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.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

정상 임신 개월에 따른 Lipoprotein에 관한 연구

서란,홍영숙,성낙응 梨花女子大學校 醫科大學 醫科學硏究所 1986 EMJ (Ewha medical journal) Vol.9 No.1

This study was undertaken to determine the pattern of changes in serum protein and lipoproteins in pregnancy. We have measured lipoprotein composition in age-matched non-pregnant and pregnant women(month 2, 3, 5, 9 and 10). The results are as follows: 1) Serum protein and protein content in HDL were higher and those in VLDL and LDL were lower in early pregnancy compared to non-pregnant women and all become similar to non-pregnant women in late pregnancy. 2) Serum cholesterol and cholesterol content in VLDL were higher until late preanancy and those in LDL and HDL were lower in early pregnancy and belome similar to non pregnant women in late pregnancy. 3) Serum phospholipid and phospholipid lontents in VLDL and LDL except in HDL increased during pregnancy. 4) Serum triglyceride and triglyceride contents in HDL and LDL except VLDL increased markedly during pregnancy. In conclusion the huperlipidemia of pregnancy is well recognized although the mechanisms responsible for its development remain unknown and need to be investigated further.

Reciprocal Lattice Explorer의 原理와 使用法

徐日煥,李珍昊,秋錦洪,林星秀,柳保盈,朴晶蘭,金文執,趙素羅,金憲俊,李正秀,成百石 충남대학교 자연과학연구소 1993 忠南科學硏究誌 Vol.20 No.2

Reciprocal lattice explorer는 de Jong-Bouman camera와 Buerger precession camera를 合친것이다. 이 explorer를 使用하면 goniometer에 한번 固定한 試料를 使用하여 그 試料의 空間群을 決定하는데 必要한 모든 寫眞을 撮影할 수 있으며 그들은 찌그러지지 않은 逆格子面의 寫眞들이다. 本 論文에서는 de Jong-Bouman 과 Buerger precession 寫眞術의 原理와 使用法을 記述 하였고 또한 de Jong-Bouman의 振動寫眞과 zeroth layer 寫眞으로부터 11個 Laue群의 識別方法도 提示하였다. The reciprocal lattice explorer is an instrument which incorporates the principles of both the Buerger precession and the de Jong-Bouman methods. On the explorer all photographs which are necessary for a space group determination can be taken with a single setting of a crystal and the photographs show undistorted pictures of the reciprocal lattice planes. In this paper, the principles and the usages of the de Jong-Bouman and the Buerger precession photography are described, and a method of 11 Laue group identification using the de Jong-Bouman oscillation and zeroth layer photographs is shown.

規則的 反射條件으로 分類된 空間群

徐日煥,金光柱,秋錦洪,李珍昊,林星秀,柳保盈,金文執 충남대학교 자연과학연구소 1992 忠南科學硏究誌 Vol.19 No.1

各 結晶格子는 230個 空間群 中 하나로 記述되는 對稱性을 가지고 있으며 그 結晶의 構造를 밝히기 爲하여는 그 結晶이 屬한 空間群을 반드시 알아야 한다. 이 論文에서는 230個 空間群을, 그 結晶이 가지고 있는 反射條件에 依하여 明白히 決定되는 空間群과 空間群間의 共通的인 反射條件 때문에 結晶의 構造가 밝혀진 後에야 밝혀지는 空間群으로 分類하여 놓았다. Every crystal lattice has a symmetry which is described by one of the 230 space groups and the space group of a crystal must be known in order to elucidate its structure. In this paper the 230 space groups are classified into two categories, i.e., the space groups that are explicitly determined by the reflection conditions the crystals have and the others that are determined only after the elucidation of the crystal structures because of the common systematic reflection conditions between the space groups.

振動寫眞과 Weissenberg 零層寫眞法으로 7個 結晶系와 11個 Laue群의 認知

徐日煥,秋錦洪,李珍昊,林星秀,柳保盈 충남대학교 자연과학연구소 1992 忠南科學硏究誌 Vol.19 No.2

As the function Ⅰ(hkl) of the X-ray intensity has a center of symmetry assuming anomalous scattering is negligible, Ⅰ(hkl) shows the symmetry of a centrosymmetric point group, i.e., a Laue group. The symmetry of each Laue group gives rise to its equivalent intensity relation, from which a scheme for identification of Laue group by means of oscillation and Weissenberg zeroth layer photographs has been obtained.

분자내 Mannich 반응을 이용한 anatoxin a의 합성 연구

서영거,최영기,류재상,조윤상 서울대학교 1995 藥學論文集 Vol.20 No.-

농촌경관 중요요소의 조작을 통한 경관평가 : 농촌 문화마을을 대상으로 The case of Rural Culture Village

서주환,심성보,전영임,박태희,조영배 경희대학교 부설 디자인연구원 2002 예술· 디자인학연구 Vol.5 No.1

This study does questionnaire over recognition of landscape, major landscape and impressive site in rural community, and research visual preference through precessing pictures with a computer about major landscape. The landscape with natural fabric generally harmonizing with background is high in preference. Also, though major landscape factors are similar, preference is different according to shape, size, quality and color.

三斜晶系와 單斜晶系의 空間群에 對한 論解

徐日煥,李正秀,李珍昊,秋錦洪,成百石,林星秀,柳保盈 충남대학교 자연과학연구소 1992 忠南科學硏究誌 Vol.19 No.2

三斜晶系에는 2個의 空間群이 있고 單斜晶系에는 13個의 空間群이 있다. 本 論解에서는 이 空間群들을 誘導한후 各 空間群에 屬한 一般位置, 原點移動, 特殊座標 및 反射條件들을 說明 하였다. There are two and thirteen space groups in triclinic and monoclinic systems respectively. After derivation of the space groups, the general coordinates, the special coordinates and the reflection conditions of each space group have been discussed and change of origin of certain space groups is also shown.

두가지 故障形態를 考慮한 最適 交換政策에 관한 硏究

서용성,박영택 成均館大學校 科學技術硏究所 1992 論文集 Vol.43 No.2

A replacement policy under two types of failures, repairable or irrepairable, is considered. In the policy, the system is replaced at the n-th failure if all the previous (n-1) failures are repairable; Otherwise it is replaced at the first irrepairable failure. Assuming that the j-th failure is repairable with probability a_j and minimal repairs are performed for repairable failures between replacements, we derive the expected cost rate through the application of NHPP in order to determine the optimal number n*. The policy includes some previous studies as special cases.