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.

제주도 연안해역의 해황 및 기상이 어획생산량의 변동에 미치는 영향

손태준,박원배,노홍길,양성기 제주대학교 1992 논문집 Vol.34 No.-

. Long-term time series data of water of water temperature and surface meteorological elements are used to investigate effects on the fishery production in the neghboring seas of Cheju island. Long-term(more then 12 months) and the seasonal variations between the sea surface temperature and the air temperature are highly correlated excepting the phase difference by the unusual cold period. Also the ocean conditions in the shallow water of Cheju island are easily affected by meteorological conditions and have a large variation in comparison with the often ocean. The sea conditions in the near seas of Cheju island are related to the fishery productions are increased. The fishery productions by the set-net are shown the maximum value in the Fall, radiating from the ocean to the air, and it was shown that the optimum temperature was 19℃, salinity 32.0-32.6 and density 22.6-23.2. The maximum catches of fish were appeared to be related to the times before and after the passing of typhoon or of a cyclone, the sea surface temperature decreased, turbidity was increased and fishery procuction was significantly increased.

주정중류 폐액을 이용한 Actinobacillus sp. EL-9로부터 Poly-β-Hyroxybutyrate의 생산 및 폐액의 처리

손홍주,이상준 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.3

본 연구는 국내 주정공장에서 배출되는 주정증류 폐액을 생물전환 공정을 통하여 PHB의 생산에 이용함과 동시에 COD 제거 효율에 따른 폐수처리 효과를 얻는데 그 목적을 두었다. 주정증류 폐액에서 PHB를 생산하는 공시균 Actinobacillus sp. EL-9의 주정증류 폐액에서의 PHB 생산과 주정증류 폐액에서의 COD제거효과에 대해서 시험한 결과는 다음과 같다. 주정증류 페액 원액에 포도당 0.5%, NH_4NO_3 0.05% 첨가시 PHB 축적율이 향상되었으며, 효소 가수분해한 주정증류 폐액에서 가장 높은 PHB 축적율을 보였다. 또한 주정증류 폐액에서의 PHB 생산량은 1.9 g/l이었다. 균체 생육과 PHB 생산에 따른 주정증류 폐액의 COD 제거효율은 배양 24시간만에 약 54%를 나타내었다. Alcoholic distillery wastes are utilized as dual purposes to produce PHB in lower production cost and to reduce the amount of waste to be treated. In this study, various attempts were made to increase PHB production under various conditions by Actinobacillus sp. EL-9 in a shaker culture. The addition of glucose, NH_4NO_3 to alcoholic distillery wastes slightly promoted cell mass and PHB production. Enzyme hydrolysis of alcoholic distillery wastes increased the production of PHB than that of untreated waste and acid hydrolysis treatment. The PHB weight in alcoholic distillery wastes was 1.91 g/l. Fermentation process of PHB production reduced the amount of COD value p to 54%, which reduced organic loading rate and capacity of activated sludge system.

상지 단순반복작업 근로자의 수근관 증후군 유병률에 관한 조사

손지언,장태원,김윤규,홍영습,정갑열,김동일,이강진,하남진,김상범,김준연 대한산업의학회 2001 대한직업환경의학회지 Vol.13 No.3

목적 : 본 연구는 수근관 증후군의 발생위험이 높은 작업형태에 종사하는 상지 단순반복작업근로자로서 육류 및 어류 가공 사업장과 목재소 근로자에서 근전도검사를 이용하여 수근관 증후군의 유병률을 조사하고자 하였다. 방법 : 상지 단순반복작업근로자로서 육류 및 어류 가공 사업장 근로자 69명과 목재소 근로자 17명을 실험군으로, 관리직, 경리, 경비등 상지의 단순반복작업이 없는 근로자 28명을 대조군으로 선정하여, 작업적 및 병력조사, 이학적 검사와 근전도검사를 통해 수근관 증후군의 유병률을 조사하였다. 결과 : 수근관 증후군의 유병률은 육류 및 어류 가공 사업장과 목재소에서 각각 26.09 % (18명)와 29.41 %(5명)로 조사되었으며, 육류 및 어류가공사업장과 목재소 근로자를 '7년 이상과 미만의 작업기간'으로 층화하여 비교한 결과 '상지부위의 통증 호소 유무', 'Visual Analogue Scale(VAS: 총 10점) 4점 이상 여부', 'Tinel teat 양성 유무', 'Phalen test 양성 유무'는 모두 단기 작업근로자군에서 양성의 빈도가 증가되었고 '수근관 증후군 유무'는 장기작업근로자군에서 양성의 빈도가 증가되었다. 결론 : 육류 및 어류 가공 사업장과 목재소의 수근관 증후군 유병률은 각각 26.09 %와 29.41 %로 육류 및 어류 가공 사업장과 목재소는 1996년 OSHA가 지정한 바와 같이 위험한 작업요인이 있는 작업장으로 분류하여 관리되어야 할 것으로 생각된다. Objectives : This study was carried out to survey on the prevalence of Carpal Tunnel Syndrome(CTS) in high risk jobs(meat and fish processing plant and wood plant), by application of Nerve Conduction Study(NCS), a confirmatory diagnostic method. Methods : Experimental group was 69 workers sampled from meat and fish processing plants and 17 workers sampled from wood plants, who were simple, repetitive workers using upper extremities and control group was 28 workers sampled from managers, secretaries and keepers. All employees were examined through work history, physical examination and NCS. Results : 18 workers(26.09%) in meat and fish processing plants, and 5 workers(29.41%) in wood plants had compatible findings to NIOSH diagnostic criteria for CTS. The experimental group had more symptoms (complaint of upper extremities, Visual Analogue Scale ≥4(VAS: total 10 point)), signs(Tinel and Phalen test) and prevalence of CTS than control group(p<0.05). The prevalence of symptoms and signs were higher in short term workers(<7 years), but the prevalence of CTS was higher in long term workers(≥7 years). Conclusions : The prevalence of CTS in meat and fish processing plant and wood plant were 26.09% and 29.41% respectively. Authors propose that meat and fish processing and wood plants should be managed as a risk job category which were designated by OSHA in 1996

철골보-기둥 용접 접합부의 초기강성에 관한 연구

손상해,김순태,유병억,안형준 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

The purpose of this study was to propose the initial stiffness of steel welded beam-to-column connection. To simplify the analysis, neglect the influence of welding and fillet of H-section beam. According to the parameter(ζ), initial stiffness(K_(i)) increased by ratio of section modulus(Z_(b)/Z_(c)) and decreased by ratio of width/thickness. Result of analysis, range of moment resistance is 0.50M_(F)~1.00M_(F) (Unstiffened Welded Connection), 0.77M_(F)~1.00M_(F) (Continuity Plates Welded Connection) and initial stiffness(K_(i)) is 1.36×10^(8)~24.5×10^(8)(kgf·cm)(Unstiffened Welded Connection) 3.79×10^(8)~33.3x10^(8)(kgf·cm)(Continuity Plates Welded Connection).

레이저 계측에 의한 맞대기 용접부의 스트레인 측정

성백섭,차용훈,박창언,김일수,김덕중,이연신,손준식 한국공작기계학회 2001 한국공작기계학회 춘계학술대회논문집 Vol.2001 No.-

Currently knowledge of strain in welds has mainly been obtained from strain gaging method; that is directly attaching most of the material to the gage. The very few non-contact method are still in the early stage. One of the non-contact methods is by the use of the laser that has high-level of the accuracy for the measurement, and this laser also has excellent characteristics on which many studies for its applications are focused throughout the many fields. The dissertation is on the measurement of the strain caused by the characteristics and the temperature changes of the TIG welded zone which is used with 3D ESPI system that is functionally modified through the laser ESPI system. This system employed the aluminum sheet-metal which are mainly used for the steel plate such as for the electronics, chemistry, food instrument and electronic appliances.

Actinobacillus sp. EL-9로부터 생산된 생분해성 폴리에스터의 구조 및 특성

손홍주,이건,김근기,김한수,김용균,이상준 부산대학교 유전공학연구소 1998 분자생물학 연구보 Vol.14 No.-

Actinobacillus sp. EL-9로 부터 추출, 정제된 PHB를 GC, IR 및 NMR로 분석한 후, 그 구조를 확인하였으며, 열적 성질, 점도 및 분자량 등을 검토하였다. Actinobacillus sp. EL-9로부터 추출, 정제된 PHB를 IR,500㎒ ^1H-NMR 및 125㎒ ^13C-NMR 를 이용하여 조성분석을 실시한 결과, 본 공시균이 생산한PHB는3-hydroxybutyric acid 의 homopolymer임을 알 수 있었다. 또한 PHB의melting temperature(T_m)은 169.7℃임을 알 수 있었으며, crystallization trmperature(T_c)는 69.13℃이었다. PHB의 점도는 1.08×10^6(±3,000)이었다. In this study, the composition and characteristic of poly-β-hydroxybutyrate(PHB) biosynthesized by Actinobacillus sp. EL-9 are investigated. PHB produced by Actinobacillus sp. EL-9 was identified as the homopolymer of 3-hydroxybutyric acid(PHB)by infrared spectroscopy and nuclear magnetic resonance spectroscopy analysis. The melting temperature(T_m), and crystallization trmperature(T_c)of PHB was 169.7℃ and 69.13℃, respectively. the viscosity on the basis of Brookfield viscometer was 6.01㎗/g. The viscosity-average molecular weight estimated by Mark-Ho-wink-Sakurada equation was 1.08×10^6(±3,000).

Micrococcus sp. M1에 의한 Phenol과 ρ-Cresol의 생분해 Kinetics

송홍주,장웅석,이건,이상준 한국환경과학회 1997 한국환경과학회지 Vol.6 No.2

In order to find the most fitted biodegradation model, biodegradation kinetics model to the initial phenol and p-cresol concentrations were investigated and had been fitted by the linear regression. Bacteria capable of degrading p-cresol were isolated from soil by enrichment culture technique. Among them, strain M1 capable of degrading p-cresol has also degraded phenol and was identified as the genus Micrococcus from the results from of taxonomical studies. The optimal conditions for the biodegradation of phenol and pcresol by Micrococcus sp. M1 were NH_4NO_3 0.05%, pH 7.0, 30℃, respectively, and medium volume 100㎖/250㎖ shaking flask. Micrococcus sp. M1 was able to grow on phenol concentration up to 14mM and p-cresol concentration up to 8mM. With increasing substrate concentration, the lag period increased, but the maximum specific growth rates decreased. The yield coefficient decreased with increasing substrate concentration. The biodegradation kinetics of phenol and p-cresol were best described by Monod with growth model for every experimented concentration. In cultivation of mixed substrate, p-cresol was degraded first and phenol was second. This result implies that p-cresol and phenol was not degraded simultaneously.

Pseudomonas sp. HJ에 의한 Poly(Hydroxybutyric-Co-Hydroxyvaleric) Acid의 생산

손홍주,민관필,이상준 부산대학교 유전공학연구소 1995 분자생물학 연구보 Vol.11 No.-

하수처리장의 활성오니를 분리원으로 하여 수십종의 PHA 생산균을 분리하였다. 일반적으로 hydroxyvalerate monomer unit의 전구물질로 알려져 있지않은 glucose로부터 비교적 많은 PHA를 생산하는 균주를 공시균으로 선정하여 형태학적, 배양적, 생리학적 제 특성을 검토한 결과 Pseudomonas 속으로 동정되었다. 균체 생육을 위한 최적 배양온도 및 배양 pH는 각각 37℃와 7.0이었으며, 최적 탄소원으로서 glucose 1%, 최적 질소원으로서 (NH_4)_2SO_4 0.2%, K_2HPO_4 0.3%, KH_2PO_4 0.45%였다. 최적 PHA 생산조건을 조사하기 위하여 2단계 배양법을 이용하였다. PHA 생산은 배지성분중 NH_4, SO_4, Mg가 결핍되었을 때 향상되었고, 그중 NH_4의 결핍시 PHA 축적률과 HV monomer의 함량이 가장 높았다. C/N molar ratio 95.2에서 PHA 축적률이 가장 높았다. 공시균주 Pseucomonas sp. HJ는 alkane, alkanoic acid, alcohol을 탄소원으로 하여 PHB/HV를 생산하였다. PHA의 생산량과 HV monomer의 함량은 이용된 기질에 따라 다양하였으며, 특히 hexadecane와 propionate를 탄소원으로 하였을 때 PHA중의 HV monomer의 함량이 49∼74mol%로 매우 높았다. ^1H-NMR로서 공시균으로부터 분리정제된 PHA의 조성을 분석한 결과 PHB/HV copolymer임을 알 수 있었다. To produce PHA(polyhydroxyalkanoic acid) from microbe, dozens of microorganism have been screened from sewage sludge. Selected a strain HJ out of 50 strains of PHA producing bacteria has a capability of accumulating large amounts of PHB/HV copolymer when grown in batch culture with a single carbon source(glucose) that was not generally considered as precusor of hydroxyvalerate monomer unit. The strain HJ was identified as the genus Pseudomonas with respect to morphological, cultural, and biochemical characteristics. The optimal temperature and pH for cell growth were 37℃ and 7.0. The optimal medium compositions for cell growth were glucose 1% as a carbon source, (NH_4)_2SO_4 0.2%, as a nitrogen source, K_2HPO_4 0.3%, and KH_2PO_4 0.45%. To investigate the optimal condition for PHA production two-step cultivation method was employed. PHA production was induced by deficiency of NH^+_4, SO^2_4, Mg^+2. Besides carbon source, deficiency of all nutrients stimulated PHA productivity but deficiency of NH^+_4 stimulated the most HV monomer content. The highest PHA production was C/N molar ratio 95.2. Pseudomonas sp. HJ was also able to produc PHB/HV copolymer when cultivated on alkane, alkanoate, alcohol as carbon sources. Especially Pseudomonas sp. HJ was able to incorporate hydroxyvalerate into PHB/HV to level as high as from 49 to 74 mol% when grown in a medium containing hexadecane and propionate. The purified PHA was identified PHB/HV copolymer by ^1H-NMR analysis.

Pseudomonas sp . EL-091S 에 의한 4-Chlorophenol의 분해 Kinetics

손준석,이건,이상준 한국환경과학회 1993 한국환경과학회지 Vol.2 No.2

In order to find the most fitted biodegradation model, biodegradation models to the initial 4-chlorophenol concentrations were investigated and had been fitted by the linear regression. The degrading bacterium, EL-091S, was selected among phenol-degraders. The strain was identified with Pseudomonas sp. from the result of taxonomical studies. The optimal condition for the biodegradation was as fellows: secondary carbon source, concentration of ammonium nitrate, temperature and pH were 200㎎/l fructose, 600 ㎎/l, 30℃ and 7.0 respectively. The highest degradation rate of the 4-chlorophenol was about 58% for 24 hours incubation on the optimal condition. Biodegradation kinetics model of 5 ㎎/l 4-Chlorophenol, 10 ㎎/l 4-chlorophenol and 50 ㎎/l 4-chlorophenol were fitted the zero order kinetics model, respectively.