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.

한국산 감잎의 Polyphenol 화합물의 생리활성물질의 화학구조 및 효소저해효과

안봉전,최희진,손준호,우희섭,한호석,박정혜,손규목,최청 한국식생활문화학회 2003 韓國食生活文化學會誌 Vol.18 No.5

The lyophilization of the solution extracted from 60 percent of acetone applied to persimmon leaves, the compounding process in accordance with the solution's concentration, and the gel filteration through Sephadex G-50 of biologically activated substances obstructing enzyme activity, such as tyrosinase, xanthine oxidase, and angiotesin converting enzyme (ACE) led to the assumption that polyphenol was the compound serving as biologically activated substances obstructing enzyme activity. Xanthine oxidase involved in pruine metabolism oxidizes hypoxanthine to xanthine and xanthine to uric acid. In the continuous study for natural compound, nine flavan-3-ois have been isolated from the persimmon leaves. The structures of (+)-catechin, (+)-gallocatechin, procyanidin B-1, pyrocyanidin C-1, prodelphinidin B-3, gallocatechin-(4α→8)-catechin, procyanidin B-7-3-O-gallate, procyanidin C-1-3'-3''-3'''-O-trigallate and (-)-epigallocatechin-(4β→8)-epigallocatechin-(4β→8)-catechin were established by NMR and their inhibitory effect on xanthine oxidase activity was investigated. Procyanidin C-1-3'-3''-3'''-O-trigallate showed 94%, 90.69%, 80.90% inhibition at 100(μ)M and inhibited on the angiotension converting enzyme respectively. Procyanidin B-7-3-O-gallate and procyanidin 1-3'-3''-3'''-O-trigallate showed 66%, 63% inhibition at 100(μ)M and inhibited on the xanthine oxidase competitively. Procyanidin C-1-3'-3''-3'''-O-trigallate showed 70% inhibition at 100(μ)M inhibited on the thyrosinase competitively.

제혁슬러지의 Vermicomposting에 關한 基礎硏究

손희정,김수생,김은호 東亞大學校生命資源科學大學附設 農業資原硏究所 1996 農業生命資援硏究 Vol.5 No.1

The study on the ripening of leather waste sludge was performed to vemistabilize the sludge effectively using a laboratory scale darkened wood box reactor(10×10×20㎝). The acceptable feed conditions for earthworm of Eh, alkalinity were obtained in the 30th and 35th days, respectively. The value of pH was gradually decreased from 7.8 to 7.1 through the ripening time. The contents of heavy metals of the ripened sludge were estimated as lower levels compared to the other regulatory standards for compost. After the ripening time for 50days, the physio-chemical properties of the sludge were estimated as pH 7.1, water content 72%, redox potential 85 mV, electrolytic conductivity 2,620 ㎛hos/㎝ and alkalinity 450 ppm as CaCO??, respectively. From the above results, it was evaluated that leather waste sludge could be vermistablized effectively by earthworms, when the sludge was ripened during 50days.

개에서 피지선 과형성의 진단 및 치료 증례

박희서,손화영,정성목,송근호,조종기,이영원,신상태,김명철,김덕환,박성준 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

An eleven year old castrated male Maltese was presented to the Veterinary Medical Teaching Hospital of Chungnam National University. In physical examination, approximately 0.5 cm round mass was observed on tail base. This small elevated mass has also shown alopecic and firm configuration. It was differentially diagnosed as sebaceous adenoma and hyperplasia by fine needle aspiration. After surgical removal, the sample was diagnosed as sebaceous hyperplasia by histopathological examination. It has not yet shown any signs of recurrence and prognosis has teen good.

농업부산물의 재활용을 위한 Vermistabilization에 관한 연구

김은호,하상영,손희정 東亞大學校生命資源科學大學附設 農業資源硏究所 1997 農業生命資援硏究 Vol.6 No.1

The objective of this study was to investigate the effect of bulking agents including cow manure, saw dust and rice straw in the ripening of leather sludge for vermistabilization. The changes of the waste properties for ripening time for 50 days were observed according to the various mixture ratios of leather sludge and bulking agents. The pH values of the mixture wastes were decreased from 7.5~8.5 to 6.4~7.3 with the ripening time for 50 days, and it was indifferent of the mixture ratio and type of the bulking agent. The initial value of oxidation-reduction potential(Eh) of the mixture waste was a negative(-)value indicating an unfavorable condition for earthworm life, but the values of Eh were increased with the ripening time. The increase rate of Eh value was proportional to the mixture ratio of bulking agents, but the increase rate for saw dust was higher than that of the cow manure and the rice straw. The value of alkalinity was also changed into the favorable range for earthworm after 50days except for 9:1 of the mixture ratio of leather sludge and bulking agents. When the mixture ratios of leather sludge to the bulking agents were increased from 6:4 to 9:1, the growth characteristics of earthworms were decreased from 95% to 31.7% for the survival rate, 225% to 103% for the liveweight increase rate. It can be concluded that the proper content of the bulking agents in the leather sludge to ensure effective vermistabilization was over 30%, when the mixture was ripened during 50 days.

정석탈인공정에서 폐굴껍질의 정석재 특성에 관한 기초연구

김은호,손희정,박진식,성낙창,장성호 동아대학교 건설기술연구소 1997 硏究報告 Vol.21 No.1

In this study, waste oyster shells which can be easily obtained from the ocean, were used as a Seed Crystal, and effects of several physical/chemical factors on the phosphorous removal efficiencies were examined by batch tests. Ca^(2+) and pH affected phosphorous crystallization process using waste oyster shells were enough to leach phosphorous removal. As alkalinity of wastewater increased, phosphorous removal efficiencies gradually decreased. Also, because specific area and contact efficiency per unit area were increased in case of the small particle size of waste oyster shells, phosphorous removal efficiencies increased.

열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구

배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.

삼종 근관 확대기구의 근관정화 효과에 대한 조직학적 연구

이경희,손호현 全北大學校 齒醫學硏究所 1986 전북치대논문집 Vol.4 No.1

The purpose of this study was to compare the canal cleansing effect of three endodontic files. Ninety roots from upper and lower premolars and molars having vital pulps were employed for the experiment. Immediately after extraction the teeth were access - opened and extirpated. And the root canals were enlarged with one of K-file, H-file and K-flex file being irrigated with 5% Naocl solution occasionally. The total number of enlarged canal was thirty in each file type. The roots whose canal enlargement were completed were fixed with 10% Neutral buffer formalin, decalcified with Plank-Rychlo solution, processed routinely, sectioned transversely at levels 1.5, 2.5 and 3.5 ㎜ form the apex and stained with hematoxylin and eosin. Whether the dentin chips and / or pulp remnants adhered to the canal wall or not was investigated under light microscope by three observers. The results were as follows ; 1. At 1.5㎜ level from the apex, the canals enlarged with H-file showed the most clean canal surface compared with them enlarged with K-file or K-flex file (P < 0.05). 2. At 2.5 and 3.5㎜ level from the apex there was no significant diffrence in cleansing effect among the K-file, H-file and K-flex file. 3. More than half of the canals experimented varying degree of the presence of debris and irregularities was observed.

들깨잎의 품종에 따른 성분분석 및 생리활성물질 탐색

한호석,박정혜,최희진,손준호,김영활,김성,최청 한국식생활문화학회 2004 韓國食生活文化學會誌 Vol.19 No.1

The biochemical components of Namcheondlggae, Miryangdlkkae 25, Boradlggae and Ipdlkkae 1 were measured. The samples were extracted with hot water, 60% acetone or 80% ethanol for screening physiological activity. The crude protein content (4.36%) was found in the Miryangdlkkae 25 and calcium content (497.5 mg%) was found in the Namcheondlggae among the tested 4 perilla leaves. Fructose was 30.86 mg% in the Namcheondlggae and free amino acids at all perilla leaves was detected seventeen. In Boradlggae, glutamic acid and alanin were 25.37 and 11.91 mg%. Totally nine non-volatile organic acids were also detected and the contents of malic acid and glutaric acid were 28.34 and 14.57 mg% in Boradlggae. The Miryangdlkkae 25 had the highest vitamin C amount which was 113.24 mg%. Angiotensin converting enzyme (ACE) inhibition activity of 80% ethanol extract of Boradlggae was 46.71%. Electron donating activity of 60% acetone extract from Namcheondlggae was the strongest inhibition activity as 98.19% when 200ppm level of the sample extracts were added.

하악 대구치 근심근관에 대한 전자근관장 측정기의 정확도

조영린,손욱희,황호길 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.6

근단부위 형성이 완료되고 우식이 없는 하악 대구치 근심치근 50개를 대상으로 주파수 의존형 전자근관장 측정기를 이용하여 측정한 근관장의 정확도를 평가하기 위해 치수강 개방 후 동일한 치아에서 방사선 사진으로 확인한 실측 근관장을 대조군, 각종 전자근관장 측정기로 측정한 근관장을 실험군 (Ⅰ군: Root-ZX, Ⅱ군: Bingo, Ⅲ군: Propex, Ⅳ군: Diagnostic)으로 분류하여 근심협측과 설측의 근관장을 근관의 입구 측으로부터 치근단 1/3까지 확대여부 및 서로 다른 측정시기에 비교 평가한 결과 다음과 같은 결론을 얻었다. 하악 대구치 근심치근의 협측과 전자근관장은 측정기의 종류, 근관의 입구 측으로부터 치근단 1/3까지의 확대여부 및 측정시기에 상관없이 0.5 ㎜ 이내의 오차범위를 나타내었으며, 근관치료시 오차한계인 ± 1 ㎜ 에서 정확성은 근관의 입구 측으로부터 치근단 1/3까지 미리 확대한 후에 근관장을 측정할 경우와 측정시기가 반복될 경우에 증가되는 경향을 보여 임상에 유용하게 활용할 수 있을 것으로 사료된다. The aim of this study was to compare the length between the mesio-buccal and mesio-lingual canal of the mandibular molars before and after early coronal flaring at the different measuring time using several electronic apex locators. Fifty mandibular molars with complete apical formation and patent foramens were selected. After establishing the initial working length of the buccal and lingual canal of the mesial root using a surgical microscope (Carl Zeiss Co. Germany) at 25X with #15 K-file tip just visible at the foramen, radiographs were taken for the working length. After measuring the length of mesio-buccal and mesio-lingual canal (control group), the electronic lengths were measured at different times using several electronic apex locators (experimental groups; Ⅰ-Root ZX, Ⅱ-Bingo, Ⅲ-Propex, Ⅳ- Diagnostic). After early coronal flaring using the K^(3) file, the additional electronic lengths were measured using the same manner. The results were as follows: One canal has a correct working length for the mesial root of the mandibular molar, it can be used effectively for measuring the electronic working length of another canal when the files are superimposed or encountered at the apex. In addition, the accuracy of the electronic apex locators was increased as the measurement was accomplished after the early coronal flaring of the root canal and the measuring time was repeated.