腫瘍의 화학요법과 放射線療法의 副作用에 대한 韓方藥物療法

곽계호,김성훈,임낙철 대한동의병리학회 1995 동의생리병리학회지 Vol.9 No.2

연구배경 : 국내 질병에 의한 사망률중 암에 의한 것이 최상위를 차지하고 있으며 또한 그 비율이 점차 증가추세에 있다. 지금까지 국내외에서 암의 예방과 치료법에 대하여 대규모 연구가 진행되어 많은 함암제가 개발되었으나 여러 부작용이 나타나면서 최근에는 암의 치료를 극대화하면서 여러 항암치료의 부작용을 감소시키기 위한 생약 및 한약에 대한 연 구가 활발히 진행되고 있어, 저자는 향후한약을 이용한 실험연구와 임상에 기여하고자 제 관련 문헌을 정리 조사하여 보고하게 되었다. 방법 : 한의학에서의 연구동향과 암치료에 널리 활용되고 있는 화학료법 및 방사선료법의 부작용감소를 위한 한방약물료법에 관해 한의학의 중요서적과 잡지를 중심으로 정리하고 비교 고찰하였다. 결과 : 종양치료에 활용된 치법으로는 부정법(扶正法)과 거사법(祛邪法)으로 크게 나눌수 있는데 부정법에 활용된 약물로는 삼류와 백출, 황기, 복령, 감초, 자감초, 당귀, 백작약, 생지황, 숙지황 등의 약물이 선용되었으며, 거사약물로는 백화사설초, 반지련, 석상백외 18종 이 주로사용되었고, 종양치료에 실험 및 임상에서 유효하였던 처방은 화류탕등을 비롯 다 양한 처방이 면역 기능을 증강시켜 부작용감소 및 병용투여에서 상승효과를 나타냈다. To be helpful to the treatment of cancer with oriental medicine, we got clinical report together and analyzed the data. The results were obtained as follows; 1. The treating methods could be summarized as two methods that were reinforcing vital energy and eliminating harmful Qi; The methods of reinforcing vital energy were reinforcing spleen and increasing Qi; reinforcing spleen and harmonize stomach, aid virility and nourishing blood, nourishing stomach and incresing body fluid, reinforcing kidney and strength the basic energy, warmth kidney and aid virility. The other methods of eliminating poison were transforming pathological fluid and softening activating blood, transforming pathological blood, guiding Qi, take off and harmonize harmful body fluid, disperse Qi and dry the dampness, transforming pathological blood and harmonize moisture. 2. The oriental herbs used for reinforcing vital energy were Radix Ginseng, Codonops is Pilosulae Radix, Radix Pseudostellariae, Adenophorae Radix, Scrophulariae Radix, Astractylodis Macrocephalae Rhizoma, Astragali Radix, Poria, Gylcyrrhizae Radix, Angelicae Gigantis Radix, Paeonilae Radix Alba, Rehmanniae Radix and used for eliminating harmful Qi were Oldenlindiae Diffusae Herba, Herba Scutellariae Barbatae, Paridis Rhizoma, Verbenae Herba, Smilacis Chlnae Rhizoma, Radix Semiaquilegiae, Houttuynae Herba et. 3.The useful prescriptions used for cancer therapy were Hwalyutang Yukmijihwangtang, Yonghosinchonghwan, Bokbangkyokolamtang, Yikki-sojeungbang, Samchobujeonhangamchungjye and Bokbangkyokolamtang, Yikksojeungbang were reported to be effective in immunodulatory reaction and Bokbangsamsahapjye, Sibjeondaeboang, Gagyulpijukyeotang, Hwayebokwontang showed the combined treatment with anticancer drug was effective and Hangamlyeong(抗癌靈) was effective for pain caused by cancer. 4.The useful antitumor effective prescriptions in experimental investi-sation were Yikikeonbihabjye, Keon biiksinchungjye, Bisinbang, Sankyeol pyeolpyeon, Hangamdanhyeokkeombokbang, Janglyupyeong, HangamIIho, Keonbiyikitang, Yikkiisojingbang, Sakunjatang, Bokbanggyongkyejusayek, Bujeonghangambang, Bokbangjungyakjusayek, Yukmijihwangtang, Samchobujeonghangamchungjae, Samkijusayek, Yikkiyanghyeolbowonkyonang, Samyongtang-Bojungikkitang, Soyinibo-jungikang among them Bisinbang, keonbiiksinchungjye, Janglyup-yeong, Keonbiyikitang, Yikkisojingbang, Yukmijihwangtang, Keumku-esinkihwan were showed antitumor effect by regulate immunity function. 5. The main treatment for the side effect by chemotheraphy was reinforcing Qi, spleen and harmonize stomach and Omisodokyeum, Hyangsaynkkunjatang, Yijintang, Kamlosodokdan, Silbiyeum, Hageojye-johwan, Sibjeondaebotang, Olyeongsan, Sobanhakaboklyeongtang, seung-baektang, Bisinbang, Keonbiyiksinbang, Sambaekdangjang, Bokbang-samsahabjye, Keonbiyikitang, Janganseungbaekchungjye, Kobonkeoe I ho, Bokihwawejikubang, Bokbangsaenghyeolyeng, Keonbiyikkibosinbang, Hwangbaekhabjye, Yukkunjatang, Seonbokdaejatang, Bangdoktang, Hwangjeongomibang, seunghyeoltang, Kilpijukyetang, Sakunjatang, Yikkibohy-eolkeonbitang, Kangyeoktang,Samkijusayaek, Bujeongseungbaektang, Yukmijihwanghwan, were suggested for the side effect by chemotheraphy. 6. The main treatment for the side effect by radiotheraphy was increasing Yin and clarifying heat, Sasammaekmundongtang, Boyeum-jeon, Maekmundongyeum, Dangkwibohyeltang, Paljintang, Bowontang, Yukkunjatang, Pyeongwesan, samintang, Kwakrakhalywongtang, Cheon-keumwekyeongtang, Sohamhamhyungtang, Paljeongsan, Sokyeoyeumja, Kalkeunkeumlyeongtang, Yeonlitang, Yilkwanjeon Oklyeojeon, Yukmijihwangtang, Hwangiyeontang, Hwanglyeonhaedoktang, Yangyeumcheongpyeoko, Yidongko, Chuliko, Cheongpyeotang, Jayeumkanghwatang, Hangbiyinam I ho, Hangbiyinam II ho, Hangbiyinam III ho, Hangbyinam IV ho, Jukyeoseokkotang, Samsatang I ho, Samsatang II ho, Samsatang, Bokbanggsaenghyeollyeng, Bujeongsaengjintang, Yikkiyangyeumbang, Sinlibpyeon, Sakunjatang, Sakunjatang, Kobonyik-kitang, keoehaedoktang, Bujeongjeunghyohabjye, were suggested for the side effect by radiotheraphy. 7. The useful prescription for the side effect by chemotheraphy and radiotherapy in experimental investigation were Hwangbaekhabjye, Sakunjatang, Yikkibohyeolkeonbitang, Bujeongsaengjintang, Samchobu

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.

칼슘제 수관살포가 참다래의 과실 품질과 저장에 미치는 영향

임경호,나양기,임동근,마경철,조윤섭,김월수,이상현,박용서 全南大學校 農業科學技術硏究所 2001 農業科學技術硏究 Vol.36 No.-

This study were carried out to improve Kiwifruit quality and storage life. Three kinds of calcium compound were sprayed and calcium content of fruits, weight loss during fruit storage and fruit quality were investigated. Calcium contents within leaves and fruit were lower in Clef-non treatment than that of control. The calcium content in fruit pericarp of Kalk-H and CaCl2 was 0.04 to 0.05% higher than that of control. Fruit weight and soluble solids content at harvest was a little higher but acidity and fruit hardness was lowered. Fruit weight loss of Kalk-H and CaCl2 treatment was 1.39 to 1.53% lower than that of control during storage. The soluble solids of ripen fruit was 1.0 to 1.3% higher in all treatment and 0.8% higher in Kalk-H treatment in 120 of after storage. Fruit hardness of control fruit was higher at harvest but that of CaCl2 treatmented fruit was 0.39㎏/φ 5㎜ higher in 120 days of storage.

微生物的 防除에 있어서 日光에 露出된 흰불나방 核多角體病 Virus의 病原性에 關한 硏究

林鍾聲,李虎雄 경북대학교 1982 새마을 硏究論叢 Vol.2 No.-

In order to clarify pathogencities of the nuclear polyhedrosis virus of the Fall Webworm, Hypantria cunea, exposed to sunlight bioassay had been experimented in various concentrations and periods with H. cunea NPV Smeared with egg albumin-charcoal mixture on the surface and back-side of foliage. The results were obtained as follows 1N-HCl or carnoy's fluid pretreatment improved Staining properties of inclusion bodies. The polyhedron were triangular and tetragonal in shape and about 2.0u in size, and virus particles consisting of 2∼12 rods in a bundle were rod-shaped of about 330×35mu in size. The site of infection were in the nucleus of the hypodrmis, fat body, muscle, blood cell, trachea, mid gut cell. Compared with pathogenecity in same concentration of H. Cunea NPV, exposed to sunlight from 1 to 7 days in two days interval, the longer the period sunlight exposure was, the lower pathogenecity. Inoculation of the H. Cunea NPV smeared with egg albumin-charocoal mixture on the back-side of foliage showed the highest pathogenecity in treatments. LD_50 Values were 8.3days in short period and 12.4days in long period.

주택지 개발유형에 따른 주거환경 만족도와 정주성향에 관한 연구

임성호,손상락,윤병구 계명대학교 산업기술연구소 1998 産業技術硏究所 論文報告集 Vol.21 No.1

This study analyzes the difference of recognition on the dwelling environment satisfaction and the propensity to settlement of residents by dwelling characteristics and their desire and verifies the relations among them. The results are summarized as follows. The dwelling environment satisfaction and the propensity to settlement show the difference according on the development type and the housing type. The residential satisfaction at the detached housing area with housing site exploitation work is appeared higher than to the one at the apartment area with the land adjustment work. The major factors effecting on the propensity to living are Safty and Convenience in the projected area of housing site. while the one effecting on house-moving is Health in the projected area of land adjustment. Finally, To plan new housing area should be considered in several important variables on the dwelling environment according to the development types of residential area in the future.

호알칼리성 섬유소분해세균 Pseudomonas sp.의 분리 및 특성

임상호,윤민호,최우영 충남대학교 농업과학연구소 1998 농업과학연구 Vol.25 No.1

An alkalophilic bacterium, the strain AC-711 as a potent producer of alkaline cellulase, was selected among many isolates from soil environments. Morphological, physiological and chemical characteristics of the strain AC-711 suggested that it belongs to the genus Pseudomonas according to the Bergey's Manual of Systematic Bacteriology, however the G+C mol% (54.43) of its chromosomal DNA is lower than the normal values of the genus. The major cell wall fatty acids were determined as 15:0 and 17:0 anteiso. The production of alkaline CMCase by the strain was maximal when grown on the medium containing 1% carboxymethyl cellulose, 0.1% KH_2PO_4, 0.02% CoCl_2, 0.02% Tween 80, 0.5% Na_2CO_3, 0.8% yeast extract, pH 10.3 at 30℃ for 3 days, and the most of enzyme was excreted into culture medium.

치수절단 후 접착레진 도포에 대한 잔존치수조직 반응에 관한 연구

임성삼,박동성,손호현 大韓齒科保存學會 1997 Restorative Dentistry & Endodontics Vol.22 No.2

This study was performed to observe the histopathological response to the bonding resin directly applied on the remaining pulp tissuse. 40 teeth from 3 adult dogs were pulpotomized with a sterile round but and sharp excarvater. In the control group, Ca(OH)_2 powder was applied on the pulp tissue and the cavities were sealed with IRM cement. In the experimental group 1, Superbond C&B was applied on the remaining pulp and the cavities conditioned with 10-3 solution were filled with the mixture of the MMA liquid, PMMA powder and Catalyst. Multi-purpose adhesive was used on the remaining pulp tissue in the experimental group 2 and Z-100 was filled in the cavities. In the experimental group 3, Clearfil photobond applied and directly photo=cured on the pulp tissue, then the cavitieswere treated wit CA agent (10% citric acid and 20% CaCl_2 aqueous solution) for 20 seconds, washed and applied with Clearfil photobond then filled with Protect liner. The experimental animals were sacrified at the 1st, 2nd, and 4th week. The specimens were routinely processed and stained with H-E for light microscopic observation. The results were as followed : 1. In the experimental group 1, the number and characteristics of the dentin bridge formation case was similar to those in the control group and less cases were observed in the experimental group 2 and 3 than experimental group 3. The inflammatory response in experimental group 1 was less than that in the control group at 1st week but there had been little difference at between 2nd and 4th week. 2. The number of the dentin bridge in experimental group 2 was less than that in control group and experimental group 1. The inflammatory response of the experimental group 1 was similar to that of experimental group 1 but less than that of the control group. A number of bleeding and vascular congestion were observed. The least inflammatory response was seen in the experimental group 2 among all groups. 3. In the experimental group 3. one case of the dentin bridge formation was observed and that was the same as that in the experimental group 2 but smaller than that of the control and experimental group 1. The inflammatory response of the experimental group 3 was least at the 1st week and most at the 4th week in the all group.

중국 연변지역 布爾哈通河의 수질특성 및 개선방안

임봉수,임상호,윤성일 대전대학교 환경문제연구소 2001 환경문제연구소 논문집 Vol.5 No.-

This study was carried out to suggest the measures and to understand the characteristics of water quality in Buerhatong river within yanbian area, China. Suspended solids appeared high in rainfall season, but BOD and COD appeared lower than suspended solids. The yearly average water quality of all location in this river was less than BOD 2mg/L, less than COD 5mg/L, and ammonia nitrogen was over than 1mg/L in 1997, and was suitable to the class Ⅲ of environmental standard for the surface water. Because of domestic sewage and nightsoil exhausted at Yanji city without treatment system inflowed in this river Synthetical pollution index was calculated for the assessment of water quality, had a tendency to increase near to the downstream. The highest pollution allocation rate is 44% as suspended solids. To reform the deteroriorated river, the sewage wastewater treatment plants will be constructed at Myoungwoal Jin and Yanji city by 2010, respectively. Then COD discharge loading produced in this watershed will be decreased by about 43% of total loading.

인체 체액내 황색포도상구균의 증식과 철 획득 기전

신성희,이강길,이명희,양남웅,임용,김진호 대한감염학회 2000 감염 Vol.32 No.5

알코올사용장애의 유형별 특징

임명호,백기청,이경규,홍성도,김현우,이민규 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.5

대체적으로 알코올성 장애는 이질적인 집단으로 이해되어지고 있으며, 이는 알코올성 장애의 예후와 치료가 유형에 따라 다르다고 보기 때문이다. 이러한 알코올성 장애는 음주 형태, 의존유형, 유전적 취약성(genetic vulnerability), 성격유형, 정신병리적 측면에 따라 여러 유형으로 나눌 수 있다. 본 논문은 Babor등(1992)이 분류한 A형, B형의 아형분류가 우리나라에서도 이용가능한 지를 알아보는 예비적 조사논문으로써 알코올리즘의 진단 및 이해를 기하고자 하였다. 만 18세 이상부터 만 65세 이하의 알코올중독 남자 환자 94명을 대상으로 15개의 변인에 따라 군집분석을 시행하였으며, A형과 B형의 두 아형군 및 정상대조군과의 인구학적 특성, 임상양태의 차이를 비교하였다. 결과는 다음과 같다. 1) A형, B형, 그리고 정상대조군간의 연령, 학력, 결혼상태, 종교 등의 인구학적 특성의 차이는 없었다. 2) B형은 음주시작연령, 과다한 음주를 시작한 연령, 문제를 일으킨 연령에서 A형에 비해 세 항목 모두에서 일찍 발현하는 것으로 나타났다. 또한 B형에서 A형보다 의존 정도가 더 심하며, 평균음주량 및 가장 많이 과음한 양에 있어서도 A형보다 많이 마시는 것으로 나타났다. 3) A형보다 B형에서 좀 더 1차가족 중에 알코올로 인한 문제가 있는 사람이 많이 있는 것으로 나타났다. 4) B형은 A형보다 소아청소년기에 있어서 좀 더 많은 행동문제가 있음을 나타냈다. 5) 내과적 합병증, 신체생리적 후유증 및 사회적 후유증 및 생활사 후유증 또한 B형에서 좀 더 심한 분포를 보이고 있었다. 6) 정신병리요소에서 B형은 우울, 불안, 적대감에 있어서 A형보다 모두 유의하게 심한 증상을 보였다. 7) A형, B형, 정상대조군의 세 군간에서 모두 유의한 차이를 보이는 신뢰성있는 척도는 음주일수, 의존정도척도, 생활사정도 척도, 내과적 합병증, 사회적 후유증등이었다. 8) 음주 사용척도는 두 아형군과 정상대조군을 구분하는데 매우 신뢰성이 있는 척도로 나타났다. 상기의 결과를 종합해보면, 알코올사용장애에 대하여 Babor등(1992)이 분류한 A형, B형의 아형분류는 우리나라에서도 비슷한 양상을 보였으며, 이의 적용은 향후 알코올사용장애의 진단 및 이해에 이용가능할 것으로 평가한다. Objective : Multiple typologies of alcoholics have been studied, such as Jellineck's disease concept classification, Cloninger's neurobiological learning model, Zucker's developmental model, DSM Ⅲ-R and DSM Ⅳ classification, and Babor's multidimensional typology. To study if Babor's typology modification could be used to classify Korean alcoholics, we grouped 95 male inpatient alcoholics into Babor's typology modification. Methods : This study employed cluster analysis of measures representing several dimensions : premorbid risk and vulnerability dependence severity and alcohol-related problems, chronicity and alcohol-related consequences, and comorbid psychopathology. We compared demographic and clinical characteristics among Babor's type A and type B alcoholics and normal control group. Results : Type B alcoholics showed more characteristic symptoms in family history, more childhood behavior problems, earlier onset, more drinking amount, and more dependence severity, more medical, social, physical problems, more life time severity, more depressive, anxiety, hostility, compared with type A alcoholics. The statistically significant variables differentiating three groups(type A, type B, normal control group) were drinking days, dependence severity, lifetime severity, medical, social consequence. Alcohol Use Inventory to Babor's typology of alcoholism was very useful scale differentiating three groups. Conclusion : Babor's typology of alcoholism was useful for classification of inpatient alcoholics of Korea. It can be helpful and applicable to clinical diagnosis and research in Korean alcoholic patients.