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.

통계적 기법을 이용한 BUS需要推定에 관한 연구 : 浦項市 住居開發地域을 中心으로

임채문,박문하,박영환 대구대학교 과학기술연구소 1997 科學技術硏究 Vol.4 No.3

This research is based on the transits of bus movement in the residence area around the center of Pohang city to estimate the future bus traffic volumes individual transits of each area that is those of living area, non living area, the number of students, and workers are investigated, 22 out of 25 zones, which intend to be more residential are selectedby the motheds of cluster analysis, stepwise regression and multi regression, in order to find out the relation between the bus traffic volume and the individual transit the analysis of the relation, which put the value of the zone transit on the formula as a variable, can formulate its influence on the bus traffic volume. if this analysis is applied to the future residential development area if will contribute to calculation of the number of bus users and the decision of allocation interval of buses and the number of bus lines

SPICE를 이용한 다이나믹 D 플립플롭의 성능 연구

하영철,양광진,임영도,홍창희 동아대학교 공과대학 부설 한국자원개발연구소 1995 硏究報告 Vol.19 No.1

In this paper, we analyze two D flip-flop generally considered to be fastest (and most widely used), and compare their speed performance and their speed performance and their robustness against clock skew when a two-phase clocking scheme is applied. The effect of click skew on their speed and proper logic operation is analyzed and verified with SPICE simulation.

상아질 결합제의 종류와 처리방법에 따른 전단결합강도와 상아질-레진 결합계면 미세구조에 관한 연구

임창하,이용렬,정영화,송호준,박영준 大韓齒科器材學會 2003 대한치과재료학회지 Vol.30 No.1

The purpose of this study was to evaluate the dentin bonding agents (DBA) with the variations of the bonding system generations (4^th, 5^th and 6^th) and application methods by comparing the shear bond strengths (SBS) which were determined 24 h after application and dentin-adhesive interface microstructure. It was also aimed to suggest the theoretical clues for the adequate use of each bonding systems. The parameters were 1) generation of bonding systems (one product of 4^th, eight products of 5^th, and three products of 6^th generation), 2) moisture condition of the dentin surface after acid conditioning (moist group vs. dry group), 3) solvent type of the primers (three acetone-based, one acetone/ethanol-based, two water/ethanol-based, four water-based, one ethanol-based, one water/acetone-based), and 4) type of etchants (seven with phosphoric acid, three with self-etching primer, and one with 10-3 etchant). The results were as follows; One-bottle adhesives had comparable shear bond strengths compared to multiple component bonding agents, and some showed even higher results. Single Bond had the highest SBS value (20.6 ㎫) in the moist subgroup. For 4th and 5th generation DBAs, except for Mac Bond Ⅱ, all bonding systems showed lower SBS when dentin became desiccated after the conditioning-rinsing step, and generally shorter resin tags were produced in dry condition. Acetone-based adhesives generally showed better penetrability into dentinal tubules, and tended to be more sensitive to the degree of dentin dampness compared to those of the ethanol- or water-based adhesives. With Mac Bond Ⅱ which uses a self-etching primer, even though the hybrid layer was thin with a thickness of 1∼2 μ m, SBS was comparatively high. In the case of 6^th generation DBAs, Prompt L-Pop showed significantly lower SBS to dentin (7.4 ㎫) compared to those of AQ bond (13.3 ㎫) and One-Up Bond F (13.1 ㎫)(p<0.05). The hybrid layer was thin with a thickness of about 1μ m. In the case of AQ bond and One-Up Bond F, dentinal tubules were relatively well sealed. In the case of Prompt L-Pop, on the other hand, some of the dentinal tubules were not completely sealed, and fractured resin tags and separation between the hybrid layer and composite resin were observed. In the case of AQ bond, about 15μ m-thick resin layer was formed and many of the adhesive resin tags could not penetrate deep into the dentinal tubules. In the case of One-Up Bond F, many resin tags which are more than 50μ m-long were formed, but short penetration was also seen in some tubules. It is concluded that even though resin tag formation contributes in some extent for the bond strength, sufficient penetration of the adhesive resin to the exposed collagen meshwork and complete curing there in, and having sufficient strength to withstand the stress caused by the polymerization shrinkage during the light curing is essential for the success of the bonding procedure.

과고용한 Zr-Nb 2원계 합금의 미세조직 및 부식특성

임윤수,김하영,송인영,위명용 大田産業大學校 2000 한밭대학교 논문집 Vol.17 No.1

Effect of niobium content on the microstructure and corrosion characteristic of hyper-solubility in binary Zr-Nb alloys were studied. The specimens with 0.8 and 1.0 wt.% of niobium were prepared under various annealing temperatures from 300℃ to 800℃ and times from 300 to 5,000 minutes after vacuum arc remelting. The microstructures behavior was observed by a polarized optical microscope. TFM and micro-vickers hardness tester. The recrystallization temperature of the alloys slightly increased with niobium content due to increase of activation energy. The grain growth of the alloys more 0.8 than 1.0 wt.% of niobium occured rapidly. The specimens for corrosion test were prepared by annealing with 590℃ for 2hr to be recrystallized and performed in distilled water at 360℃ using a static mini-autoclave and the corrosion characteristic was measured by weight gains with exposure time. With increasing Nb content from 0.8 to 1.0 wt.% the corrosion resistance in Zr-xNb binary alloys decreased and oxide structure was slowly transformed from tetragonal-ZrO2 to monoclinic-ZrO2.

요추 협착증의 미세수술적 감압술 : 진보된 수술방법 및 초기 경험 20례 보고 Technical Innovations and Early Experience of 20 Cases

임성준,김영태,하호균 대한신경외과학회 1997 Journal of Korean neurosurgical society Vol.26 No.6

진행성 골화성 섬유 이형성증의 1예

임태영,조영신,정춘해,박유환,하상호,유재원 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1

진행성 골화성 섬유 이형성증은 2 백만명 중에 1명 발생하는 매우 드문 유전질환이다. 저자들은 2차례의 외상후 심해진 진행성 섬유 이형성증환자에서 최근 다시 발생된 외상후 생긴 병변부위에 biphosphonate와 steroid 투여로 최근수상부위의 근육 골화와 경화를 현저한 호전을 보였으나, 기존의 골화가 이미 진행된 병변에서는 잘 반응하지 않음을 경험하였기에 문헌고찰과 함께 보고하는 바이다. Fibrodysplasia ossificans progressiva(FOP) is an extremely rare hereditary disorder characterised by progressive heterotopic ossification of the soft tissue. The resulting progressive immobilization of the limbs, jaw and chest wall generally leads to severe disability. We present an 20-rear-old man with advanced FOP. He had two operative interventions by prior traffic accident and recent biopsy. It resulted abnormal ossification. Treatment for this disorder is avoidance of exacerbating factors and medical strategies is biphosphonate and steroid. We observed the course of ossification and muscle atrophy during biphosphonate and steroid therapy in advanced FOP.

마이크로 콘트롤러를 사용한 극배치 PID 자기동조기의 구성

하재해,추연규,임영도,최부귀 동아대학교 공과대학 부설 한국자원개발연구소 1993 硏究報告 Vol.17 No.2

In this paper, a speed controller using one-chip microcontroller is implemented and applied to a DC Servo Motor. Adaptive control is applied to a system for which a priori knowledge to its mathematical model is insufficient, on the basis of input and output data an apropriate controller is constructed through which the system input is synthesized. The pole-placement PID self tuning control algorithms as a control algorithm is used to research the performance of the controller through experiments.

하대정맥 폐쇄증 1예

임채준,강영희,정정명,최하진,배철 인제대학교 1983 仁濟醫學 Vol.4 No.1

좌우측 측복벽과 배부에 부측순환이 현저하게 발달한 하대정맥 폐쇄증 1예를 경험하여 문헌 고찰과 함께 보고하는 바이다. A case of inferior vena cava obstruction with the markedly developed collateral circulations on the both lateral sided of the abdomen and back in a 34 yrs old female is reported. The patient had a history of ingestion of herb medicine and oral contracptive pills intermittently for irregular mensturation and abdominal discomfort on the left lower quadrant for 12 yrs. The angiography revealed complete obstruction of inferior vents cava just below the diaphragm. Through the well developed collateral circulations, no specific treatment wart tried.

부하에 대한 PI제어기의 안정화를 위한 전보상기의 구현

하달영,권태익,김승철,임영도 동아대학교 정보기술연구소 2001 情報通信硏究所論文誌 Vol.8 No.2

In this paper, Pre-compensator is proposed to solve the problem of PI controller with fixed parameter according to load. This problem has been solved by using various adaptive control methods and intelligent control methods. The distinguished feature of the proposed controller is to have simple structure and it can control effectively for steady state error. To prove this, the performance is evaluated by comparative experiment for system using PI control with pre-compensation and PI controller with fixed parameter. Experiment in the velocity control of the 3-phase induction motor is performed.