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.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

댄스스포츠 선수들을 통한 자기관리, 파트너십, 참여만족의 관계

최진호(Choi, Jin-Ho),박채희(HoㆍPark, Chae-Hee) 한국웰니스학회 2015 한국웰니스학회지 Vol.10 No.3

이 연구는 댄스스포츠 선수의 자기관리, 파트너십, 참여만족 사이의 상호작용을 조사하는 데 목적이 있다. 대한댄스스포츠경기연맹에 등록된 244명 선수들을 연구대상으로 하였으며, Amos를 이용하여 제안된 연구모형을 위해 구조방정식과 브트스트랩핑을분석하였다. 종합적인 결론으로, 댄스스포츠 선수의 몸관리, 대인관리, 훈련관리는 선수 간의 파트너십에 긍정적인 영향을 미쳤다. 선수의 참여만족에는 몸관리, 대인관리, 훈련관리 모두 영향을 미치지 않는 것으로 나타났다. 선수 간의 파트너십은 댄스스포츠참여만족에 긍정적인 영향을 미치는 것으로 나타났다. 마지막으로, 선수 간의 파트너십은 선수의 몸관리, 대인관리, 훈련관리와 참여만족 사이에서 완전매개의 역할을 하였다. The purpose of this study was to examine the influence of self-management and partnership on satisfaction of participating. Data were collected from 274 dancesport players registered in Korean Federation of Dancesport(KFD). Structural equation modeling indicated that while physical management, training management, and interpersonal management of self-management had a positive effect on partnership, all they didn't have an impact on satisfaction of participating. Furthermore, partnership positively affected satisfaction of participating. All estimated paths for the indirect effect were statistically significant, while the estimates of the direct effect from physical management, training management, and interpersonal management to satisfaction of participating were not significant. Therefore, potentially, partnership fully mediated the paths between physical management, training management, and interpersonal management and satisfaction of participating.

회복실 환자의 고찰

채영근,이용경,최영순,김용호,이우경,민진혜 관동대학교 의과대학 의과학연구소 2005 關東醫大學術誌 Vol.9 No.1

We have analyzed 1158 patients managed in PACU(Postanesthesia care unit) after completion of general anesthesia between January 1, 2005 to June 30, 2005 to obtain better guidance and management in the PACU. The results of analysis were as follows 1) Total number of PACU patients was 1694, but only 1158 patients were analyzed because 478 patients were taken regional anesthesia, 17 patients' records were incomplete and 2 patients went to ICU for close observation. 2) Age distribution was relatively even in each decades except extreme age and mean age was 34.5 years. 3) The number of patients by operation sites was 429 in lower abdomen & pelvis surgery group, 349 in extremities and 199 in head & neck surgery group and 181 in the other group each. 4) Overall PAR(Postanesthetia recovery) score was 8.8±0.7, highest in 30-39age group and in extremities surgery group, least in over 80 group and in thoracic surgery group. 5) Overall PACU staying time was 41.3±19.0min, shortest in 30-39age group and neurosurgery, longest in over 80 and in back surgery group. 6) The overall incidence of complications; 230(19.9%) was cardiovascular, 56(4.8%) was respiratory, 52(4.5%) was postoperative nausea and vomiting(PONV), 17(1.5%) was agitation and 16(1.4%) was shivering.

경식도 심초음파도의 Direct Planimetry를 이용하여 측정한 대동맥판 면적의 심박출량 및 좌심실 구출율의 변화에 따른 정확도

진승원,김종진,김희열,박지원,전두수,윤호중,박준철,노태호,채장성,김재형,홍순조,최규보 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

여름 고추육묘의 트라이졸계 처리에 의해 유기된 생육억제 해소에 관한 연구

채윤석,강호종,황서진 진주산업대학교 농업기술연구소 2007 農業技術硏究所報 Vol.20 No.-

고온기 고추육묘에 처리한 생장억제제 처리 효과 및 정식 후 생육억제를 회복하기 위하여 GA, 관수, 고온처리 효과에 대한 연구 결과는 다음과 같다. 1.생장억제제 트리아졸계 처리 횟수에 따라 초장 및 주경장은 뚜렷한 차이를 나타냈고 근장도 2회 처리를 함으로 1회 처리를 한 것보다 발달하지 않았다. 2. 왜화된 고추묘의 생육억제 해소에 미치는 영향은 초장 및 주경장의 생장에는 GA처리구가 뚜렷하였으나 다른 처리구는 비슷한 경향이었고 경경은 변화가 없었다. 3. 생육회복을 위한 처리별 생체 및 건물중은 정식 후 30일까지는 변화가 거의 없었으나 그 후 45일까지 급격히 증가하였는데 고온 및 관수처리구에서 뚜렷한 차이를 보였으며 45일 이후에는 모든 처리구에서 비슷한 경향을 보였다. 4. 정식 45일 경 처리구간 엽록소 함량은 GA처리구에서 가장 낮았으며 다른 처리구간에는 비슷했다. This study was carried out to find effects of restoration of hot pepper seedling dwarfed by the treatment of diniconazole by introducing GA₃, Irrigation and high temperature at knight and the results obtained are summarized as follows. The main results of this research are summarized as follows. 1. In the case of plant height and main stem hight treated with the first time and second time diniconazole showed the strongest effect than untreatment. The root length treated with diniconazole the first time effect gradually disappeared than the second time. 2. Sprays of GA₃100ppm to the dwarfed seedlings by diniconazole pretreatment were effective in counteracting the plant height and main stem height growth inhibition caused by diniconazole pretreatment. 3. The fresh and dry weight of pepper seedling were not significantly different untill 30days in planting, but were increased to 45days from 30days in planting. 4. The chlorophyll content were decreased more or less treatment of GA₃ 100ppm after 45days in planting.

十二變에 대한 考察 : 六元正紀大論을 중심으로

채영진,남호현,이석모,여성원,한성규,이재원,안민식,정헌영,금경수 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

The six kinds of natural factors(It refers to wind, cold, summer-heat, dampness, dryness and fire.) is constantly moving to maintain the balance of whole climate of one year. Four seasons are the largest mediation of whole climate of one year. The cold and the heat have the relationship of mutual intervention. The dampness and the dryness have it also. In this process they raise various climate appearance. And that various climate appearance influence the whole lives on the earth. This paper is concerned with the classification of them.

솔-젤공정에 의한 한외알루미나 여과막의 기공보정에 관한 연구

채만병,조원준,정은정,이진휘,서동호 서울産業大學校 1996 논문집 Vol.44 No.1

서로 다른 입자 크기의 3층 구조를 갖는 튜브 형태의 한외 알루미나 분리막은, 일반적으로 제조공정중 분리층에 결손부분이 발생하기 때문에 낮은 선택도 및 제거율을 보인다. 이와같은 결손부분을 보정하기위하여 습도조절에 의한 선택적 적심(alternative wetting by controlled humidity)을 한 수 colloidal silical 솔을 적용하여 처리하고 특성을 평가 하였다. Sealing처리한 분리막에 대한 누수여부를 평가하기 위하여 3가지의 염료로 조사하였고, 보정전분리막과 보정후분리막에 대한 SEM, 액체으 투고도, 선택도 및 P.E.G./물 혼합물의 제거율을 측정하였다. P.E.G 2000, 12000 및 35000에 대한 제거율은 각각 약 0.6, 18 및 17% 향상된 결과를 보였으나 colloidal silica 솔의 deposition에 기인하여 투과율의 감소는 77%였다. 이상의 결과에서 보면 습도조절에 의한 선택적 적심법은 비록 deposition에 의한 문제점을 내포하고 있으나 액체분리를 위한 알루미나 한외여과막의 보정에 효과적인 방법이다. The 3-layer type alumina membrane consisting of different pore size shows the decreased selectivity and rejection because of cracks in the separation layer generally occurred during the manufacturing process. To modify these cracks, the colloidal sol is applied by sol-gel process after treating by alternative wetting method using controlled humidity(Alternative Wetting Method by controlled humidity) and evaluated the characteristics. For the evaluation of the leakage for the sealed membrane, the sealed membranes were tested by 3 kinds of dyes. For the comparing of native and modified membranes, the modified membranes for the cracks treated by Alternative Wetting Method by controlled humidity were also tested by SEM, permeability by liquid equipment, selectivity and rejection of the P.E.G./water mixtures. The results showed that the rejections were increased ca. 0.6, 18 and 17 % for the P.E.G. polyethyleneglycol 2000, 12000 and 35000 individually. The permeabilities are decreased, however, 77% for the pure water caused by deposition of colloidal silica sol after caulking. In conclusion, the Alternative Wetting Method by humidity control had the effect for the modification of ultrafiltration alumina membrane for separation of liquids and gases, though having problem of deposition.

자생식물과 도입 화훼명의 어원 및 유형 비교

백진주,박천호,정성혜,박윤점,송채은,허북구 韓國植物·人間·環境學會 1998 인간식물환경학회지 Vol.1 No.2

This study was carried out to survey origins of native plants and introduced flowers. Naming of native plants was divided into two types : one type is based on the internal properties of plants(shape, color, length, thickness, size) and the other type on such properties as person, animal, object, place and time which are compared to shapes and properties of plants. Names of native plants originate from shape > color > length > thickness > size > width > number, and also from characteristics > state > inhaitation place and place of origin > flowering and fruiting season > function and use. Prefixes were added in order to describe shapes and properties of plants in detail. About 50% of the names of the introduced flowers, originates from their shapes, about 15% from persons' names and about 13% from mythologies and legends. This shows that countries have different ways naming flowers from other countries and that survey of origins of flower names helps understand the characteristics of the flowers.

强靭鑄鐵의 熔接性에 關한 硏究

曺東震,韓俊澤,劉憲一,朴龍鎭,金錫胤,慶在浩 弘益大學校 1974 弘大論叢 Vol.6 No.-

The matrix of ductile cast iron are welded by pre-heating it at 300℃ in the room temperature. Through the mechanical, non-desbructive testing and analysis of the composition. the possibility if arc welding of ductile cast iron are studied as follows; 1. L electrode is the best among them in weldability, impact value and machinability. The next is LB electrode followed by S electrode. C electrode is last. However, the tensile strength showed in the following order: LB, S, L, C. 2. LB, S, L, C, all are available for the welding of cast iron. 3. The above experiment showed that L and LB are good in general. In addition LB is low in price, we therefore prospect that it will be widely used as the electrode for cast iron.