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.

개 대뇌겉질에서 Platelet-Derived Growth Factor α-Receptor의 출생 후 발달에 관한 면역조직화학적 연구

윤영,안병수,김인정,양경철,박선홍,김기훈,박도영,김장만,문정석,장인엽,조하영 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1

Background and Objectives : The localization of platelet-derived growth factor-α receptor (PDGF-α R) was commonly restricted to oligodendrocyte progenitors during late embryonic and postnatal development. However, several studies recently demonstrated that mature neurons could also synthesize PDGF-α, Materials and Methods : In the present study, to analyze the distributional pattern of PDGF-αR during postnatal development of the canine cerebral cortex, we used immunohistochemistry on sections of canine brain tissue. Results : We found that neurons of various regions of cerebral cortex exhibited the immunoreactivity to PDGF-αR as early as postnatal day 0, and slightly decreased after postnatal day 14. Whereas neuronal PDGF-αR were maintained at all ages, the oligodendroglia-like expression of PDGF-αR could not be confirmed. Conclusion : The localization of PDGF-αR in immature and mature neurons supports the several roles of PDGF during development, protection and survival of neurons.

충남대학교 기초과학분야의 효율적 육성에 관한 연구

윤화중,진성일,윤민중,윤혜수,이영하,최철규,이천배,신대현 충남대학교 자연과학연구소 1986 忠南科學硏究誌 Vol.13 No.2

Chungnam National University (CNU) is located in Daeduk Science Town, a center of science and technology in Korea, and it is expected to play an important role in the development of science in Korea. With this in mind, the basic natural sciences at CNU should be more actively supported in both education and research. Accordingly analysis and comparison of the basic science program at major college in Korea as well as those in the USA and Europe has been performed. The current cooperative relationship between CNU and research institutes in the science town has also been analyzed. This study has resulted in propositions to make more efficient the upbringing of the basic sciences at CNU, by focusing on the following points ; a) to improve academic affairs, b) to make graduate studies substantial, c) to secure highly qualified faculty members, d) to increase cooperation in research between CNU and reserch institutes, e) to enlarge research laboratories and acquire more equipment and facilities.

천마의 GABA-benzodiazepine 수용체 복합체에 대한 조절작용

하정희,이동웅,어경윤,하정상,김현주,용철순,허근 영남대학교 약품개발연구소 1998 영남대학교 약품개발연구소 연구업적집 Vol.8 No.-

Methanol extract of G. elata inhibited the binding of [³H]Ro15-1788, a selective benzodiazepine receptor antagonist, to benzodiazepine receptor of rat cortices. Saturation experiments followed by Scatchard analysis of the results showed that the inhibition of [³H]Ro15-1788 binding by G. elata. appeared to be competitive. These competitive inhibiton of the butanol fraction was observed to be higher than the methanol extract. Methanol extract of G. elata inhibited a [³H]flunitrazepam, a selective benzodiazepine receptor agonist, binding to benzodiazepine receptor. GABA significantly enhanced the inhibition of [³H]flunitrazepam binding by G. elata, and these "positive GABA shift" supported the strong possibility of agonistic activity to benzodiazepine receptor. Butanol fraction was observed to be higher than crude extract by methanol in an agonistic activity to benzodiazepine receptor, furthermore enhanced the binding of [³H]SR95531 to GABA_(A) receptor. Butanol fraction of G. elata significantly diminished the pentylenetetrazole-induced lethality of mice. From these results, it can be concluded that substance or substances with neurochemical properties characteristic of a benzodiazepine receptor agonist may be important components, and contribute to the anticonvulsant property of G. elata.

개에서 이중 결찰법을 통한 동맥관 개존증의 완치 예

윤헌영,정순욱,박희명,박철,정만복,김준영,한현정,황민,노병국,박상혁,장하영,박정윤 한국임상수의학회 2004 한국임상수의학회지 Vol.21 No.1

A ten months old, female Yorkshire terrier weighing 2.88 kg referred to veterinary teaching hospital of college of veterinary medicine, Konkuk University because of syncope, cough and dyspnea. First hematological and serum chemical test revealed thrombocytopenia, mild anemia, and increase of concentration of ALP (195 U/L). On 57 days later, second hematological and serum chemical test revealed polycythemia, increase of concentration of ALP (211 U/L), and Tchol (387 mg/dl). Right atrium enlargement, main pulmonary artery bulge and cardiomegaly (VHS = 11.5) were observed in radiographic findings. Ultrasonographic images showed both right and left ventricular dilation and turbulent flow between the descending aorta and the main pulmonary artery in color Doppler imaging. ECG showed left ventricular enlargement, SA block, and electrical alternant. Thoracotomy was performed through left fourth intercostal incision under isoflurane anesthesia. Patent ductus arteriosus was double ligated with 1-0 silk. Cough and dyspnea disappeared on 5 days after operation. Turbulent flow was not found in color doppler imaging of ultrasonography on 10 days after operation. Ten months later after the operation, syncope could not exist any more.

달리기 경험의 질적 분석

정윤하,이철원 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.3

This study was to explore the running experience of general runners, This also tried to seek a way for the promotion of running as an affirmative Leisure activity. The relationship among optimal experiences, satisfaction and pleasure from running as a solo sport activity was examined by systemically analyzing the experiences from running, The experiences about the satisfaction and happiness of the participants were also examined, Results from this study could be used as a theoretical background for the promotion of running as a leisure activity, and should provide a basis for further research on the experiences in Korean society.

노인정으로 출근하는 여성노인들 : 그들의 삶에 투영된 소외와 제약들 How Social Prejudice and Customs have Shackled Korean Female Seniors

지현진,정윤하,이철원 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.1

The purpose of the present study was to provide a view of the lives of Korean female seniors, who visit their nearby No-In-Jung almost everyday. Especially, it was to explore why they failed to get away from No-In-Jung and make their life more dynamic. Seven daily visitors of two No-In-Jungs in Seoul were closely observed and individually interviewed. The facility and the environment composing the No-In-Jungs were also investigated. Results revealed six key factors: isolation from family, living as korean women, living as simple workers, weakened body and mind, economic dependence, and isolated from social welfare program. Insights and suggestions were also provided.

평야지재배 조생종 벼의 이화학적 및 식미특성 분석

정진일,김기영,최윤희,최원영,고종철,오명규,홍하철,이승엽,이명철 한국국제농업개발학회 2004 韓國國際農業開發學會誌 Vol.16 No.4

평야지재배 적응 조생종 벼 품종의 선발 및 품종 육성의 기초 자료로 활용코자 극조생종(1품종)과 조생종(10품종) 및 준조생(3품종)등 총 14품종을 산간지(운봉)와 평야지(익산)에 지역별 표준재배법으로 공시한 결과, 1. 극조생종 및 조생종들은 감온성이 커 산간지에서 출수가 빠르나, 준조생종에 속하는 상미벼, 영덕34호, 히또메보레 등은 감광성이 감온성보다 커, 평야지재배에서 4일정도 빨리 출수하였다. 2. 수량성은 대부분의 품종들이 산간지재배에 비해 평야지 재배에서 높았고 대체로 출수가 빠른 품종일수록 지역간의 수량차가 크게 나타났으며, 출수가 다소 늦은 준조생종들은 산간지와 평야지의 재배에서 수량차가 크지 않아 산간지 뿐만 아니라 평야지에서도 적응성이 높았다. 3. 단백질함량은 숙기가 다소 늦은 품종일수록 낮은 경향을 보였고 산간지보다는 평야지에서 낮았으며, 품종간에는 오대벼, 운봉30호, 영덕34호, 신석조생, 상미벼 등이 함유량이 낮았다. 4. 식미치는 산간지재배가 평야지에 비해 보다 높게 나타났고, 출수가 늦을수록 높았으며, 지역간 차가 크게 나타난 품종은 극조생종인 키라라397이었고, 출수가 늦은 상미벼와 히또메보레는 차가 적었다. 5. 산온도와 수량과의 상관은 산간지에서만 영향이 있을 뿐 평야에서는 영향이 적고 일사량과 일조시수가 수량에 보다 상관성이 높았으며, 식미치는 적산온도와는 부의상관, 생육 일수와는 정상관을 보였다. This experiment was carried out to clarify the difference of rice yield and the quality of rice in southern plan area and in alpine area. Yield and quality of fourteen early varieties were investigated under the different transplanting dates and planting densities in southern plan area(Iksan) and in alpine area(Unbong). In the alpine area, extremely early variety and early varieties headed early compared to the plain area, but medium early varieties headed about 4 days late unlike the alpine area. The yield difference of most early varieties including Kilara 397 of extremely early flowering variety were greater in plain area than in alpine. The different of yield between plain and alpine area was less in varieties with Sinseogjosaeng, Odaebyeo, Akidagomachi, and Yeungdeuk34. The rate of protein was lower in plain area than alpine and more lately flowering than early, but palatability of milled rice was higher at the alpine area and more lately flowering varieties. Correlation coefficients between yield and meterological data during maturity, yield shower the significant correlation with integrated solar radiation and sunshine hours at cultured in southern plan area, but it showed only cumulative temperature in alpine area. Palatability of miller rice was positive correlation at growth duration but negative correlation at cumulative temperature.

논문 : 청원-충주지역 수막재배용 지하수 사용량 및 배출량 분석

문상호 ( Sang Ho Moon ),하규철 ( Kyoo Chul Ha ),김용철 ( Yong Cheol Kim ),윤필선 ( Pil Sun Yoon ) 대한지질공학회 2012 지질공학 Vol.22 No.4

국내 수막재배지는 시설 증대로 인한 지하수 취수량 감소의 어려움을 겪고 있다. 이 연구는 이들 지역 중 청원-충주지역을 대상으로 지하수 이용량 및 배출량을 측정하고, 이를 토대로 국내 수막재배지에서의 지하수 이용량을 추정하였다. 대표 관정들의 모터사양과 1일 지하수 토출 능력과의 관계, 1일 최저 기온0℃ 이하의 기록 일수, 최저 기온 변화에 따른 모터 가동 상황 등을 토대로 하여, 청원지역에서 2011~2012년 겨울철 수막재배에 이용된 지하수 이용량을 추정하면 1ha 당 53,138m3이 된다. 이에 의한 면적 대비 국내 수막재배지 (10,746ha)의 지하수 이용 총량은 약 5.7억 m3이며, 이는 국내 농업용수 지하수 이용량 16.9억 m3 33.7%에 해당된다. 2012년 2월 9일부터 22일까지 면적 4ha의 청원지역 배수로에서 측정한 1일 지하수 배출량은 2,079~2,628 m3범위(평균 2,341 m3)로서, 수막재배 면적 1ha 당 1일 평균 지하수 배출량이 585m3인 것으로 나타났다. 수막재배 일수 94일을 적용하면, 청원지역에서 2011년~2012년 겨울철에 수막재배에 이용된 지하수 이용량은 54,990m3/ha이다. 이에 의한 면적 대비 국내 수막재배지의 지하수 이용 총량은 약 5.9억 m3이며, 이는 전체 농업용수 지하수 이용량의 약 34.9%에 해당된다. 충주지역에서는 수막재배지 1ha 당 1일 지하수 배출량이 805 m3 미만일 것으로 추정되었다. 이 지역에서의 2011년~2012년 겨울철 수막재배 일수 108일을 적용하면, 면적 대비 국내 수막재배지의 지하수 이용량은 전체 농업용수 지하수 이용량의 55% 미만일 것으로 추정된다. Korean agricultural areas that employ water curtain cultivation (WCC) have recently suffered extensive groundwater short-ages due to an increase in the number of facilities. The primary focus of this study is to measure the daily groundwater use and discharge rates in the Cheongweon and Chungju pilot areas, while the second focus is to estimate the total amount of groundwater used in WCC areas nationwide in Korea. Taking inwo consideration several factors, including motor type, out-flow abilities of wells, records of daily minimum temperatures below 0℃, and the number of running wells accrding to weather variations, we estimated that 53,138m3/ha of groundwater had been used in the 4-hectare Cheongweon pilt area during the winter period of late 2011 through early 2012. On a prorated areal basis, we can calculate that the total ground-water used nationwide was 0.57 billion m3 in WCC areas of 10,746m2. This value is equivalent to 33.7% of the total agri-cultural groundwater use (1.69 billion m3) in Korea. During 9-22 February 2012, the daily water discharge rate in the 4-ha Cheongweon pilot area raged from 2,079 to 2,628m3, averaging 2,341m3. Combining this value with meteorological records for 94 days with a daily minimum temperature below 0℃ results in an estimated groundwater volume of 54,990m3/ha for the pilot area during the 2011-2012 winter period. The total amount of groundwater used nationwide in WCC areas would then be 0.59 billion m3, equivalent to 34.9% of the total agricultural groundwater use in Korea. In the Chungju area, the groundwater discharge rate was estimated to be less than 805m3/ha. This value, combined with weather data for 108 days with a daily minimum temperature below 0℃ in this area, can be applied to infer that the total groundwater vol-ume used in WCC areas nationwide is no more than 55% of the total agricultural groundwater use in Korea.

수용액중의 수은전극에서 바나듐-디에틸렌트리아민 펜타아세트산염의 환원 및 평형연구

정기석,손세철,하영경,엄태윤,윤석승,Ki-Suk Jung,Se Chul Sohn,Young Kyung Ha,Tae Yoon Eom,Sock Sung Yun 대한화학회 1989 대한화학회지 Vol.33 No.1

0.5M $NaClO_4$ 수용액중의 수은전극에서 바나듐-디에틸렌트리아민펜타아세트산(DTPA)염의 전기화학적 환원 및 평형을 온도 25$^{\circ}C$와 3.2 < pH < 10.5 에 걸쳐서 연구하였다. 바나듐(III)-DTPA착물은 모든 pH에 걸쳐서 V${\cdot}A^{3-}$-(A=DTPA)로서 존재하고 EDTA같은 다른 디아민카르복시산과의 착물들과 달리 수소첨가가 일어나지 않고 $OH^-$도 배위되지 않으며 가역적으로 바나듐(II)-DTPA착물로 환원된다. 3.2 < pH < 5.9에서는 전극반응이 $V{\cdot}A^{2-}+H^++e^-=V{\cdot}HA^{2-}$와 같이 진행하며 $V{\cdot}HA^{3-}$ 의 안정도상수는 $3.09{\times}10^{14}$과 같이 구하여졌다. $VO^{2+}$이온의 경우 pH적정결과 착화반응은 $VO^{2+}+H_2A^{3-}=VO{\cdot}HA^{2+}H^{+}$ 및 $VO{\cdot}HA^{2-}=VO{\cdot}A^{3+}+H$ 와 같이 2단계에 걸쳐서 진행되며, $VO{\cdot}HA{2-}$의 산해리상수는 pKa=7.15이다. $VO{\cdot}HA^{2-}$와 $VO{\cdot}A^{3-}$ 의 안정도상수는 각각 $1.41{\times}10^{14}$ 및 $3.80{\times}10^{17}$과 같이 구하여졌다. 바나듐(IV)-DTPA착물은 비가역적으로 바나듐(III)-DTPA착물로 환원되며 이때 전이상수 ${\alpha}$=0.43이다. 더 큰 음의 과전압에서는 2단계에 걸쳐서 환원된다. 이 때 첫째 단계의 환원은 3.2 < pH < 10.5에서 $VO{\cdot}A^{3-}+e{\to}VO{\cdot}A^4$인 것으로 판단되었다. 두번째 단계의 환원은 V(III)의 환원과 같다. $VO{\cdot}HA^{2-}$ 와 $VO{\cdot}A^{3-}$의 확산계수로서 각각 $(9.0{\pm}0.4){\times}10^{-6}cm^2/s$ 및 $(5.9{\pm}0.4){\times}10^{-6}cm^2/s$ 을 구하였다. Reduction and equilibrium of vanadium-DTPA (DTPA = diethylenetriaminepentaacetic acid, $H_5A$) complexes at mercury electrodes are studied in 0.5M $NaClO_4$ aqueous solution at 3.2 < pH < 10.5 and 25$^{\circ}$C. At 3.2 < pH < 5.9, the reduction reaction is $V{\cdot}A^{2-}+H^-+e^-=V{\cdot}HA^{2-}$, while at 5.9 < pH < 10.5 it is $V{\cdot}A^{2-}+H^-+e^-=V{\cdot}A^{3-}$. The stability constants of $V{\cdot}HA^{2-}$ and $V{\cdot}A^{3-}$ are found to be $6.46{\times}10^{9}$ and $3.09{\times}10^{14}$, respectively. V(IV)-DTPA undergoes stepwise complexation as $VO^{2+}+H_2A^{3-}=VO{\cdot}HA^{2+}H^{+}$ and $VO{\cdot}HA^{2-}=VO{\cdot}A^{3+}+H$, where acidity constant of $VO{\cdot}HA^{2-}$- is pKa = 7.15. Stability constants of $VO{\cdot}HA^{2-}$ and $VO{\cdot}A^{3-}$ are found to be $1.41{\times}10^{14}$ and $3.80{\times}10^{17}$, respectively. It is detected that $VO^{2+}-DATA$ is reduced irreversibly to $VO^{2-}$ with the transfer coefficient of $\alpha$ = 0.43. At more cathodic overpotential, the reduction is stepwise as V(IV)${\to}$V(III)${\to}$V(II). The first one corresponds to $VO{\cdot}HA^{2-}+e^{-}{\to}VO{\cdot}HA{3+}$ at 3.2 < pH < 7.2 and $VO{\cdot}A^{3-}+e^{-}{\to}VO{\cdot}A^{4-}$ at 7.2 < pH < 10.5. The second is identical to that of V(III). Diffusion coefficients of $VO{\cdot}HA^{2-}$ and $VO{\cdot}A^{3-}$ are found to be $(9.0{\pm}0.3){\times}10^{-6}cm^2/s$ and $(5.9{\pm}0.4){\times}10^{-6}cm^2/ses$, respectively.