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.

탄소섬유보강판의 홈삽입에 따른 철근콘크리트 보의 보강효과

한상훈,최만용,조홍동,박중열,황선일 충북대학교 건설기술연구소 2002 建設技術論文集 Vol.21 No.1

This paper presents a feasibility study of an alternative strengthening method by slot-bonded CFRP plates for reinforced concrete beam. A total 14 reinforced concrete beam were constructed, tested and the response of the beams in terms of deflection, strains, failure load and failure mode were examined. Each specimen was initially loaded for 75% of ultimate load, cracked specimen were strengthened with CFRP plate and then tested until complete failure. Test variables included the strengthening method, steel ratio and strengthening length, and the effects according to each test variables are analysed. The experimental results show that proposed methods can increase the flexural strength and stiffness of the beam significantly. Also, the failure of the specimens strengthened by the proposed method are more ductile than externally bonded specimen.

CFRP와 콘크리트 계면에서의 부착특성

한상훈,조홍동,박중열,황선일,김형진 충북대학교 건설기술연구소 2002 建設技術論文集 Vol.21 No.2

Externally bonding technique of CFRP(Carbon Fiber Reinforced Polymer Plate) is widely used in strengthening of concrete structures, and the improving effect of flexural strength and stiffness has been proven by early researchers. But, strengthened concrete structures present brittle failure mode accompanied with debonding of CFRP. That is, it means that the behavior of concrete structures strengthened with CFRP is mainly dependent on mechanical characteristics of CFRP and concrete interface. Therefore, double-lap shear test was performed to examine the bond characteristics on interface. The experimental variables are included with the strength of concrete, bond length and width. Test results showed that effective bond length of CFRP is approximately 30cm and maximum interfacial shear stress at specimen failure is 47 kgf/㎠.

철근콘크리트 보에 대한 CFRP의 정착길이

한상훈,최만용,조홍동,박중열,황선일 충북대학교 건설기술연구소 2002 建設技術論文集 Vol.21 No.1

A failure mode in the beam strengthened with a high modulus plate appears as a interface debonding failure or ripping-off failure. This failure mode means that plate is separated from adhesive or concrete before displaying its own ability. Therefore, as a method for controlling a premature failure, it is need to use a general anchorage implement. We conducted bending tests for reinforced concrete beams strengthened with CFRP. The experimental variables were a concrete strength, reinforcement ratio, cover thickness of concrete and length ratio of CFRP for a pure span. A failure load, failure mode, load-deflection curve and strain response at different distances from a cut-off of CFRP and strain distribution curve were measured to determine the bond development length. Also, the bond development length was compared with Nguyen’s model and British Standard specification.

유전알고리즘을 이용한 철근콘크리트 보의 최적설계

한상훈,조홍동,박중열,황선일 충북대학교 건설기술연구소 2002 建設技術論文集 Vol.21 No.2

This paper describes the application of genetic algorithm for the optimum design of reinforced concrete beam. The cost of reinforced concrete beam as an objective function which includes the costs of concrete, formwork, tensile steel reinforcement and shear reinforcement is minimized. The flexural and shear strength, deflection, upper-lower bounds on steel reinforcement and beam width-depth ratio are considered as the constraints. For the check of the serviceability, deflection is calculated under the service loading by the effective moment of inertia instead of the gross moment of inertia. Optimum results obtained from GA are compared to verify the validity of GA with other literature. Then, GA is applied to 3 span RC beam based on standard specifications.

선경축소에 따른 슈퍼데크의 구조안전성 평가에 관한 실험적 연구

태경훈,이정한,이원호 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

SuperDeck is as the deck of assembling Kaiser, cubical rebar for slab, with corrugated zinc galvanized sheet iron at manufactory, given the improvement on design, manufacture, and performance for construction work of cast-in-place reinforced concrete slab by enabling to cast concrete directly without the form work. Nowadays, in general, simplified 2D analysis and allowable stress design are used as for the method of analyzing and designing of SuperDeck System. Since this method contradicts with 3D analysis, used for the development of SD300 at The Korean Structural Engineers Association, and limit state design, the comparison and examination of these two methods and the maximum span, which allows for construction, are needed. To compare the simplified 2D analysis applied to allowable stress design with 3D analysis applied to limit state design, 8 specimen are manufactured. Main variables include the depth of slab, the length of span, the diameter of bottom bar and lattice bar, and the presence of corrugated zinc galvanized sheet iron. From the comparison result of test and analysis, in case of using under D10 as bottom bar, 3D analysis is more appropriate.

흰쥐의 발치와에 이식한 단계별 치아싹의 발육 과정

정희훈,정한성,김성오,최형준,이제호,최병재 大韓小兒齒科學會 2008 大韓小兒齒科學會誌 Vol.35 No.2

The purpose of this study is to evaluate at which stage of tooth germ would develop into normal calcification and hence to increase the success rate of transplantation. Therefore, tooth germs on the 15th, 17th embryonic day and the 3rd day of birth were separated for allotransplantation into maxilla of adult rat of 11 weeks. Calcification processes were analyzed radiographically and histopathologically at 4 weeks and 8 weeks after allotransplantation. The results are as follows: 1. Allotransplanted tooth germ at 4 weeks and 8 weeks showed delayed calcification compared to that of normal odontogenesis. 2. At 4 weeks, abnormal calcified tissue, such as odontoma and ankylosis of osteodentin with surrounding alveolar bone were observed. 3. At 8 weeks, allotransplanted tooth germs of the 15th and 17th embryonic day showed calcification and osteodentin surrounded by periodontal ligament. 4. At 8 weeks, allotransplanted tooth germs of the 3rd day of birth showed calcification composed of cementum and osteodentin. In this study, we observed small sized and amorphous calcified tissue from allotropic allotransplantation of tooth germs. Since these calcified tissue were underdeveloped and shaped irregularly, for calcification into normal tooth form, further study needs consideration about the reduction of surgical trauma, developmental stage of transplanted tooth germ, blood supply from recipient site, fixation method in transplanted site and period of transplantation. 외상이나 치주 질환,유전적 결함 등에 의하여 치아가 상실되었을 경우,보철 수복이나 임플란트로 치료하고 있다. 그러나 보철 수복이나 임플란트는 자연치가 아닌 인공치를 이용한 치료로서 기능성과 섬미성 등에서 자연치에 비하여 한계 가 있으므로 자연치를 이용한 이식 방법에 관심이 증가하고 있으며 치아 이식의 성공률을 높이기 위한 이식 치아의 발육과 성장에 대한 연구가 진행 중이다. 이 연구는 세 가지 단계의 치아싹을 발치와에 동종 이식하고 치아싹이 발육하여 석회화가 이루어지는지 평가하기 위하여 임선 15일과 17일,출생 후 3일 된 흰쥐의 치아싹을 분리하여 11주 된 흰쥐의 발치와에 이식하고 4주와 8주 후 방사 선학적 그리고 병리조직학적으로 석회화 과정을 관찰하여 다음과 같은 결과를 얻었다. 1. 발치와에 이식된 임신 15일과 17일,출생 후 3일 된 치아싹에서 4주와 8주 후 석회화된 조직이 형성되었다. 2. 임신 15일과 17일,출생 후 3일 된 치아싹을 발치와에 이식하고 4주 후 치아종 같은 비정상적인 석회화 조직과 인접 치조골과 유착된 골양상아질이 관찰되었다. 3. 임신 15일과 17일 된 치아싹을 발치와에 이식하고 8주 후 골양상아질이 보였으며 치주인대로 둘러싸인 것도 관찰되었다. 4. 출생 후 3일 된 치아싹을 발치와에 이식하고 8주 후 골양상아질과 백악질이 형성되었다. 이 연구는 치아싹을 흰쥐의 발치와에 이식한 후 치아싹의 발육을 관찰한 것으로 이식 조직에서 크기가 작고 무정형의 석회화 조직이 형성되었다. 정상적인 치아보다 형태가 불규칙하고 발육이 늦었으므로 이식된 치아싹이 정상적인 치아 형태로 석회화되도록 하기 위해서는 이식 조직의 발육 정도와 이식 조직을 절제할 때 외과적 손상의 감소,치아싹으로의 풍부한 혈류 공급,이삭 기간,이식 조직의 고정을 고려하여 더 많은 연구가 필요할 것으로 생각된다.

한국인 관상동맥의 변화양상에 대한 형태학적 연구

권태정,이상용,이한영,고영창,권기석,조재홍,김태공,김유훈,조갑래,서중석,이원태 內務部 國立科學搜査硏究所 2001 國立 科學 搜査 硏究所 年報 Vol.33 No.-

대구·경북 지역의 환경만족도 평가에 관한 연구

엄붕훈,한성미,최정은 대구효성가톨릭대학교 응용과학연구소 1997 응용과학연구논문집 Vol.6 No.1

The purpose of this study is to develop the estimation model of 'Environmental Satisfaction'. A questionnaire survey was carried out for the study area of Taegu-Kyungbuk region. Sampling size was 838 residents(427 in Taegu and 411 in Kyungbuk) selected by stratified sampling of each sampling area's population. The survey was done from Sep. to Nov. 1996. The proposed model was composed of four estimation categories and 16 indicators. The four categories were 'Clenness & Quietness', 'Naturalness & Harmony', 'Beauty & Comfort' and 'Environmental Conservation Efforts'. And each category has several individual indicators. Means of environmental satisfaction by indicators were different by sampling areas. In 'Total Satisfaction', Suseong-gu(3.01), Nam-gu(2.82)(Taegu), Kimcheon(3.32), and Cheondo(3.31) (Kyungbuk) showed high environmental satisfaction, but Dong-gu, Seo-gu(Taegu), Youngcheon, and Pohang(Kyungbuk) showed lower environmental satisfaction. According to weighting values by each indicator, 'Cleanness of Air' (X1), 'Familiarity to Green Areas' (X6), 'Comfort of Traffic' (X12), and Env. Protection Efforts' (x15) were the most important indicators in each category.

배달 미니 게임 개발:"최고의 웨이터를 꿈꾸며"

김정훈,정한교,김영옥,김중곤,박정윤,윤진성,김경식 호서대학교 반도체제조장비국산화연구센터 2001 반도체장비학술심포지움 Vol.2001 No.-

본 미니 게임은 웨이터라는 직업을 모티브로 하여서 남녀노소 누구나 재미를 느낌과 동시에 기억력 향상시켜 주는 게임제작이라는 목적아래 제작되었다.본 논문에서는 이 게임의 제작과정을 기술하고자 한다.이 게임은 제3회 AGC(한국 아마추어 게임제작 공모전)에서 우수 작으로 선정되었다.