• Title/Summary/Keyword: Dosing

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Safety of chloral hydrate sedation in dental practice for children: an overview

  • Song, Sol;Han, Miran;Kim, Jongbin
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.3
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    • pp.107-118
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    • 2020
  • Chloral hydrate is the oldest and most common sedative drug used in moderate sedation for pediatric dental patients. Hence, the purpose of this article is to review the safety and possible adverse events of this drug when used for pediatric dental treatment. A bibliographic search in PubMed, MEDLINE, Cochrane Library and KMbase, KISS, DBpia, KoreaMed, and RISS databases was performed. Using the keywords "dental sedation," "chloral hydrate," and "children or adolescent," 512 scientific articles were found. Subsequently, 183 studies were individually assessed for their suitability for inclusion in this literature review. Altogether, 24 studies were selected. They included 12 cases of death before, during, or after chloral hydrate sedation for dental treatment, majorly due to dosing error and use of multiple sedatives. Additionally, intraoperative adverse events were mostly respiratory problems such as hypoxia and apnea, but most events were temporary. After treatment, prolonged sedation, including excessive sleep and less activity were the most common postoperative adverse events, and even death cases were reported. Despite the wide acceptance of chloral hydrate as a sedative-hypnotic agent, the risk of adverse events and adequate dose should be of great concern when using it for pediatric dental sedation.

A Randomised, Placebo-controlled Trial of the Effects of Preoperative Pregabalin on Pain Intensity and Opioid Consumption following Lumbar Discectomy

  • Hegarty, Dominic A.;Shorten, George D.
    • The Korean Journal of Pain
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    • v.24 no.1
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    • pp.22-30
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    • 2011
  • Background: Pregabalin has been shown to have analgesic effect in acute pain models. The primary objective was to examine the efficacy a single dose of pregabalin, would have on morphine consumption following lumbar discectomy. Methods: With ethical approval a randomized, placebo-controlled prospective trial was undertaken in 32 patients (ASA I-II, 18-65 years) with radicular low back pain for > 3 months undergoing elective lumbar discectomy. Patients received either oral pregabalin 300 mg (PG Group) or placebo (C Group) one hour before surgery. Pain intensity, the accumulative morphine consumption and adverse effects were recorded for 24 hours following surgery. Functional, psychological and quantitative sensory testing were also assessed. Results: Fourteen patients out of the 32 recruited were randomized to receive pregabalin. Morphine consumption was reduced (absolute difference of 42.3%) between groups with medium effect size. (Mann-Whitney; U =52.5, z-score= 2.84, P = 0.004, r = 0.14). This was not associated with a significant difference in the incidence of adverse effects between the two groups. The median pain intensity (VAS) on movement was not significantly different between groups. Conclusions: A single pre-operative dose of pregabalin (300 mg) did not result in a reduction in pain intensity compared to placebo in this patient cohort but the significant reduction in morphine consumption suggests that a fixed peri-operative dosing regime warrants investigation.

Effect of Cimetidine and Antacid on Pharmacokinetics of Minocycline (시메티딘 및 제산제가 미노싸이클린의 약물동태에 미치는 영향)

  • Jung, Eui-Cha;Park, Gee-Bae;Shin, Hwa-Woo;Choi, Young-Wook;Lee, Kwang-Pyo
    • Journal of Pharmaceutical Investigation
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    • v.21 no.4
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    • pp.247-251
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    • 1991
  • Effects of aluminum magnesium hydroxide (A) and cimetidine (C) on the pharmacokinetics of minocycline (M) were investigated in female rats. Blood samples were collected at various time intervals until 36 hrs following oral dosing of drugs. Plasma minocycline concentrations were determined by HPLC. Control group (M), $T_1$ group (M+A), $T_2$ group (A+M after 2 hrs), $T_3$ group (M+A after 2 hrs), $T_4$ group (M+C) and $T_5$ group (C+M after 2 hrs) were divided to examine interaction of the drugs with minocycline. Plasma minocyline level-time curves were well described by two-compartment open model with first-order absorption in rats. Antacid treatment was associated with reduced of 71.0, 45.9, 35.7% in minocycline absorption rate $constant(K_{\alpha})$, maximum plasma $concentration(C_{max})$, and relative $bioavailability(F_{rel})$, respectively. Cimetidine treatment group exhibited no significant changes in plasma level-time curve when compared with control group and did not affect minocycline absorption as by any of these three parameters.

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Characteristic comparison of sensing materials in mixed potential type NH3 gas sensors for urea-SCR DeNOx system in diesel engine (디젤 엔진 Urea-SCR DeNOx 시스템용 혼합전위 방식 암모니아 가스 센서의 감지물질 특성 비교)

  • Choi, An-Gi;Yang, Young-Chang;Koo, Bon-Chul;Park, C.O.
    • Journal of Sensor Science and Technology
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    • v.19 no.3
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    • pp.176-183
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    • 2010
  • It is considered that the urea injection DeNOx SCR(selective catalytic reduction) system is the only promising method to satisfy the worldwide NOx emission standards. As for the theoretical aspect, reactants of NO and $NO_2$ with $NH_3$ produce $H_2O$, $N_2$ and $O_2$ which do not harm human beings and environmental as well. The realization of maximum NOx conversion (without using a post oxidation catalyst) is only possible with closed loop controlled urea dosing. It means built-in $NH_3$ gas sensor have to be developed for detecting accurate $NH_3$ concentration for the feedback system. Using YSZ(yttria-stabilized zirconia) as a solid state electrolyte and $In_2O_3$ as a sensing material, this paper aims to study dependable $NH_3$ gas sensor for the promising solution of DeNOx technology, which have a reproducible electric output signal, a high sensitivity and fast response.

Optimization of Explosive Compounds (TNT and RDX) Biodegradation by Indigenous Microorganisms Activated by External Carbon Source (외부탄소원으로 활성화된 토착미생물에 의한 화약물질(TNT and RDX) 분해 최적화)

  • Park, Jieun;Bae, Bumhan
    • Journal of Soil and Groundwater Environment
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    • v.19 no.3
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    • pp.56-65
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    • 2014
  • Contamination of explosive compounds in the soils of military shooting range may pose risks to human and ecosystems. As shooting ranges are located at remote places, active remediation processes with hardwares and equipments are less practical to implement than natural solutions such as bioremediaton. In this study, a series of experiments was conducted to select a suitable carbon source and to optimize dosing rate for the enhanced bioremediation of explosive compounds in surface soils and sediments of shooting ranges with indigenous microorganisms activated by external carbon source. Treatability study using slurry phase reactors showed that the presence of indigenous microbial community capable of explosive compounds degradation in the shooting range soils, and starch was a more effective carbon source than glucose and acetic acid in the removal of TNT. However, at higher starch/soil ratio, i.e., 2.0, the acute toxicity of the liquid phase increased possibly due to transformation products of TNT. RDX degradation by indigenous microorganisms was also stimulated by the addition of starch but the acute toxicity of the liquid phase decreased with the increase of starch/soil ratio. Taken together, the optimum range of starch/soil ratio for the degradation of explosive compounds without significant increase in acute toxicity was found to be 0.2 of starch/soil.

Spermatogenic Effect of Sulfur and Methyl Sulfonyl Methane in Rats

  • Lee, Young-Lae;Park, Jeong-Sook;Hwang, Seock-Yeon;Han, Kun
    • Natural Product Sciences
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    • v.18 no.3
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    • pp.204-210
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    • 2012
  • Sulfur has been used as a general physical strengthening agent from ancient times in Asia. On the basis of this point, we measured spermatogenic effect of sulfur and methyl sulfonyl methane (MSM) which is used a functional food for arthritis in rats. MSM, a kind of organic sulfur, is used as an alternative of sulfur by some people. Sulfur was administered as a dietary supplement and MSM was administered orally as a solution to 7 week old rat for 6 weeks. All sulfur administered groups showed a significant dose dependent increase in the number of sperm in the testes compared with the control group. Moreover, a histological examination showed an apparent increase in the number of seminiferous tubular cell layers in the testes of the sulfur treated rats. However, there were no observed any increase of sperm in MSM dosing group. In sulfur treated rats, the weights of body, liver, spleen, kidney, testes and epididymides didn't show significantly differences compared with the control. Histopathological examination was not revealed any morphological change in the liver, spleen and kidney. Thus, sulfur may be effectively used to treat sperm deficiency of men, but not MSM.

TOXICITY STUDY ON CHINESE HERBAL DRUGS USING THE MICRONUCLEUS ASSAY IN MURINE BONE MARROW ERYTHROCYTES

  • Ian C. Guest;Yoo, Sang-Ou;Paik, Nam-Woo;Lee, Young-Wook;Oh, Ki-Bong;Yang, Heyong-Cheol;Suh, Nan-Joo;Chang, Il-Moo
    • Toxicological Research
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    • v.5 no.2
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    • pp.71-77
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    • 1989
  • A mouse whole animal bioassay was employed to screen for potential mutagenicity of ethanol/water extracts of 16 Chinese herbal drugs that are commonly prescribed in Korea. Specific cytogenetic toxicity was measrured by recording evidence of clastogenesis toxicity was measured by recording evidence of clastogenesis via the mouse bone marrow micronucleus test. Male ICR mice administered ethanol extract of Pinelliae tuber (Pinellia eternata Breitenbach, ARACEAE, 양복) and ddY female mice administered extract of Angelica Koreanae radix(Angelica Koreana Maximowicz, UMBELLIFERAE, ) (both by oral administration, at a dose of 600 mg/kg), in a short-term dosing schedule, demonstrated significant increase in micronucleated polychromatophilic erythrocytes, indicating the increase of clastogenicity.

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Chelation of Thallium (III) in Rats Using Combined Deferasirox and Deferiprone Therapy

  • Salehi, Samie;Saljooghi, Amir Sh.;Badiee, Somayeh;Moqadam, Mojtaba Mashmool
    • Toxicological Research
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    • v.33 no.4
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    • pp.299-304
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    • 2017
  • Thallium and its compounds are a class of highly toxic chemicals that cause wide-ranging symptoms such as gastrointestinal disturbances; polyneuritis; encephalopathy; tachycardia; skin eruptions; hepatic, renal, cardiac, and neurological toxicities; and have mutagenic and genotoxic effects. The present research aimed to evaluate the efficacy of the chelating agents deferasirox (DFX) and deferiprone (L1) in reducing serum and tissue thallium levels after the administration of thallium (III), according to two different dosing regimens, to several groups of Wistar rats for 60 days. It was hypothesized that the two chelators might be more efficient as a combined therapy than as monotherapies in removing thallium (III) from the rats' organs. The chelators were administered orally as either single or combined therapies for a period of 14 days. Serum and tissue thallium (III) and iron concentrations were determined by flame atomic absorption spectroscopy. Serum and tissue thallium (III) levels were significantly reduced by combined therapy with DFX and L1. Additionally, iron concentrations returned to normal levels and symptoms of toxicity decreased.

Single and 13-week Repeated Dose Toxicity Study of DA-3002, An Authentic Recombinant Human Growth Hormone (천연형 인성장호르몬 DA-3002의 단회 및 13주 반복투여독성연구)

  • 김옥진;강경구;안병옥;백남기;이순복;김원배;양중익
    • Biomolecules & Therapeutics
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    • v.2 no.2
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    • pp.161-172
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    • 1994
  • This study was conducted to examine DA-3002, a biosynthetic human growth hormone, for its acute and subacute toxicities in mice and rats. The drug was administered subcutaneously and orally at a dose level of 1.0, 3.0, 8.9, 26.7 or 80.0 lU/kg once for single dose toxicity and given subcutaneously at a dose level of 0.34, 1.7 or 8.4 lU/kg daily for 13 weeks to investigate repeated dose toxicity. In the acute toxicity study, doses up to 80 lU/kg had no adverse effect on the behavior or body weight gain. Pathological examinations revealed no abnormal changes which could be attributed to toxic effect of DA-3002. In the subacute toxicity study, the growth hormone was tolerated well in broth mice and rats. No drug related deaths occurred and all animals appeared to be normal throughout the dosing period. Increases in body weight gain, food utilisation and absolute organ weights were observed in the rats in the high dose group. Mild changes in the blood chemical parameters were also seen in the treated groups. Histopathologically, however, no abnormal changes were observed in any organ. The changes noted during the treatment periods presumably represent exaggerated pharmacological effects of the growth hormone, and no observed adverse effect level (NOAEL) was considered to be more than 8.4 lu/kg/day.

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Which Dosing Scheme is Suitable for the Taxanes\ulcorner An in Vitro Model

  • Sanli, Ulus-Ali;Uslu, Ruchan;Karabulut, Bulent;Sezgin, Canfeza;Saydam, Guray;Omay, Serdar-Bedii;Goker, Erdem
    • Archives of Pharmacal Research
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    • v.25 no.4
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    • pp.550-555
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    • 2002
  • The discovery and development of the taxane class of antitumor compounds represent significant advances in the treatment of patients with a variety of malignancies. These drugs are effectively used in the treatment of breast cancer. In this study we evaluated the efficacy of fractionated usage of both paclitaxel and docetaxel as a single agent in the breast cancer cell line MCF-7. It has been shown that the cytotoxic effect of paclitaxel was increased when the divided $IC_{50}$ concentrations were used sequentially and in contrast to paclitaxel, cytotoxic effect of docetaxel was decreased with the same schema and the single dose of $IC_{50}$ concentration was optimal. The cause of the difference between the cytotoxic effects of two agents with this schedule is obscure. Demonstrating mechanisms, which are responsible for these differences, will be important for more rational use of taxoids and to provide basis for the following clinical trials.