• The Monthly Diabetes
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• s.261
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• pp.46-47
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• 2011

서울대병원 약물유해반응 관리센터와 지역약물감시센터가 공동으로 일반인들을 대상으로 '약물유해반응 경험 및 인식도 조사'를 한 결과 우리나라 성인 10명 중 2명은 의약품 부작용을 직접 경험하고도 적극적으로 조치하지 않은 것으로 나타났다. 또 약물유해반응으로 인해 조취를 취한 경우는 20.8%에 그쳐 의약품 부작용에 관한 홍보가 절실한 것으로 드러난다.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.473-481
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• 2016

Adverse drug reactions(ADRs) were caused by dexran 40 in patient with ischemic stroke and related 22 patients reported to formal ADRs at Jesus Hospital in Jeonju. This study was aimed to search ADRs related factors, type and the degree associated with dextran 40. Adverse Effects of Dextran 40 is including marked hypotension, nausea, dyspnea, generalized urticaria, fever and pulmonary edema. The average hospitalization period was 20 days and it was extended 26.8%. ADRs of Dextran 40 to incidence is 12.4%, and 9 persons(28.1%), itching, rash was 7 people (21.9%). Dextran induced ADRs reaction may be reported on early injection period and first time shot, but adverse drug reactions occurred after 4 days in 4 patients(18.2%). US FDA has recommanded that Dextran 1 significantly reduces the incidence of severe ADRs in USA. Because low molecular weighted dextran 1 prevented dextran molecules from combined Ig G completely. In Korea. Generally not yet introduced dextran 1, active use dextran 1 is able to be a good way in order to reduce ADRs of dextran 40.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1997.04a
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• pp.83-83
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• 1997

사람의 장내에 서식하는 장내세균은 사람의 건강을 지켜주는 유용균과 나쁜 영향을 주는 유해균이 있으며 이들 양자의 균형에 의하여 건강상태가 조절되고 있다. 사람의 건강에 대단히 중요한 역할을 하는 유용균의 대표적인 것이 Bifidobacterium이다. 이 Bifidobacterium은 장내에서 lactic acid 및 acetic acid를 생산하여 장내의 pH를 산성으로 유지시키고 부패균의 증식을 억제하는 역할을 하며 신체를 유해세균의 작용으로부터 방어하는 역할을 하고 있다. 현재 우리나라에서 사용하고 있는 Bifidobacterium은 대부분 외국에서 개발된 것으로 한국인에게 어느 정도 효과가 있는지에 대해서는 아직 정확한 보고가 없으며 한국인의 장내균총으로부터 유산균이 분리된다면 한국인에게 가장 잘 정착될 수 있는 균주일 것으로 생각된다.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1997.04a
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• pp.84-84
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• 1997

장내세균은 음식물, 스트레스, 생활환경에 의해 영향을 받으며 그 결과 장내 세균이 생산하는 효소활성도 영향을 받는다. 장내미생물효소는 질병과 밀접한 관계를 갖고 있으며 장내의 pH와 효소저해제에 의해 영향을 받는 데 장내의 높은 pH에 의해 $\beta$-glucosidase, $\beta$-glucuronidase, tryptophanase 등의 장내유해효소활성이 유도되므로 장내의 pH를 낮춤으로써 효소활성을 저하시킬 수 있다. Bifidobacterium은 장내에서 lactic acid, acetic acid를 생산하여 장내의 pH를 낮추며 유해균의 증식을 억제하고 유해효소의 활성을 억제하는 역할을 할 것으로 기대된다. 특히 한국인으로부터 분리된 유산균일 경우 한국인의 장내에 가장 잘 정착되며 장내미생물의 유해효소를 효과적으로 억제할 것으로 생각된다.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1997.11a
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• pp.81-85
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• 1997

인체에 투여된 약물의 반응은 개체간에 현저한 차이가 있으며 특히 환자에게 투여된 약물의 효과가 상이하게 나타남으로써 치료의 실패나 흑은 약물의 유해작용으로 나타나기도 한다. 이러한 개체 상호간의 약물반응의 차이는 환경적인 요소, 영양학적인 요소, 연령, 병용한 다른 약물 및 이미 앓고 있는 질병 등에 의해서도 영향을 받으나 특히 유전적으로 결정된 약물대사 능력의 차이에 의해서도 기인된다. 이러한 측면에서 약물 대사의 유전적인 다양성과 비정상적인 반응을 다루는 약물유전학의 중요성은 최근 두드러지게 대두되고 있다. 특히 유전적인 요인으로 개체간의 차이는 효소의 유전적인 결핍과 관련이 있으며 이 결핍은 생체이물질에 대한 반응의 다양성을 설명할 수 있는 약물대사 능력의 다형성에 기인한다. 또한 약물반응의 다양성은 인종간, 특히 동양인과 서양인에서의 약물반응에서도 차이가 있어 각 인종간의 약물반응의 차이에 대한 연구와 이의 원인규명에 대하여 많은 관심이 집중되고 있다. 이와 같은 견지에서 약물용량과 약물반응, 특히 약동학적 변화의 인종간의 차이와 각 개인의 차이 및 이의 원인에 대하여 살펴보고자 한다.

• Korean Journal of Child Studies
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• v.30 no.6
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• pp.125-137
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• 2009

This study reviews facts and trends of harmful environments in the last decade that negatively affected children's development. Younger children have been exposed to harmful media, drugs, facilities, and objects. A matter of chemical substances contaminating in-door air has become quite controversial, recently. In order to provide a better understanding of harmful environments against children, there are great needs for a survey covering all ages based on the clear definition of the term harmful environments, research identifying its causal effects on child development in the context of both parent-child and peer relationships, and a longitudinal study processing its effects in a life-span perspective. It is suggested that by providing parent education and a plenty of cultural facilities as social efforts to create sound family culture, psycho-social and physical environments of children are improved. Furthermore, legal regulations and supervision on harmful environments are needed to be strengthened.

• Journal of Korean Academy of Nursing Administration
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• v.22 no.1
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• pp.91-98
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• 2016

Purpose: The aim of this study was to identify the relationship between nurses' knowledge of adverse drug reactions (ADR), attitudes, and monitoring practices and to establish an effective ADR reporting system and provide baseline data for its activation. Methods: The participants in this study were chosen by convenience sampling and included 182 nurses working at major general hospitals that operate a Regional Drug Safety Center. Data were collected from June 1 to 12, 2015 and analyzed using Cronbach's ${\alpha}$, descriptive statistics, independent t-test, one way ANOVA, Pearson correlation coefficient and stepwise regression with the SPSS program. Results: The nurses' average score for knowledge was 7.62 points, for attitude, 41.04 points and for monitoring practices, 34.22 points. ADR monitoring practices positively correlated with knowledge (r=.19, p=.011), attitude (r=.41, p<.001), drug performance competency (r=.54, p<.001), and drug education satisfaction (r=.54, p<.001). Drug performance competency, drug education satisfaction, and attitudes explained 42.0% of the ADR monitoring practices (Adj $R^2=.42$, F=43.95, p<.001). Conclusion: In order to facilitate and encourage nurses' voluntary monitoring practice of ADR, efforts must be made to create positive attitudes toward ADR, and to increase drug performance competency and drug education satisfaction.

• Journal of Korea Multimedia Society
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• v.6 no.6
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• pp.1062-1070
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• 2003

In this paper, we observe one of the aquatic insect, fish(Medaka)'s behavior which reacts to giving toxic chemicals until lethal conditions using automatic tracking sl$.$stem. For the result, we define the Pattern A is a normal movement of fish and Pattern B is after giving the chemicals. In order to detect the movement of fish automatically, these patterns are selected for the training data of the artificial neural networks. The average recognition rates of the pattern B are remarkably increased after inputs of toxic chemical(diazinon) while the Pattern A is decreased distinctively. This study demonstrates that artificial neural networks are useful method for detecting presence of toxicoid in environment as for an alternative of in-situ behavioral monitoring tool.

• Allergy, Asthma & Respiratory Disease
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• v.6 no.6
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• pp.315-321
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• 2018

Purpose: Radiocontrast media are widely used in medical imaging to improve diagnostic accuracy. However, studies on the adverse reactions of radiocontrast media in children are limited. We aimed to describe the characteristics of adverse reactions to radiocontrast media among children who had a computed tomography scan or magnetic resonance imaging in a tertiary university hospital. Methods: We retrospectively collected data on adverse reactions to radiocontrast media by the reporting system of a tertiary university hospital. We selected data from children under the age of 19 from July 2011 to December 2017 and analyzed their characteristics. We focused mainly on the characteristics of the index case which is defined by the first adverse event of each subject. Results: During the period, a total of 88,050 radiocontrast media-enhanced imaging studies were performed and 184 cases of adverse reactions were reported. A total of 71 were identified as index cases. Forty-nine (69.0%) were male and the mean age was $12.7{\pm}3.2$ years. The incidence of radiocontrast media-related adverse reactions was 0.09% and severe reactions were 0.002%. The most common clinical feature was skin manifestations (54.9%), followed by gastrointestinal symptoms (40.8%) and neuropsychiatric symptoms (7.4%). Conclusion: Adverse reactions to radiocontrast media rarely occur in children and the incidence of severe reactions is low. Most reactions are mild and are related to the skin and gastrointestinal system. This report would provide good evidence for establishing a management strategy in children scheduled for imaging studies using radiocontrast media.

• Journal of the Korean Orthopaedic Association
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• v.55 no.1
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• pp.9-28
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• 2020

Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly used drugs worldwide for chronic pain, such as arthritis, and there are many different types depending on their composition and mechanism. After long-term use, various side effects can occur, such as gastrointestinal and cardiovascular complications. With a similar analgesic effect to that of traditional non-selective NSAIDs, cyclooxygenase-2-selective NSAIDs have been highly anticipated, because they could complement gastrointestinal tolerance. On the other hand, because of concerns about cardiovascular safety in 2004 and 2005, and the license withdrawals of rofecoxib and valdecoxib, the interest in the side effects of NSAIDs is increasing. Therefore, it is important to use the necessary drugs at a minimum, considering the side effects and interactions of each drug. This study examined the side effects and characteristics of each NSAID that may occur and reviewed the recent research and guidelines related to the use of non-selective NSAIDs and cyclooxygenase-2-selective NSAIDs.