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.

2자유도 PI 제어기를 이용한 BLDC 전동기의 벡터제어에 관한 연구

이종현,성낙규,이상집,이승환,오봉환,이훈구,한경희 명지대학교 산업기술연구소 2001 産業技術硏究所論文集 Vol.20 No.-

This paper describes the speed control method of BLDC Motor using TDOF PI ( Tow-degree of freedom PI ). PI control method generally used has difficulty in efficient speed control because speed response and load torque response interfere each other. It can't decrease the overshoot of motor speed w rm, and shorten the response time of load torque TL, at the same time according to the step alternation of speed reference w rm. Therefore TDOF PI is applied to BLDC Motor in order to supply these weak points of PI control method in this paper. TDOF PI can get the torque characteristic of short response time as well as stable and prompt speed adjustment by separate control for speed response and load torque response. The results from the tests of C program simulation and system construction show that TDOF PI is superior to PI control system in speed adjustment and load torque response.

뇌사환자의 갑상선 기능, 전신대사 및 중증도에 관한 연구

이영주,정금희,왕희정,문봉기,한연희,이영석 아주대학교 의과학연구소 1999 아주의학 Vol.4 No.1

Background and Objectives : Brain death may lead to hormonal depletion, metabolic derangement and multiple organ dysfunction. We have carried out present study to examine the effects of brain death on the thyroid function, metabolic indices, and the severity scoring systems. Methods : 13 adults patients admitted for organ donation or brain death evaluation were examined after brain death was confirmed. Thyroid hormones measured were .thyroid stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), and free thyroxine (FT4). The metabolic indices measured were arterial ketone body ratio (AKBR), lactic acid (LA), and base defiat (BD). as for reference to the severity scoring systems, APACHE Ⅲ and multiple organ failure score (MOFS) were assessed on the day of brain death confirmation. Arterial blood was drawn for all measurements. Results : As for the thyroid function, there were significant decreases in T3 (40.48±20.96 ng/dL) and T4 (3.47±2.15 ㎍/dL), but no significant change in FT4 (0.75±0.31 ng/dL) and TSH (1.12±1.37 uIU/mL) compared to the normal range. Significant decreases in AKBR (0.39±0.31) and BD (-9.46±5.83 m㏖/L), and significant increase in LA (2.57±2.46 m㏖/L) In metabolic indices, were shown, as for severity scoring systems, APACHE Ⅲ score (101.54±19.41) and MOF score (9.11±2.57) indicated a high mortality. There were significant correlation between thyroid hormones (r=0.565 -0.781) but no correlation among other indices. Also, significant inverse correlations were shown between base deficit and lactic acid (r=-0.660), APACHE Ⅲ score (r=-0.726) and MOF score (r=-0.604). The highest correlation was observed between APACHE Ⅲ score and MOF score (r=0.851). Conclusions : As for the thyroid function, significant decrease in T3 and T4, and almost normal range of FT4 and TSH imply the euthyroid sick syndrome. Abnormal finding of the metabolic parameters indicates an inhibition of the aerobic metabolic rate of the body as a whole. And the severity scoring parameters are compatible with high mortality.

分蘖型 옥수수에 있어서 Source와 Sink의 關係

李喜鳳,崔鳳鎬,李元九,池熺正 충남대학교 농업과학연구소 1993 농업과학연구 Vol.20 No.2

This study was carried out to understand the relationship between sources and sinks in tillering maize hybrid. A non-tillering hybrid was included as check hybrid, The following treatments were imposed on the two hybrids at tasseling stages 1) no leaves removed, 2) all leaves removed, 3) leaves above 1st ear node removed, 4) leaves below 1st ear node removed and 5) only 1st ear removed. The experiment was arranged in a split plot with hybrids as main plots and treatments as sub plots. Results obtained were summarized as follows: Plant heights in control were significantly higher in both hybrids than other treatments, No significant differences of plant height were observed among treatments of leaf' removal in both hybrids, No significant differences of kernel weights of plant were found between locations of leaf removal, But seed weight of tillering hybrids was about 10 to 15% heavier than that of non-tillering hybrid. Stem weight showed the same tendency as the kernel weights. Leaf removal above the ear node lowered kernel weight significantly up to 60% compared with no leaf removal, The leaf removal below the ear node lowered the kernel weight about 40%. The effects of leaf removal on kernel weight was more serious in the non-tillering hybrid than in the tillering hybrid. Contribution of each part to the total dry matter varied with position of leaf removal, When no leaves were removed. contribution of each part to the total dry matter was great in the order of kernel weight. leaf weight and culm weight, When leaves above the ear node were removed, the contribution of each part to the total dry matter was in the order of culm weight. leaf weight and kernel weight. When leaves below the ear node were removed. the contribution of kernel weight was greater than the contribution of leaf and culm weights.

광중합형 구치부 수복재료의 중합수축량과 중합수축력

박성호,이순영,조용식,김수선,이창재,김영주,이봉희,이광성,노병덕 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.4

The purpose of present study was to evaluate the polymerization shrinkage stress and amount of linear shrinkage of composites and compomers for posterior restoration. For this purpose, linear polymerization shrinkage and polymerization stress were measured. For linear polymerization shrinkage and polymerization stress measurement, custom made Linometer (R&B, Daejon, Korea) and Stress measuring machine was used (R&B, Daejon, Korea). Compositers and compomers were evaluated; Dyract AP (Dentsply Detrey, Gumbh, German) Z100 (3M Dental Products, St. Paul, USA) Pyramid (Bisco, Schaumburg, USA) Synergy Compact (Coltene, Altstatten, Switzerland), Heliomolar (Vivadent/Ivoclar, Liechtenstein), and Compoglass (Vivadent Ivoclar/Liechtenstein) were used. 15 measurements were made for each material. Linear polymerization shrinkage or polymerization stress for each material was compared with one way ANOVA with Tukey at 95% levels of confidence. For linear shrinkage ; Heliomolar, Surefil<Synergy Compact, Z100<Dyract AP<Pyramid, Compoglass F (p<0.05) For Shrinkage stress ; Heliomolar < Z100, Pyramid<Synergy Compact, Compoglass F<Dyract AP<Heliomolar HB, Surefil (p<0.05)

한국 주요정신장애의 유병률 및 관련요인 : 2006 전국정신질환역학조사

조맹제,장성만,함봉진,정인원,배안,이영문,안준호,원승희,손정우,홍진표,배재남,이동우,조성진,박종익,이준영,김진영,전홍진,이해우 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.3

Objectives The aims of this study are to estimate the prevalence of the DSM-IV psychiatric disorders in the Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI), and to compare those with previous studies. Methods The Korean Epidemiologic Catchment Area study Replication (KECA-R) was Conducted between August 2006 and April 2007. The sampling of the subjects was carried out across 12 catchment areas. A multistage, cluster sampling design was adopted. The target Population included all eligible residents aged 181o 64 years. Face-to-face interviews were conducted with the Korean version of Composite International Diagnostic Interview (K-CIDI) based on the DSM-IV (N=6,510, response rate=81.7%). Results A total of 6,510 participants completed the interview. The lifetime and 12-month prevalence rates for all types of DSM-IV disorders were 30.0% and 17.3%, respectively. Those of Specific disorders were as follows : 1) alcohol use disorder, 16.2% and 5.6% ; 2) nicotine use disorder, 9.0% and 6.0% ; 3) specific phobia, 3.8% and 3.4% ; 4) major depressive disorder, 5.6% and 2.5% ; and 5) generalized anxiety disorder, 1.6% and 0.8%. Data relating to nicotine and alcohol use disorder revealed a very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among females than males. Conclusion The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in the distribution of psychiatric disorders across the country and times were observed.

정신분열병에 대한 Risperidone의 효과 및 안전성에 관하여

신석철,왕성근,지익성,이선우,이규광,이봉희,이진영,황선희,신용재,배경도,김정란 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

In order to evaluate the efficacy and safety of risperidone, 10 patients with chronic schizophrenia were examined for 8 weeks in a silgle-open study. After the wash-out period of 1 week, risperidone was administered. Efficacy was evaluated by means of Positive and Negative syndrome Scale for Schizophernia(PANSS) and Clinical Global Impression(CGI). Safety assessment included the Extrapyramidal Symptom Rating Scale(ESRS), vital signs, body weight, ECG, and laboratory tests. The results were as follows 1) On the PANSS total score, there was significant improvement of total score after 1 week (P<.05) of administratiom. 2) On the PANSS positive and negative subscal, there were significant improvement of posotive and negative scores after 2 weeks (P<.05) of administration. 3) On the PANSS general psychopatholgy subscals, there were significant improvement of general psychopathologyscores after 1 week (P<.05) of administratiom. 4) On the CGI, there was significant decreasement of clinical impression of severity of schizophrenia score after 2 week (P<.05) of administration. 5) A statistically significant increase in body weight (P<.05) was observed after 8 weeks of administration. 6) EPS reached the peak at the end of the 1st week of administration of risperidone (11.8± 24.25) but they were easily relieved by addition of benztropine and clonazepam. There was not significant change in laboratory tests, vital sign, ECG after 8 weeks of administration. These results suggest that Risperidone is an effective antipsychotics and clinically safe except for increased body weight in chronic schizophrenia.

경비행기의 비행 시험 절차에 관한 연구

이정모,은희봉 한국항공운항학회 1997 한국항공운항학회지 Vol.5 No.1

FAR 23, AC 23-8, 그리고 Order 8110.7을 이용하여 경비행기의 비행 시험 절차에 대한 연구를 수행하였다. 본 연구에서는 창공-91의 비행 시험을 통한 경험을 바탕으로 형식증명을 위한 주요 절차에 대한 연구를 수행하였다. 본 연구는 소형 비행기의 제작자, 항공관련 기술자, 비행 시험 기술자, 비행 시험 조종사, 그리고 관련 정부 관계자들에게 비행 시험에 관련된 기준을 이해하도록 하기 위해 수행된 연구이다. 본 연구에서 비행 시험 방법과 절차는 주로 소형 비행기의 형식증명에 관련된 것으로 관련자들에게 큰 도움이 될 것이다. FIight Test procedures are studied from FAR 23, AC 23-8, and Order 8110.7. We have been studied the main procedures for the type certification of light airplane from the experiences of Chang Gong 91. ?'his study is intended as a reference for small airplane manufacturers, engineers, flight test engineers, and engineering flight test pilots, including government personnel. This study covers flight test items of interest during type certification. These methods and procedures are promulgated, in the interest of standardization, for use during normal category airplane flight test certification activities.

Guinea Pig의 血液像에 關한 硏究 : 絶食에 따른 血液像 Hematological values in the Starvation

李乙熙,姜奉泰,吳錫斗 진주산업대학교 1985 論文集 Vol.23 No.-

晋州農林專門大學 附屬動物飼育場에서 飼育되고 있는 姙娠中인 Guinea pig 20匹을 供試하여 絶食期間에 따른 血液像 및 正常管理 24時間後의 回復狀態를 調査하였던 바 다음과 같은 結果를 얻었다. 1. 赤血球數는 絶食期間이 길수록 增加幅이 크고 正常管理 24時間 後에는 12時間 絶食群은 增加되었고 24時間 및 48時間 絶食群에서는 減少되었다 2. Hemoglobin含量은 다소 增加하는 傾向이었고, Hematocrit値置는 減少하였으나 그 傾向은 뚜렷하지 않았다. 3. Plasma protein은 絶食中 若干 增加되었으나 正常管理 24時間後에도 回復되지 못했다. 4. 絶食後 MCV는 減少되었고 正常管理 24時間後에는 若干 增加했고 MCHC는 이와 반대 傾向이었다. 5. 白血球數는 絶食期間이 길 수록 減少幅이 컸고 正常管理 24時間後에는 12 및 24時間 絶食群은 本來의 數値와 비슷하였고 48時間의 경우는 적게 나타났다. 6. Neutrophils은 若干 增加되었고 Eosinophils및 Lymphocytes는 多少減少되었으나 그 경향은 不規則했다. 7. Basophils및 Monocytes는 變化幅이 輕徵하였다. This experiment was carried out to study the effect of hematological values of Guineapigs in the course of starvation at an interval of 12, 24, 48hr. and the restorative condition of 24hr, after normal feeding. It were raised at the animal farm in Chin-ju National Agricultural and Forestry Junior College. The results are summarized as follows. 1. The erythrocytes counts were gradualy increased by the process of starvation period and it were slightly decreased in both condition(24 and 48hr.) whereas increased 12hr. after normal feeding. 2. The hemoglobin contents increased and the hematocrit values decreased in the process of starvation periods, but the tendency make a no difference. 3. The plasma protein increased a little percentage in the stage of starvation and it was non-recovered initial values at 24hr. after normal feeding. 4. The mean corpusular volume decreased in the stage of starvation, whereas increased a little contents a 24hr. after normal feeding. But the mean corpusular hemoglobin concentration was contrary tendency. 5. The total leukocyte counts were on the decreased by the process of starvation periods, and it was recovered initial values at 12hr. and 24hr. in stage of starvation whereas non-recovered at 48hr. to 24hr. after normal feeding. 6. Neutrophils increased, Eosinophils and Lymphocytes decreased in stage of starvation, but showed irregula fluctuaction. 7. Basophils and Monocytes have not an effect on stage of starvation and 24hr. after normal feeding.

한국산 녹차의 Maillard 반응 억제에 관한 연구

李熙鳳 충북대학교 농업과학기술연구소 1993 農業科學硏究 Vol.11 No.1

Egg Iysozyme was incubated with D- glucose in phosphate buffered saline with or without various tea extracts (Korea Green tea, Black tea, Oolong tea) at 30℃ for 2months. Browning, fluoresence, and 3- DG were determined and compared with Green Tea Extracts. The results abtained are summarized as follows. 1. Water extracts of Green tea, Black tea, and 01ong tea showed the high inhibition activity of fluorescence formation in maillard reaction. 2. AcoEt- extracts of green tea showed the highest inhibition activity of fluorescence formation in maillard reaction 3. All extracts of Green tea showed inhibition activity of 3- DG formation in maillard reaction.