• The Korean Journal of Pain
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• 제37권2호
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• pp.119-131
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• 2024

There are growing concerns regarding the safety of long-term treatment with opioids of patients with chronic non-cancer pain. In 2017, the Korean Pain Society (KPS) developed guidelines for opioid prescriptions for chronic non-cancer pain to guide physicians to prescribe opioids effectively and safely. Since then, investigations have provided updated data regarding opioid therapy for chronic non-cancer pain and have focused on initial dosing schedules, reassessment follow-ups, recommended dosage thresholds considering the risk-benefit ratio, dose-reducing schedules for tapering and discontinuation, adverse effects, and inadvertent problems resulting from inappropriate application of the previous guidelines. Herein, we have updated the previous KPS guidelines based on a comprehensive literature review and consensus development following discussions among experts affiliated with the Committee on Hospice and Palliative Care in the KPS. These guidelines may assist physicians in prescribing opioids for chronic non-cancer pain in adult outpatient settings, but should not to be regarded as an inflexible standard. Clinical judgements by the attending physician and patient-centered decisions should always be prioritized.

• 대한임상독성학회지
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• 제12권2호
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• pp.63-69
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• 2014

Purpose: The aim of this study is to investigate the difference between male and female in some clinically meaningful aspects and to prevent intentional poisoning in children and adolescents. Methods: Retrograde medical records review of patients who visited the emergency department of two secondary hospitals for drug ingestion from March 2010 through March 2013 was performed. Unintentional ingestion or ingestion by others was excluded. Results: A total of 138 cases were reported, male 25.4% (n=35), female 74.6% (n=103). The reason for poisoning was intentional in 132 cases (95.7%) and misuse in six cases (4.3%). In female patients, non-prescription drugs was the most common cause of intentional poisoning (68.9%). Male patients tend to use life substances for intentional poisoning more frequently (20.0%) than female (3.9%). Seven male patients and 12 female patients had previous psychiatric history and 34.3% of male and 41.7% of female were consulted to the psychiatric department. Conclusion: Female adolescents are more likely to ingest drugs intentionally for suicide attempt than males of comparable ages. The drugs they ingested were, in many cases, obtained with ease from the drug store nearby and, remarkably, most of the drugs they obtained in that way were acetaminophen-containing. This suggests that some guidelines or control in the pharmacy that restrict children or adolescents from obtaining potentially or possibly life-threatening drugs might be necessary. In addition, education regarding drugs is thought to be necessary in school for teenagers as they tend to misuse them with incorrect acknowledgement.

• 보건교육건강증진학회지
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• 제31권2호
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• pp.41-53
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• 2014

Objectives: The purpose of this study was to evaluate the education contents on safe use of medications in healthcare textbooks for elementary, middle and high schools. Methods: We examined 6 textbooks for the $5^{th}$ grade, 4 textbooks for middle school, 3 textbooks for high school, and 5 education materials published by the Korea Food and Drug Administration, National Health Insurance Service, and Seoul City Government. To evaluate the contents in health textbooks, we developed the 30 evaluation items. Results: Middle school textbooks had the most educational contents followed by high school and elementary school textbooks. Public education materials for the teenagers included more educational contents than those for children. The education material published by National Health Insurance Service had the highest score and the rest of the books earned under 15. And there were no core contents in medication education. Conclusions: Medication education through health textbooks should be strengthened to raise the level of medication awareness, to use medications safely, to prevent the drug abuse and misuse, and to establish the responsible judgment of medication information in the mass media. The current contents were found to be insufficient to meet these goals of medication education.

• 디자인융복합연구
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• 제15권4호
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• pp.17-29
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• 2016

편의점에서 판매되고 있는 안전상비의약품은 약사법에 따라 의약품의 용기나 포장 또는 첨부문서 기재사항을 정함으로써 의약품의 투약과실을 예방하고 알기 쉽고 정확한 의약품 정보를 제공하고 있다. 하지만 제한된 포장면적으로 인해 정보의 가독성이 떨어져 소비자들이 구매하기에는 어려움이 따른다. 본 연구에서 알약 형태인 8개 품목을 중심으로 규정에 따른 포장 분석을 실시하고 외국인 10명과 내국인 20명의 소비자들을 대상으로 설문 및 심층 인터뷰를 통하여 사용자 의식 조사를 진행하였다. 그 결과, 가장 많이 구매하는 품목은 해열제라는 것과 구매 전 의약품 포장에서 찾는 정보는 효능·효과, 용량·용법, 사용상의 주의사항의 순이라는 것을 알 수 있었다. 포장정보에 대한 이해도는 내국인의 경우 이해에 큰 문제가 없었던 반면, 포장의 모든 표기가 한글로만 되어있어 외국인의 40%이상에서 이해하지 못한다고 응답하였다. 디자인 개선안으로 픽토그램과 영어표기를 적용해 효능·효과와 용량·용법, 연령 총 세 가지로 각 포장의 윗면 오른쪽에 위치하여 한 눈에 어떤 약인지 구별할 수 있게 하자는 제안하고자 한다. 이를 통해 소비자들이 구매함에 있어 이해도와 편의성을 높일 수 있길 기대한다.

• 지역사회간호학회지
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• 제16권2호
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• pp.205-220
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• 2005

Purpose: The purpose of this study was to provide basic data to develop safety education programs in elementary school. Method: Analysis is made based on textbooks for $1st-{\sim}6th-grade$ elementary school students published by Korea Ministry of Education & Human Resources Development. Results: 1) Among the textbooks. only , . , and courses dealt with safety education. 2) The contents of safety education included traffic safety, water safety, indoor and outdoor safety, fire, emergency measures, misuse and abuse of drug, smoking, toy safety, sports safety, leasure safety and disasters. However, the contents were theoretical, fragmentary, local and limited. Conclusion: These results suggest that the consents of safety education must be strengthened, and more practical and more behavior-oriented in consideration of activities.

• 약학회지
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• 제53권4호
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• pp.173-178
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• 2009

This study aimed to analyze the master's and doctoral theses in social pharmacy field over the past 10 years in Korea. Theses were searched based on the Korean National Assembly Digital Library System, and descriptive analyses were conducted using SAS. Among 669 theses, pharmacy/pharmacist accounted for 24.8%, followed by drug misuse with 16.9%, and pharmaceuticals industry related theses with 16.6%. Graduate school of pharmacy was responsible for a share of 27.2%, suggesting that approximately a quarter of the entire social pharmacy related theses are studies at the school of pharmacy.

• 한국간호교육학회지
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• 제10권1호
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• pp.64-74
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• 2004

This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.

• 공업화학
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• 제22권2호
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• pp.119-124
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• 2011

현재, 사람들은 많은 병에 노출되어 있다. 산업화의 빠른 변화는 생산시설의 자동화, 정보 통신 산업기술의 발달로 삶의 질이 향상되었으나, 신체활동의 감소와 환경오염으로 인해 환경적 스트레스와 병원균 감염 반응에 대한 인간의 면역체계가 악화되었다. 아울러 현재 약물의 오 남용으로 다재약물내성을 갖는 미생물들(multidrug-resistant microbes)과 암세포(tumor)의 출현으로 인해 새로운 항생제 개발이 시급하다. 그들 중 하나가 항생 펩타이드(antibiotic peptide)로 기존 약물과 비교하면 약물저항성이 거의 일어나지 않는다. 여러 가지 항생활성을 가지는 펩타이드들은 다양한 생명체로부터 동정되고 있다. 이 논문은 항생 펩타이드들의 활성과 적용분야에 대해 논하려 한다.

• 한국어병학회지
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• 제32권1호
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• pp.37-43
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• 2019

전 세계적으로 양식 산업의 급속한 성장으로 인해 수산생물의 생산량 증가와 함께 질병발생이 증가함에 따라 수산용의약품의 사용량이 매년 증가하고 있다. 수산용의약품은 수산생물질병의 예방 및 치료에 필수적인 반면, 의약품의 오 남용으로 인해 항생제 내성균 증가 및 수산식품의 위생학적 안전성에 심각한 문제를 야기할 수 있다. 따라서 본 연구에서는 국내에 위치한 모든 수산질병관리원을 조사하고, 여기서 판매되는 수산용의약품을 지역별로 2012년과 2015년에 비교 조사하였다. 더불어 수산용의약품의 판매경로를 조사함으로서 수산식품안전성 강화를 위한 기초자료로서 활용이 가능하다. 나아가 향후 연구에서는 수산양식장에서 직접 사용하는 의약품의 양을 집계하여 본 연구 결과와 비교분석 후 효과적인 수산용의약품 관리체계를 마련해야할 것이다.

• 대한임상독성학회지
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• 제5권1호
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• pp.53-56
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• 2007

Nicotine poisoning arising from the use of nicotine patches is rare. However, because nicotine patches are classified as an OTC drug, the risk of misuse or abuse is increasing. Nicotine poisoning using nicotine patches shows an unusual clinical presentation compared to that from oral ingestion of multiple doses of nicotine. We present a case of misused nicotine patches that cause a nicotine poisoning. A thirty-nine year-old healthy man visited the ER with complaints of an intermittent cramping abdominal pain with nausea and vomiting. Upon physical examination, there were no specific findings except increased bowel sounds, and the patient's initial laboratory findings were also unremarkable except for an increased bilirubin level. CT revealed a mild degree of fatty liver. The patient's symptoms did not improve any further with conservative management. During his ED stay, we meticulously took his history again, and we discovered that he had used nicotine patches for three days, six days before admission, and had misused the nicotine patches as NSAID patches. The patient's diagnosis of nicotine poisoning was confirmed by a urine cotinine level ten times the normal value. After a 12-hour stay in the ED, his symptoms disappeared without any specific management.