hong Kim ),( Kyung Mi Kang ),( Myung Joon Lee ),( In Seob Han ) 한국미생물생명공학회 2004 Journal of Microbiology and Biotechnology Vol.14 No.5

Analysis of Sexual Behaviors among Adults in Korea: Results from the “Korean National Survey on Sexual Consciousness”

Ahn Sun Tae,Kim Jong Wook,Park Hong Seok,Kim Hyun Jung,Park Heung Jae,Ahn Hyeong Sik,Lee Sung Won,Moon Du Geon 대한남성과학회 2021 The World Journal of Men's Health Vol.39 No.2

Purpose: This study aimed to understand the characteristics of sexual behaviors among Korean adults to facilitate the development of strategies and policies focused on sexual health in groups categorized by sociodemographic characteristics. Materials and Methods: A nationally representative probability sample of 2,500 individuals (1,273 men and 1,227 women) aged 18–69 years obtained using a stratified multiple-stage sampling method based on Statistics Korea (KOSTAT) participated in a cross-sectional online survey. The survey consisted of structured questionnaires comprising questions on demographic information, lifetime sexual behavior, and sexual behavior in the previous 12 months. Results: The mean age at first sexual intercourse was lower in men than in women (21.9±4.4 vs. 24.1±4.4 years, p=0.001). The overall prevalence rate of sexual events with casual partners within previous 12 months was 13.1% (95% confidence interval [CI], 11.6%–14.5%). It was found to more commonly exist among lower age groups and men. The overall regular condom use rates with relationship partner and casual partner were 14.8% (95% CI, 13.2%–16.4%) and 39.6% (95% CI, 33.9%–45.3%), respectively. Condom use rate with casual partners among 20s and 30s men was 51.2%. Overall, only 10.4% of the respondents had received sexual education about sexually transmitted infections. Conclusions: This study provided contemporary sexual behaviors in Korean adults, and identified socio-demographic factors that seem to influence sexual behaviors. Low condom use rates and low rate of receiving sexual education were concerns. The result of this study would be useful to health professionals to formulate policies and strategies related to sexual health.

Prediction of Daphnia magna LC50 on Heavy Metal Containing Samples

Ahn, Bok-Kyoun,Ahn, Sang-Jin,Kim, Geon-Heung Korea Water Resources Association 1991 Korean journal of hydrosciences Vol.2 No.-

This study assessed the contribution of heavy metals to total toxicity as well as the presence other toxic compounds before and after adding the chemical P to concurrently conducted bioassay tests of Daphnia magna and P. Phosphoreum. The following conclusions were drawn from this study : With excessive EDTA dosage, a toxicity reduction in Microtox would occur due to a metal-comples being formed. Microtox was far less sensitive than D. magna to heavy metal toxicity, but extended exposure time and reagent could increase the sensitivity.