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.

重化學工業機械의 國産化方案에 關한 硏究 : 特히 窯業에 있어서의 燒成爐, 粉碎機, 排風機, 冷却機, 電氣集마器 自動枰量供給器 等의 製作을 目的으로

趙哲衡,朴碩喆,丁太權,宋鐵,桭達福,金基玉,朴煥奎,趙煥從,朴善鐘,金種一,李茂錫 朝鮮大學校 1977 綜合論文集 Vol.1977 No.-

This is to investigate the posibility of home manufacturing of heavy chemical industry machines, such as rotary kiln, crusher, blower, cooler, electrostatic precipitator and weighing feeder of cement plant. It is concluded that even though we can not make all of them (some of them are made now and some others are going to be made in the near future, some of them are made whole and some others are made partially), we can build or export the cement plant by importing the important machines which we can not make now and by substituting them with ours gradually.

農業廢棄種子의 化學的 및 營養學的 特性

趙成桓,辛基成 慶尙大學校 1985 論文集 Vol.24 No.1

Recently increased attention has been given to utilization of agricultural waste products to produce food, feed, fertilizer and as a raw material in home and foreign countries. Such utilization could not only help maximize resources but at the same time minimize waste disposal problems. On this purpos, studies were conducted to investigate the possibility of utilizing of agricultural waste seeds-gourd, cucumber, peach, citron and hardy orange. The results determined could be summarized as follow: 1. The waste seeds contained 16-32% of crude protein, 25-46% of crude fat. Determined food energy values averaged 589kcal/100g. Especially, Peach seed were contained higher content than other waste seeds in crude protein and crude fat. 2. Of the oil charcteristics, iodine value was in the range of 100-154, saponification value was in the range of 124-188 and acid valve was about 1.1. 3. The seeds were found to have valuable amounts of essential minerals. The content of iron in gourd. cucumber and citron seeds were in the range of 48-90ppm and the content of copper. zinc and calcium were plentyful than that of other food resources. 4. The lipid fractions obtained by silic acid column chromatography were mainly composed of over 87% neutral lipid, whereas the content of glycolipid and phospholipid were 1.0-5.3% and 1.5-7.3% respectively. 5. Among the neutral lipid in total lipid, triglyceides were predominant (68.7-78.1%) with smaller amounts of the others. Among the glycolipids, esterifed steryl glycosides (41.2-52.4%), cerebrosies (20.8-28.6%) and steryl glycosides (12.7-24.3%) were the most abundant and others were present as minor components. Of the phospholipids, phosphatidyl ethanolamine, phosphatidyl choline and phosphatidyl serine, and phosphatidyl glycerol were the major components. 6. The major fatty acids in tile total lipids were linoleic(41.6-67.4%), ofeic (14.5-40.7%) and paimitic (7.3-23.3%) acids. The contents of the unsaturated fatty acids were more predominant than saturated fatty acids. 7 .Among the changes of nitrogen compounds, the contents of the soluble protein-N (48.3-65.9%) was the most abundant, whereas insoluble protein-N was slightly higher than soluble protein-N in the hardy orange seed. Peptide protein-N was contained as minor contents (1.8∼4.9%) except citron seed (11.7%). 8. TILe major amino acids of the these seed proteins were glutamic, arginine, aspartic, g1ycine and leucine, and the essential amino acids except tryptophan were detected. 9. It has been identified by SDS-disc electrophoresis that peach seed protein showed 7 bands and the others showed 6 bands. Compared with standard substances, the molfcular weight of the main protein in the gourd, cucumber, peach, citron and hardy orange seeds were estimated to be 44,000, 47, 500, 43,500. 44,500, 46,000 respectively.

대학 부설 환경 연구소의 운영 실태

조병진,오경환,박기민 경상대학교 환경보전연구소 1993 環境保全硏究所報 Vol.1 No.1

The actual administrative conditions of the environment research institutes attached to the universities and colleges were investigated by means of the questionnaire to propose the reference data for the reasonable and effective management of them. The majority of them were established after 1981, and half of them are unregistered. The retention rates of the full-time researchers and the attendants was 55%, and that of the official facilities was high, but the equipments for analysis and measurement were poorly furnished as 15%. Annual mean amounts of the fund for management and research are less than ten million and more than thirty million won, respectively. Therefore their major roles are limited to consultations, supervising academic conferences, and collecting research materials because of the fund limitations. Half of them distribute their own publications, and subscribe for few scientific journals regularly. There are many obstracles in the management of institutes such as lack of funds, deficient administrative support of the college authorities, deficiencies of full-time researchers, attendants, and equipments for analysis and measurement.

다품종소량 생산관리정보시스템의 개발사례

조규갑,김갑환,문일경,김기영 한국경영과학회 1993 經營 科學 Vol.10 No.2

A production control information system developed for multi-product, small-lot-sized production is presented. The system is composed of interrelated modules for production planning, shop floor control, and inventory / material management. The architecture of the system, functions of each module, and information processing procedures of each function are discussed.

自然採光 利用을 極大化한 窓戶 MODEL 開發에 關한 硏究

趙洪正,金起煥 釜山工業大學校 1990 論文集 Vol.32 No.-

For the efficient utilization of natural lighting, it is necessary to study about window type and window ill height. This is a paper on the variation of daylight factor acccording to the window types and the window ill hieght under fixed window . wall ratio. For examinating and analyzing the daylight factor, computer imulation, which is based on the theoretical formula of natural lighting design, was performed. This study lays the purpose of furnishing the data for development of window model which is able to make maximun utilization of natural lighting.

방사선치료 조사영역 내에 발생한 설암 환자에서 입체조형방사선치료 경험 : 증례보고

조문준,장지영,김기환,김병국,송창준,김준상,김재성 충남대학교 암공동연구소 2003 암공동연구소 업적집 Vol.3 No.

Objectives : We report an interim result of conformal radiotherapy in a patient with early stage cancer at the base of the tongue, which developed in a previously irradiated area. Materials and Methods : A 64-year-old male patient was diagnosed with T4NOMO supraglottic cancer. He received 72Gy of radiation therapy from 21 November 1988 to 24 February 1989. He had local failure and underwent a salvage total laryngectomy on 28 August 1989. Subsequently, he did well. In early 1999, he suffered from throat pain. He had a 2.5cm ulcerative mass at the base of his tongue, in the area that had been irradiated previously. Biopsy showed squamous cell carcinoma. After workup, he was diagnosed with base of tongue cancer with T2NOMO. Surgery was not feasible because the morbidity was not acceptable. Since it was difficult to re-irradiate the area with a curable dose using conventional 2D radiation therapy with an acceptable morbidity, we decided to try conformal radiotherapy. We used 7 static beam ports with field sizes from 7×6.4 to 8×8㎠, using 6 and 10MV photons. The fractionation regimen was 1.8Gy, 5 times per week. He received 64.8Gy in 36 fractions from 9 April 1999 to 1 June 1999. Results : In the 21 months since radiotherapy, the patient has not experienced any acute or chronic complications, such as xerostomia. He experienced relief of pain shortly after the start of radiotherapy, showed a complete response, and is still doing well. Conclusion : Conformal radiotherapy can be used to treat cancer that develops within a previously irradiated field, with curative intent.

피혁 분으로 변성된 석고계 재료의 물성

조헌영,서정목,전기석,이기환 공주대학교 생산기술연구소 2000 論文集 Vol.8 No.-

Gypsum materials have strong mechanical strengths and great resistance to fire. Also these one are very cheap because of the gypsum is a byproduct from chemical plants. But, these materials have some demerits ; weak water-resistance, heavy specific gravity and low physical properties in bending and tensile strengths. While, leather shaving dust(LSD) is very much produced from leather manufacturing process. The LSD is composed of collagen fibers which is a kind of protein. This one has strong tear and tensile strengths because of the collagen fibers are cross linked during the tanning process of leather. Also the dust has the properties of the high hygroscopic and the superior thermal insulation, but is not degraded any more in neutral condition such as gypsum slurry. In this paper, we have reinforced the physical properties of gypsum with LSD as a filler. From this research, it is decided that the optimum dosage of LSD to gypsum is below 5%(w/w) of the gypsum, and the specific gravity of LSD-gypsum mixture is reduced to 30% relative to gypsum alone.

농아에서의 측두골 전산화 단층촬영 소견과 다른검사 요인과의 연관성

조태환,이상흔,권대구,엄규상,성창섭,김용선,한기원 경북대학교 병원 1998 경북대학교병원의학연구소논문집 Vol.2 No.1

Temporal bone high resolution computed tomogram(TBHRCT)is a essential diagnostic tool in considering for cochlear implantation in patients with profound sensorineural hearing loss. This study was designed for an effort to provide and efficacy of TBHRCT in determination of inner ear malformations for the patients who have profound sensorineural hearing loss and to examine the relationships between TBHRCT findings and other preoperative evalutions for cochlear implantation in that patients. Authors examined 68 deaf patients to provide fundamental data for cochlear implantation. Inner ear abnormalities were founded in 13(19%) patients, among which 10(14.7%) patients had Mondini'dysplasia in which 5 patients were hypoplastic type and 5 patients were hydrops type. Other inner ear abnormalities were as follows : lateral semicircular canal hypoplasia ; internal auditory canal abnormality ; cochlear aqueduct widening ; vestibular aqueduct widening. No relationships were found between TBHRCT findings and other test results. : promontory test, K-WISC cognitive test etc.(Korean J Otolaryngol 39 : 8, 1996)

만성 화농성 중이염의 세균학적 고찰

조남순,이영훈,강기훈,최제환,송태현,이병돈,장혁순,강주원,김연준 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Background and Objectives : Chronic suppurative otitis media is one of the frequent diseases in otolaryngologic field. It is important to choose of antibiotics in the management of infectious disease. But the organisms in infections have been changed and resistance to antibiotics has been grown as the development of antibiotics has been achieved. And so it has been necessary to recognize the changes of organisms and resistance in antibiotics. Our study was performed to identify the pathogens isolated from discharges in chronic otitis media and evaluate the antibiotic agents, to recognize the change of to resistance to·antibiotic agents and to use the appropriate anitiotics. Materials and Methods : Retrospectively, authors reviewed the backeriologic study of 114 cases of chronic suppurative otitis media who visited the Department of Otolaryngology, Soonchunhyang University in Seoul from Nov. 1996 to Oct. 1999 and analyzed 101 strains and its sensitivity test to various antibiotics. Result : In 93 cases in which pathogenic organism was isolated, single infection was 85 cases(91.4%) and mixed infection was 8 cases(8.6%). The most frequent pathogenic organism was Staphylococcus aureus(59.4%), Pseudomonas aeruginosa(13.9%), Providencia(4.8%), Alcaligenes(3.0%) and Streptococcus pneumoniae(2.9%) were the next. Methicilline-Resistance Staphylococcus aureus was 34 cases(57.6%) of Staphylococcus aureus. Staphylococcus aureus was sensitive to Vancomycin(96.7%), Trimethoprim-Sulfamethoxazole (57.6%), Cefuroxime(42.4%) and Ciprofloxacin(40.7%) but resistant to Penicillin(94.9%). Pseudomonas aeruginosa was sentitive Amikacin(100%), Ciprofloxacin(100%) and Gentamicin(67%). Conclusion : As MRSA recently was wide spread in community accquired infection as well as nosocomial infection, we must consider strict control of MRSA.