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.

하루 콩단백질 25g 섭취를 위한 메뉴작성 및 영양성분 분석

한재숙,김정애,서봉순,이연정,서향순,조연숙,한경필,이신정,오옥희,우경자,조은자,구성자,김수진,李承彦,南出隆久 동아시아식생활학회 2002 동아시아식생활학회지 Vol.12 No.2

The purpose of this study was to develop menus for daily intake of 25g soybean protein and to analyse nutrients of these foods. Analytical values were compared to the theoretical one using the food composition table and recommended dietary allowances for Koreans (7th revision). The results are as follows. 1. Soybean curd residue stew, Soybean curd, Kimchi saute, and hard boiled soybean and lotus root were selected for the menu for January, of which the content of soy bean protein(SBP) was 33.1g, soybean stew, soybean curd and soybean sprout saute, and Italian deep fried soybean curd were for February, of which the content of SBP was 35.0g. The content of SBP in soybean paste soup with soybean curd, fried soybean curd and fried soybean curd roll, the menu for March, was 24.9g. That of April were soybean curd gratin with soymilk, soybean curd and ham with garlic dressing and the content of SBP was 26.3g. That of May were soybean porridge, soybean flour cake with honey (Dasik), soybean sprout soup and the content of SBP was 26.7g. That of June were soymilk, pan-fried soybean curd, steamed soybean curd with chicken and the content of SBP was 28.4g. That of July were noodle with soymilk, mapatofu, soybean curd salad and the content of SBP was 24.7g. That of August were soybean sprout with mustard dressing, Tossed green pepper with raw soybean flour, Tofu and Kimchi stew, soybean curd steak and the content of SBP was 26.2g. That of September were Chinese cabbage soup with raw soybean flour, sweet and sour tofu and the content of SBP was 23.2g. That of Oct. were Fermented soybean stew, soybean pan cake and the content of SBP was 24.3g. That of November were not-pressed soybean curd casserole, pan-fried mashed soybean curd with egg, stir frying deep-fried soybean curd with vegetables and the content of SBP was 22.4g. That of December were soybean curd and mushroom casserole, fried soybean curd and vegetables, hard boiled soybean curd and the content of SBP was 28.9g. 2. The ratio of the analytical value over theoretical value (A/B%) of one serving in kcal, carbohydrate, protein, fat, ash and dietary fiber were 57.7~107.7%, 42.9~131.9%, 79.2~118.3%, 54.5~100%, 40.7~80.8% and 42.1~113.2%, respectively. 3. The ratio of A/B% of one serving in Ca, K, Na, P and Fe were 44.1~93.6%, 59.0~153.1%, 53.1~117.7% 64.6%~138.8 and 33.8~77.3%, respectively. That in Fe was the lowest among minerals. 4. The ratio of analytical value over Korean R.D.A(A/C%) in Ca was relatively higher (22.0~85.9%) than that in kcal(18~63%). 5. The ratio of A/C% in Fe was 25.1~64.3% and lower than that in Ca and protein in general.

칼슘 통로 봉쇄제가 Pilocarpine에 의한 경련 및 기억장애에 미치는 영향

한형수,배현혜,박정숙,김중영 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.3

목적 : 칼슘 통로 봉쇄제인 nifedipine과 flunarizine이 pilocarpine으로 유발된 경련의 발생과 뇌 조직 손상으로 인한 기억력 저하에 어떤 영향을 미치는지 연구하고자 하였다. 대상 및 방법 : ICR계의 생쥐 수컷을 사용하여 pilocarpone 투여후 6단계로 나누어 경련발작을 관찰하였으며, nifedipine과 flunarizine 전처치후 pilocarpine 투여에 따른 항경련작용을 측정하였다. Working memory를 통하여 기억력검사를 실시하였다. 결과 : nifedipine과 flunarigine 두 약물은 모두 경련 강도를 감소시켰고 flunarizine은 경련 시작 시간도 지연시켜 항경련 작용이 있음을 보였다. 칼슘 통로 봉쇄제는 주로 3일에서 10일 사이에 투여한 경우에 pilocarpine에 의해 기억력이 저하되는 것을 억제하는 것으로 나타났다. 결론 : 이상의 실험 결과에서 칼슘 통로 봉쇄제는 pilocarpine에 의한 경련 억제 작용과 기억력 저하를 억제할 수 있는 작용을 가지고 있음을 확인하였다. The effect of calcium channel blockers, nifedipine and flunarizine, on the pilocarpine-induced seizure and neuronal damage-induced memory deficit in mice was studied. After pretreatment of nifedipine or flunarizine, pilocarpine was administered intraperitoneally. Both drugs attenuated behavioral seizure activity and delayed onset of seizure activity. Memory was tested with working memory version of Morris water mazein 20 days following pilocarpine treatment and showed memory deficit. This deficit in memory was prevented when nifedipine or flunarizine were given during 3 to 6 day or 7 to 10 days after pilocarpine treatment. These results show that calcium channel blockers have anticonvulsant property and depress on pilocarpine-induced memory deficit.

그룹별 실험 지도를 통한 현장 적응력 강화

한정태,김노수 永同工科大學校 1996 硏究論叢 Vol.2 No.1

실험실 또는 현장에 대한 적응력을 증강시키기 위하여 특별 실험 교육을 실시하였다. 화학공학과 3학년 학생들에게는, 이미 2학년 때 익혀둔 실험 기술들을 활용할 수 있는 과제들을 그룹별로 부여하였다. 화학공학과 2학년 학생들에게는, 우선 특별 실험 교육을 실시하여 기본기를 익히게 하였고 그 후 역시 그룹별로 과제를 부여하여 이를 수행하면서 각종 실험 기술들을 숙달토록 하였다. Extra curricular laboratory training was done by the chemical engineering major students to intensify their hands-on experience in the laboratory and/or at the field. For the junior class a different topic was given to each group to utilize the student's experimental techniques which were experienced during the sophomore year. For the sophomore class the students learned the basic experimental techniques first and then, again, a different topic was given to each group to drill their experimental skills.

전자제품 조립업체 근로자에게 직무 요구, 직무 조직, 경력 개발, 역할 압력, 경제력 압력등의 직무 스트레스가 업무관련 상지 근골격계 질환에 미치는 영향

한상환,조수현,김지영,성낙정 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.3

목적: 직무스트레스를 직무 요구, 직무 조직, 경력개발, 역할 압력, 경제적 압력 등 요인별로 구분한 후 업무관련 상지 근골격제 질환과의연관성이 높은 직무 스트레스 요인을 도출하기 위한 목적으로 본 연구를 시도하였다. 방법: 이동전화기 부품 조립 업체 여성 근로자 112명, 전수, 냉장고 조립 업체 3개 부서 남성 근로자 237명 전수, 그리고 사무직 근로자 87명 전수 등 총 436명을 대상으로 업무관련 상지 근골격계 증상과 직무 스트레스에 관한 설문 조사를 실시하였다, 물리적 작업 요인은 작업 과정을 인간공학적 평가서로 평가하였다. 근골격계 증상과 직무 스트레스 평가서에 제대로 응답하지 않은 53명을 제외한 총 382명을 최종 분석대상으로 하여, 직무스트레스 요인에 대한 요인분석을 실시하고 적합성이 높은 요인별로 직무스트레스 요인을 구분한 후 로짓 희귀 분석으로 상지 근골격계 질환과의 연관성을 분석하였다. 결과: 각 연구 대상군에서 목과 어깨 부위의 증상 호소율이 가장 높았으며, 손목과 손가락 부위, 팔꿈치 부위 순이었다. 목과 어깨 부위와 손목과 손가락 ㅂ위에서 부적절한 작업 자세와 힘 요인의 연관성이 관찰되었으며, 직무의 단순성, 직무 구분의 모호성, 직무의 자율성 부재, 경제적 압력, 승진 장애, 퇴직 압력 등의 직무 스트레스 요인이 유의한 것으로 나타났다. 여서 조립 작업자에서 증상 호소율이 더 높았으며, 근골격계 질환과 직무 스트레스의 연관성의 강도는 남성 조립 작업자보다 여성 조립작업자와 사무직 근로자에서 더 높은 것으로 나타났다. 결론: 본 연구 결과 물리적 작업 요인에 의한 영향을 보정한 후에도 사무직 근오자와 생산직 근로자 모두에서 직무 스트레스가 업무관련 상지 근골격계 질환에 영향을 미치는 것으로 해석할 수 있었으며, 특히 경제적 요인과 경력 개발 요인 들의 중요성이 부각되었다. 따라서 향후 직무 스트레스와 업무관련 상지 근골격계 질환에 대한 다양한 직종에서의 경험적 연구결과가 축적외어 우리 나라의 조직문화적 특성을 고려한 직무 스트레스 위험 요인 파악이 필요하다고 하겠다. Objects: To evaluate the association od upper extremity musculoskeletal disorders with job demand-control and effort-reward related job stress. Methods: Questionnaires concerning symptoms, psychosocial factors and work conditions were completed by 436 workers from a refrigerator assembly line, mobile phone assembly line, and an office, musculoskeletal conditions of the upper extremities were defined by the frequency, duration, and intensity of symptoms. A walk-through survey was performed to evaluate various physical work factors. Data were analyzed with the use of logistic regression. Results: A total of 32 workers completed the survey, for whom neck and shoulder symptoms were the most frequently reported, followed by finger and wrist, and then elbow symptoms. Both awkward working posture and forceful exertion were associated with an imcrease in shoulder/neck and finger/wrist symptoms. In addition, job stress factors such as monotony, low job clarity, low job control, low promotion prospect, economic issues, and retirement pressures were associated with increased neck/shoulder, elbow, and finger/wrist conditions. Women were more likely to report symptoms, and the association between musculoskeletal conditions and job stress factors was stronger in female assembly line workers and office workers than in male assembly line workers. Conclusions: The results suggest that musculoskeletal conditions of the upper extremities are associated with not only physical work factors but also job stress factors. In particular, economin issues and career development factors are important influences on workers in Korea.

하시모토 병과 동반된 악성 빈혈 1 예

한 호,안명주,최정혜,이창범,이영열,최일영,김인순,이웅수 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.2

Pernicious anemia is the most common cause of vitamin B12 deficiency and is caused by autoimmune destruction of parietal cell containing gastric mucosa region. This disease is significantly associated with autoimmune endocrinopathies and anti-receptor autoimmune disease. We report here a case of 26-year old man who was diagnosed pernicious anemia with high level of autoantibody titer (antithyroglobulin antibody 1:25,600 and antimicromosomal antibody 1:6,400) indicating subclinical Hashimoto's thyroiditis. Since other autoimmune diseases are frequently associated with pernicious anemia even without evidence of clinical symptoms, screening test for the presence of autoimmune disease should be evaluated in these patients.

他科醫師의 精神科 諮問에 대한 期待度

韓辰熙,柳太烈,李秀晶 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.1

To investigate physicians' expectations to the role of psychiatric consultation, the authors conducted 18-item questionnaire on 117 nonpsychiatric physicians of two university affiliated general hospitals(St. Mary's Hospital and Kang Nam St. Mary's Hospital) in Seoul. The results were as follows : 1) Physicians rated, in general, high scores on items related with `evaluation function ' and `direct service function' of psychiatric consultation, whereas they rated low on `mediating function' items. 2) `Evaluate mental status', `Help physicians understand psychological aspects of a patient's illness', ` Arrange to transfer patient to psychiatric ward', `Evaluate psychogenesis' and `Make suggestions about management of patient on the ward' are those which phisicians valued most important of all 18 items. 3) There was a tendency that resident group manifested low item scores compared to faculty members, and items of `Arrange to transfer patient to psychiatric ward' and `Recommand additional diagnostic work-up' showed significant difference in mean scores between groups. 4) Physicians in medical services showed significant high mean scores on items such as `Arrange to transfer patient to psychiatric ward', `Make suggestions about management of patient on the ward', `Evaluate psychogenesis' and `Work with patient's family' as compared to surgeon group.

역전파알고리즘 기반 자율주행로봇의 지역경로계획설계

정헌,박경석,이경웅,박기두,최한수 조선대학교 전자정보통신연구소 2002 電子情報通信硏究所論文誌 Vol.5 No.2

The research about the AMR has been progressed, which can bridge a disadvantage that a robot performs under a position unmoved. The AMR-Research constitutes skelton, path planning, AMRcontrol, sensor fusion and obstacle avoidance etc... The path planning of autonomous mobile robot use two method. One is global path planning and another is local path planning. In this paper, we study the local path planning of autonomous mobile robot move in unknown enviroment. This local path planning is based on neural network using the direction indicator rules learning. Also the system is made up of sensor system. The experimental results show that the developed direction indicator system operates properly and strongly at circumstance

고효율 폐페인트의 재활용 기술 개발

정재헌,김정수,김종민,김영한,이상록,장상목 동아대학교 공과대학부설 생산기술연구소 1997 生産技術硏究所硏究論文集 Vol.2 No.1

In this study, the equipment and method to recyle waste-paint, were developed and investigated. The efficiency of drying and pulverizing the waste-paint were improved via vescosity reducing process and microwave energy source with a blast of hot air. This method may be useful to recyle the waste-paint, rubber and plastics.

Campylobacter pylori 위장내 분리위치에 따른 병원성

한왕수,한상진,김정목,조양자 대한감염학회 1989 감염 Vol.21 No.1

Compylobacter pylori may cause gastritis and has been proposed as an etiologic factor in the development of peptic ulcer. However, it is unknown where is primary colonization sites of C. pylori. Isolation sites of C. pylori in stomach and duodenum and pathology in antrum were evaluated in 90 subjects endoscoped at Hanyang University Hospital in Seoul, Korea. C. pylori detected in biopsied specimens of 40 (74%) of 54 C. pylori-positive patients at antrum only, and 13 (24%) of the same patients at antrum and body, but did not detected in duodenal biopsied specimens. Antral pathology results were chiefly found in active chronic gastritis. These findings strongly suggest that antrum is a primary colonization sites of C. pylori and the agent may be spread within stomach from the antrum.