정신분열병 및 정신분열형 장애에 대한 올란자핀의 효과와 안전성

안용민,강대엽,권준수,김창윤,김철응,반건호,신영민,이기철,이동우,이중서,조현상,채정호,김용식 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.4

연구목적 : 본 다기관 공동임상연구는 국내 환자를 대상으로 새로운 항정신병약물인 올라자핀의 치료 효과와 안전성을 확인하고자 시행되었다. 방 법 : 1999년 7월부터 2000년 3월까지 국내 10개 병원에 방문한 정신분열병 및 정신분열형 장애 105명을 대상으로 비대조 개방 임상연구를 시행하였다. 중등도 이상의 정신병 증상을 지니거나, 부작용으로 약물교체가 필요한 경우 또는 기분장애 증상의 치료가 필요한 환자를 대상으로 하였다. 2∼7일간의 약물 배설기간 후에 1일 10mg의 올란자핀을 투여하였고, 이후로 3∼7일 간격으로 용량을 조절하여 총 8주간 투여하였다. 치료 효과는 PANSS(Positive and Negative Syndrome Scale), BPRS(Brief Psychiatric Rating Scale), CGI(Clinical Global Impression-Severity), MADRS(Montgomery-Asberg Depression Rating Scale), HAM-A(Hamilton Rating Scale for Anxiety)로 판정하였다. 안전성 평가는 자발적인 이상반응 보고, 활력징후와 혈액 검사 및 SAS(Simpson-Angus Scale), BARS(Barnes Akathisia Rating Scale), AIMS(Abnormal Involuntary Movement Scale)척도를 이용하였다. 결 과 : 105명중에서 85.7%인 90명이 8주간의 치료를 완료하였다. 평균 최빈 용량은 일일 16.1(±4.7)mg이었고, 종료시점에서의 BPRS전체 점수가 기저 상태에 비해 40%이상 감소된 반응군은 69.5%이었다. PANSS의 양성 증후군과 일반정신병리 뿐만 아니라 음성 증후군 소척도에서도 유의한 감소를 보였으며, 이 감소들은 치료 초기부터 나타나서 8주간 지속되었다. 43.8%의 피험자가 중등도 이상의 우울증상을 같이 지니고 있었으며, 올란자핀에 의해 MADRS와 HAM-A가 유의하게 감소하였다. 치료 기간 동안에 활력징후에는 뚜렷한 변화가 없었으나 체중은 8주간 지속적으로 증가하였다. SAS와 AIMS는 감소하였으며, 정좌불능증을 제외한 나머지 추체외로 증상의 발생비율도 낮았다. 임상적인 증상이나 징후를 동반하지 않는 ALT/SGPT의 상승을 보였지만 프로락틴을 포함하는 대부분의 혈액 검사상 뚜렷한 이상 변화는 없었다. 결 론 ; 비록 본 임상연구가 비대조 개방 임상연구로서 많은 제한점을 가지고 있지만, 올란자핀이 기존 약물에 내약성을 보이거나 기분증상을 동반하는 정신병에 치료 효과가 있었다. 그리고 기존 항정신병약물 치료시에 문제가 되었던 추체외로 증상과 고프르로락틴 혈증을 포함하는 대부분의 부작용면에서 안전성을 보여 주었다. Objective : This multicenter clinical trial was carried out to investigate the efficacy and the safety of olanzpine for the treatment of Korean patients. Mothod : 105 patients with schizophrenia and schizophreniform disorder, visited at 10 mental or university hospitals, had received an open and non-comparative treatment with olanzapine for 8 weeks. Patients had psychotic or depressive symptoms with the severity above moderate degree or intolerable side effects to previous antipsychotics. After a wash-out period of 2-7 days, 10mg olanzapine was prescribed initially to all the patients, and then the dosage could be adjusted within the range of 5-20mg/day of olanzapine by 3-7 days. Results : 90(85.7%) of 105 patients completed the 8-weeks trial and the mean modal dose of olanzapine was 16.1(±4.7%)mg/day. At the end of the trial, 73 patients(69.5%) were classified as responder, which was defined as 40% or more improvement in BPRS(Brief Psychiatric Rating Scale) score comparing to baseline. There was a significant reduction in the scores of PANSS(Positive and Negative Syndrome Scale)and subscales including negative symptom scores and CGI. Also weekly analysis showed that the reductions in scores were kept on for the whole period of the trial. 43.8% of all the patients had depressive symptoms at the baseline and total scores of MADRS(Montgomery-Asberg Depression Rating Scale) and HAM-A(Hamilton Rating Scale for Anxiety) were also reduced after the trials. Vital signs revealed no clinically significant changes but continuous weight gain was observed during the treatment with olanzapine. The scores of SAS(Simpson-Angus Scale) and AIMS(Abnormal Involuntary Movement Scale) for assessing the EPS(extrapyramidal symptoms)and tardive dyskinesia respectively were significantly decreased and only a few patients reported EPS as adverse events. Although mild and clinically non-significant of ALT/SGPT was observed, most laboratory parameters including plasma prolactin level showed to significant changes during the trial. Conclusions : Although this trial had many limitations because it was a non-comparative and open study, olanzapine showed high efficacy on the positive, negative and depressive symptoms in schizophrenia and schizophreniform disorder.In addition to that, olanzapine showed a substantially favorable safety profile, such as low incidence of EPS and hyperprolactinemia.

항정신병약물 사용 중인 정신분열병 환자에서 올란자판으로의 교체 방법에 관한 연구(II) : Comparison of Safety 안전성 비교

안용민,권용실,권준수,민성호,박두병,양문정,소형석,송종호,신윤식,우행원,유범희,이홍석,정한용,한창환,김용식 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.5

연구목적: 이 다기관 공동임상연구는 사용 중인 항정신병약물을 ’직접 교체 방법’또는 ’시작-감량 교체 방법’중 한 가지 방법으로 올란자핀으로 교체한 후, 안정성 측면에서 두 교체 방법 간의 비교와 교체후의 변화를 관찰하기 위한 것이다. 방법: 국내 13개 병원의 입원 및 외래에 내원한 환자들 중 ICD-10 지단기준으로 정신분열병에 해당되며, 임상적으로 항정신병약물 교체가 필요한 환자를 대상으로 하였다. 두 가지 교체 방법 중 한 가지를 무작위로 피험자에 적용하였으며, ’직접 교체 방법’에 배정된 경우에는 사용중인 항정신병약물을 일시에 중단하고 10㎎의 올란자핀을 바로 투여하였고, ’시작-감량 교체 방법’에 배정된 경우는 10㎎의 올란자핀 투여하고 2주에 걸쳐서 기존 약물을 감량하여 중단하였다. 올란자핀 사용기간은 총 6주이며, 용량은 5∼20㎎ 범위로 제한하였다. 한정성 평가를 위해서 체중, 생명징후, 자발적인 이상반응 복, 실험실 검사 그리고 Simpson-Angus Scale(SAS), Barnes akathisia rating scale(BARS), Abnormal involuntary movement scale(AIMS). Liverpool University neuroleptic side effect rating scale(LUNSERS)등을 이용하였다. 결과: 총 103명의 정신분열병 환자를 대상으로 하였다. 사용한 올란자핀의 용량, 벤조디아제핀의 병용률, 탈락률과 탈락 사유, 자발적인 이상반응 보고, 생명징후, 실험실 검사 그리고 대부분의 부작용 척도 상에서 임상적으로 의미 있는 차이를 두 교체 방법간에 발견하지 못하였다. 다만 AIMS의 감소는 ’직접 교체 방법’군에서 보다 적었고, 항콜린제의 병용률은 ’시작-감량 교체 방법’군에서 보다 많았다. 기저 상태에서 전체 피험자의 SAS와 BARS 점수는 각각 3.5점과 1.8점이었으며 70% 이상의 피험자가 고프로락틴 혈증을 보였다. 올란자핀으로 교체한 후, SAS, BARS, AIMS 점수의 유의한 감소가 있었으며 고프로락틴 혈증을 보인 피험자 분율도 약 30%이하로 감소하였다. 그러나 교체 방법과 상관없이 올란자핀 교체 후 유의한 체중 증가가 있었다. 결론: 이 연구를 통해 교체 방법에 관계없이 비교적 안전하고 용이하게 올란자핀으로 교체 할 수 있음을 알 수 있었다. 그리고 기존 항정신병약물을 올란자핀으로 교체함으로써 일부 부작용들을 줄일 수 있음을 간접적으로 관찰할 수 있었다. 하지만 이 연구는 여러 제한점과 문제점을 지니고 있기 때문에 보다 체계적인 연구를 통해 검정이 필요하리라 생각된다. Objectives: This multicenter clinical trial involving 13 hospital sites compared the safely of switching to olanzapine between ’direct switching method’ and ’start-tapering switching method’. Method: This study included both inpatients and outpatients who fulfilled the criteria for schizophrenia as defined in the ICD-10, and were in need to be appropriate for switching antipsychotics. Subjects were randomly assigned to one of the two switching methods. For ’direct switching method’group, previous antipsychotics were abruptly discontinued and 10㎎ of olanzapine was administered, and previous antipsychotics was gradually tapered for 2 weeks. Olanzapine was used for 6 weeks and the dose was adjusted within the range of 5-20㎎. The safety of switching to olanzapine was measured with vital sings including body weight, adverse events reported spontaneously, laboratory tests, and various scales such as Simpson-Angus Scale(SAS), Barnes Akathisia Rating Scale(BARS). Abnormal Involuntary Movement Scale(AIMS), and Liverpool University Neuroleptic Side Effect Rating Scale(LUNSERS). Results: 103 patients were switched to olanzapine in this study. The comparison between two switching methods did not show any significant difference in the dosage of olanzapine used, the concomitant use of benzodiazepine, the rate and reasons of drop-out, the adverse events, vital signs, laboratory tests, and most scales for measuring side-effects. However, the decrease in AIMS scores was significantly lower in ’direct switching method’ group, and the concomitant use of anticholinergics was comparatively greater in ’start-tapering switching method’ group. At baseline, SAS and BARS scores were 3.5 and 1.8 points respectively, and more than 70% of the subjects showed hyperprolactinemia. After switching to olanzapine, SAS, BARS, and AIMS scores were significantly decreased and the proportion of the patients with hyperprolactinemia was also decreased to less than 30%. However significant weight gain after the treatment of olanzapine was observed regardless of switching method. Conclusion: This study may suggest that switching to olanzapine can be done with relatively high safety regardless of switching methods and olanzapine can significantly decrease some side-effects induced by other antipsychotics.

옴니채널 커머스에 대한 소비자의 지각된 가치와 만족이 쇼핑 채널 전환의도에 미치는 영향에 관한 연구

장창권(Chang-Kwon Jang),지영수(Yong-Shou Chi),강문영(Moon-Young Kang),한경석(Kyeong-Seok Han) 한국인터넷전자상거래학회 2016 인터넷전자상거래연구 Vol.16 No.4

Thanks to the rapid growth of smart phone distribution rate, the consumers are using different shopping channels at once or aim an optimum shopping experience through on-time channel changes. However, the current multi or cross channels have limits to satisfy the consumers becoming ‘smarter’ everytime so it is essential the appearance and application of omni-channel which is more suitable in the current shopping environment. Although the omni-channel commerce throughout the world is just in its initiatives, Asian countries are not very active in introduction or development of omni-channel related services and it lacks the research on this field compared to the Occident. Therefore, this study investigated the relationship among perceived value, satisfaction and shopping channel switching intention of consumers to promote the omni-channel activation plan.

Characteristics on condensation heat transfer and pressure drop for a low GWP refrigerant in brazed plate heat exchanger

Shon, Byung Hoon,Jung, Chung Woo,Kwon, Oh Jin,Choi, Chang Kyoung,Tae Kang, Yong Elsevier 2018 INTERNATIONAL JOURNAL OF HEAT AND MASS TRANSFER - Vol.122 No.-

<P><B>Abstract</B></P> <P>Refrigerants have been continuously developed to improve their thermal performances and to deal with relevant environmental issues. Recently, regulations on refrigerants are being intensified due to the global warming. To meet the enhanced environmental standards, low global warming potential (GWP) refrigerants have been developed. In this study, experimental studies are conducted to investigate the characteristics of condensation heat transfer and frictional pressure drop for R-1233zd(E). The experiments are carried out under partial condensation conditions in a plate heat exchanger to measure temperature, pressure and mass flow rate. Heat transfer coefficients and frictional pressure drops with respect to mean vapor qualities are yielded. During the partial condensation process, the heat transfer coefficients increases as the mass and heat fluxes increase. However, no significant change in frictional pressure drop is observed when the heat flux changes. It is concluded that other correlations for Nusselt number and pressure drop from the literature cannot be applied for the low GWP refrigerant, R-1233zd(E), and the present experimental correlations agree well with the experimental results with the error bands of ±20%.</P> <P><B>Highlights</B></P> <P> <UL> <LI> The condensation heat transfer and pressure drop in PHE with R-1233zd(E) are experimentally tested. </LI> <LI> No significant change in frictional pressure drop is observed when the heat flux changes. </LI> <LI> The present experimental correlations agree well with the experimental results with the error bands of ±20%. </LI> <LI> Other correlations from the literature cannot be applied for the low GWP refrigerant, R-1233zd(E). </LI> </UL> </P>

종 분포 모형을 활용한 새로운 구상나무 서식지 탐색, 그리고 식물보전 활용

김남신 ( Nam Shin Kim ),한동욱 ( Dong Uk Han ),차진열 ( Jin Yeol Cha ),박용수 ( Yong Su Park ),조현제 ( Hyeun Je Cho ),권혜진 ( Hye Jin Kwon ),조용찬 ( Yong Chan Cho ),오승환 ( Seung Hwan Oh ),이창석 ( Chang Seok Lee ) 한국환경복원기술학회(구 한국환경복원녹화기술학회) 2015 한국환경복원기술학회지 Vol.18 No.6

Korean fir(Abies koreana E.H.Wilson 1920), endemic tree species of Korean peninsula, is considered as vulnerable and endangered species to recent rapid environmental changes such as land use and climate change. There are limited activities and efforts to find natural habitats of Korean fir for conservation of the species and habitats. In this study, by applying SDMs (Species Distribution Models) based on climate and topographic factors of Korean fir, we developed Korean fir’s predicted distribution model and explored novel natural habitats. In Mt. Shinbulsan, Youngnam region and Mt. Songnisan, we could find korean fir’s two novel habitat and the former was the warmest(13°C in annual mean temperature), the driest(1,200mm∼1,600mm in annual rainfall) and relatively low altitude environment among Korean fir’s habitats in Korea. The result of SDMs did not include mountain areas of Gangwon-do as habitats of A. nephrolepis, because there were different contributions of key habitat environment factors, summer rainfall, winter mean temperature and winter rainfall, between A. koreana and A. nephrolepis. Our results raise modification of other distribution models on Korean fir. Novel habitat of Korean fir in Mt. Shinbulsan revealed similar habitat affinity of the species, ridgy and rocky site, with other habitats in Korea. Our results also suggest potential areas for creation of Korea fir’s alternative habitats through species reintroduction in landscape and ecosystem level.

淸溪山 落葉松林의 林床草本 群叢에 對한 種相關에 관하여

權五溶,辛昌男,鄭會台 충남대학교 자연과학연구소 1983 忠南科學硏究誌 Vol.10 No.2

The study of the herbaceous species association in the larch forest of Mt. Chungkyeu was carried out from April to October, 1980. 1. The herbaceous ground association was consist of 43 species, Oplismenus undulatifolius, Festuca ovina, Oalamagrostis arundinaceae var. brachytricha and Carex pediformis var. rhizina were dominant species. 2. The major herbaceous species, of which important value was above 10, were Oplismenus undulatifolius(28.2%), Festuca ovina(26.7%), Miscanthus purpurascens(26.5%), Calamagrostis arundinaceae var. brachytricha(21.2%), Carex nanella(17.5%), Carex lanceolata(15.4%), Carex pediformis var. rhizina(14.1%), Carex siderosticta(12.7%), Potentilla fragarioides(11.7%) and Artemisia keiskeana(10.5%). 3. Classifying the herbaceous ground association by partial ordination, it was divided into two kinds of association ; Carex-Oplismenus association and Calamagrostis-Oplismenus association. 4. The results of the species association analysis was the same as the ordination. The coefficients of species exhibited the positive value in the same association, on the contrary, it was negative value in the different association.

제주형 작물재배용 비닐하우스의 모델개발 : 풍하중에 대한 수치해석

권기린,김용호,민창식 제주대학교 환경연구소 1998 환경연구논문집 : 제주대 Vol.6 No.-

An elastic analysis under wind load is performed for the double layered plastic greenhouse model developed particularly for minimizing damages under typhoons at Cheju Citrus Research Institute in Chejudo. General EVA frlm is used for the inner covering and for the outer covering the developed special film whch would break the wind pressure down is used. Based on the wind tunnel test. this special film will reduce effectively the wind speed by up to 86 to 98% under very controlled situation. Many more tests need to be performed to adopt the results to greenhouse analysis. Based on the elastic analysis performed in the study, the behavior of the greenhouse is changed dramatically due to the boundary conditions. Not like other researchers before we applied dead load of the concrete support at the ground pipe and fixed support boundary conditions at the 4 corner pipes. The analysis shows that the greenhouse is lifted and pulled the pipe out of the ground due to the sucking wind pressure. The behavior of the greenhouse is very much similar to that one real greenhouse failure. Therefore, not only we need to find the realistic boundary conditions for the supports, but also need to perform many more researches to find how to rest the pipe supports on the ground without losing economy.

제주도 토양 방선균의 속 다양성 분포

권오성,박동진,이찬용,김창진 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

제주도 전역에서 채집한 59점의 토양시료로부터 총 938주의 방선균을 분리하였다. 분리된 각 균주의 형태적, 생리적 특성을 조사하고 이를 기준으로 속명을 동정하므로써 제주도 지역 토양 방선균의 속 다양성을 비교하였다. 그 결과 Streptomyces 속 방선균이 62.6%를 차지하였으며 Micromonospora 속은 16.4%, Nocardioform 군은 8.6%, Actinomadura 속은 2.2%, Microbispora 속은 1.0% 나머지 Streptosporangium 속은 5.9%이었다. 토양 환경별로 보면, 초지에는 Streptomyces 속과 Micromonospora 속 균주가 풍부하였고, 밭에는 Streptomyces 속과 Micromonospora 속 균주가 풍부하였고, 산림에는 Micromonospora 속과 기타 속 균주가 풍부하였으며 기타 지역과 더불어 방선균의 속 다양성이 풍부한 편이었다. 그리고 특히 자연 동굴 토양에서는 Streptomyces 속의 분포 비율이 높지 않았으며 상대적으로 Nocardioform 균주의 분포 비율이 특히 높았다. Total 938 actinomyete strains were isolated from 58 soil samples collected at Cheju island. All of these isolates were identified to the genus level based on morphological and physiological characteristics. As the result, 62.6% of those isolates were Streptomyces, 16.4% were Micromonospora, 8.6% were Nocardioform group, 2.2% were Actinomadura, 1.7% were Microbispora, 1.6% were Nocardiopsis, 1.0% were Streptosporangium, and 5.9% were the others. As the sources of soil, Streptomyces and Microbispora were abundant in grassland soil, Streptomyces and Micromonospora were abundant in field soil, and Micromonospora were abundant in forest soil. Especially, Nocardioform strains were abundant in natural caves.

葡萄(Campbell Early)의 結實에 미치는 GA 및 覆袋의 影響

權相洙,具禹書,朴正璂,權五昌,李容門 東亞大學校 1983 東亞論叢 Vol.20 No.3

葡萄 Campbell Early 의 無核果 生成 및 成熟促進을 위하여 GA₃ 濃度別 그리고 몇 가지 覆袋處理를 한 實驗結果는 다음과 같다. 1. 果房重과 果粒數는 滿開 8日前 處理가 適期로서 果房重은 無處理에 비해 76.4%, 果粒數는 80.6%였다. 2. 1果房當 無核粒率(92%)과 100粒中 種子數(12個)는 滿開 18日前, Gibberellin 處理+cellophane紙 覆袋區가 가장 良好하였다. 3. 果粒數와 種子數(r=0.826) 또한 種子數와 果重間에는 정의 相關關係(r=0.841)를 나타내었다. 4. 糖度는 無處理區보다 cellophane紙 覆袋區가 9.34% 로서 높았다. 含水量과 灰分은 無處理와 新聞紙 覆袋區가 높았고 cellophane 紙 覆袋區가 낮았다. 5. vitamin C 含量은 Gibberellin 處理時期가 빠르고 無核率이 높을수록 낮은 傾向이엇다. 處理間에 있어서는 無處理와 parchment紙 袋覆區 많았고 cellopnane紙 袋覆區가 含量이 적었다. 6. Gibberellin 處理時期를 앞당기고 cellophan紙 袋覆를 하면 無核率이 높은 反面 果粒數 果重이 減少되고, Gibberellin 處理時期를 늦추고 新聞紙 覆袋를 하면 果粒數 果重은 增加하지만 無核率이 낮아졌다. The results obtained by the Gibberellin and bagging treatment on the Campbellearly grape are as follows: 1. The suitable period of treatment for cluster weight and number of berry are to be before 8 days of full bloom. The cluster weight was 76.4% and number of berries were 80.6% compared with control. 2. The ratio seedless berries of 92% per cluster, and number of 12 seedss in 100 beries were showed the best on before 18 full bloom at the bagging plots of Gibberellin treatment+cellophane paper. 3. Number of berry and number of seed (r=0.826) also were showed mutual relation of plus between the number of seed and fruit weight. 4. Soluble solid was showed higher of 9.3% at the cellophane paper bagging plot and 9.34% at the parchment paper bagging plot than the control. Juice content and ash were showed high at the conthol and newspaper bagging plot, and low at the cellophane paper bagging plot. 5. The content of vitamin C was showed low tendency at the higher of the seedless ratio with the quick Gibberellin treatment period. At the betweentreatment, the control and parchment paper bagging plot were showed much, and showed less content at cellophane paper bagging plot. 6. In advance the period of Gibberellin treatment and had cellophane paper bagging then the ratio of seedless would be high, but on the contrary, the number of berry and fruit weight decreased, and had delay the period of Gibberellin treatment and had the newspaper bagging, the number of berry and fruit weight would be increased but the ratio of seedless was low.

Pinus koraiensis와 Pinus parviflora의 樹高에 따른 氣孔數 變異에 關하여

權五容,辛昌男,吳炅煥,方在旭 충남대학교 자연과학연구소 1980 學術硏究誌 Vol.7 No.2

Stomata1 distribution in relation to the height of Pinus parviflora and Pinus koraiensis was studied 1. Stomata1 bands per needle of P parviflora and P koraiensis were 8.60±0.62 - 11.47±0.74, 14.07±1.03 - 16.60±0.99 and the number of stomata per band were 382.0±8.80 404.27±26.16, 1,326. 67±87.78 - 2,286.58±214.57, respectively 2. The number of stomatal band was significantly different between 3, 4m and 5, 6m in P parviflora and between 5, 6m and 7m in P. koraiensis Consequently, it is suggested that stomatal frequency gradient associated with increasing height above the ground is correlated with the greater degree of exposure to light.