• 제목/요약/키워드: Drug monitoring

검색결과 611건 처리시간 0.03초

위생지표세균 검출을 위한 APHA-MPN과 mTEC법의 비교 -미국 Rhode Island주 Greenwich Bay의 위생조사를 통하여- (Comparison of APHA-MPN and mTEC Methods for Detecting Indicator Bacteria through a Sanitary Survey of Greenwich Bay, Rhode Island, U. S. A.)

  • 황규철
    • 한국수산과학회지
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    • 제26권3호
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    • pp.205-213
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    • 1993
  • APHA-MPA(American Public Health Association-Most Probable Numbers)은 환경수중에 존재하는 위생지표세균 추정에 사용되는 미국 FDA의 유일한 공인방법이기는 하나 결과를 얻기까지 많은 시간, 인력 및 경비가 소요될 뿐 아니라 일반적으로 정밀도도 낮다는 결점이 있다. 이러한 문제를 극복하기 위하여 개발된 막여과 방법중 mTEC(membrane thermotolerant E. coli)은 분변계대장균 및 E. coli의 회수율이 좋을 뿐 아니라 경비도 절약할 수 있는 방법으로서 알려져 있어, 미국 Rhode Island주의 Greenwich Bay의 위생조사를 통하여 MPN과 비교하여 보았다. 그 결과 mTEC의 분변계 대장균 및 E. coli 회수율은 MPN보다 평균치로써 각각 1.08 및 1.27배 높게 나타나, MPN의 대체 방법으로서의 가능성이 확인되었으며, 따라서 이 방법이 앞으로 위생지표세균의 검출방법으로서 공인된다면 우리나라 수출용 패류생산 지정해역의 관리는 물론 패류양식장의 위생학적인 분류도 효율적으로 할 수 있으리라 기대된다.

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Determination of methamphetamine and amphetamine enantiomers in human urine by chiral stationary phase liquid chromatography-tandem mass spectrometry

  • Sim, Yeong Eun;Ko, Beom Jun;Kim, Jin Young
    • 분석과학
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    • 제32권5호
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    • pp.163-172
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    • 2019
  • Methamphetamine (MA) is currently the most abused illicit drug in Korea and its major metabolite is amphetamine (AP). As MA exist as two enantiomers with the different pharmacological properties, it is necessary to determine their respective amounts in a sample. Thus a chiral stationary phase liquid chromatography-tandem mass spectrometric (LC-MS/MS) method was developed for identification and quantification of d-MA, l-MA, d-AP, and l-AP in human urine. Urine sample ($200{\mu}L$) was diluted with pure water and purified using solid-phase extraction (SPE) cartridge. A $5-{\mu}L$ aliquot of SPE treated sample solution was injected into LC-MS/MS system. Chiral separation was carried out on the Astec Chirobiotic V2 column with an isocratic elution for each enantiomer. Identification and quantification of enantiomeric MA and AP was performed using multiple reaction monitoring (MRM) detection mode. Linear regression with a $1/x^2$ as the weighting factor was applied to generate a calibration curve. The linear ranges were 25-1000 ng/mL for all compounds. The intra- and inter-day precisions were within 3.6 %, while the intra- and inter-day accuracies ranged from -5.4 % to 11.8 %. The limits of detection were 2.5 ng/mL (d-MA), 3.5 ng/mL (l-MA), 7.5 ng/mL (d-AP), and 7.5 ng/mL (l-AP). Method validation parameters such as selectivity, matrix effect, and stability were evaluated and met acceptance criteria. The applicability of the method was tested by the analysis of genuine forensic urine samples from drug abusers. d-MA is the most common compound found in urine and mainly used by abusers.

Adverse drug reaction monitoring during antimicrobial therapy for septicemia patients at a university hospital in New Delhi

  • Alam, Muhammad Shamshir;Pillai, Krishna Kolappa;Abdi, Syed Aliul Hasan;Kapur, Prem;Pillai, Paru Kutty;Nagarajan, Kandasamy
    • The Korean journal of internal medicine
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    • 제33권6호
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    • pp.1203-1209
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    • 2018
  • Background/Aims: Adverse drug reaction (ADR) is an appreciably harmful or unpleasant reaction, resulting from an intervention related to the use of a medicinal product. The present study was conducted in order to monitor the frequency and severity of ADR during antimicrobial therapy of septicemia. Methods: A prospective, observational, and noncomparative study was conducted over a period of 6 months on patients of septicemia admitted at a university hospital. Naranjo algorithm scale was used for causality assessment. Severity assessment was done by Hartwig severity scale. Results: ADRs in selected hospitalized patients of septicemia was found to be in 26.5% of the study population. During the study period, 12 ADRs were confirmed occurring in 9, out of 34 admitted patients. Pediatric patients experienced maximum ADRs, 44.4%. Females experienced a significantly higher incidence of ADRs, 66.7%. According to Naranjo's probability scale, 8.3% of ADRs were found to be definite, 58.3% as probable, and 33.3% as possible. A higher proportion of these ADRs, 66.7% were preventable in nature. Severity assessment showed that more than half of ADRs were moderate. Teicoplanin was found to be the commonest antimicrobial agent associated with ADRs, followed by gemifloxacin and ofloxacin. Conclusions: The incidence and severity of ADRs observed in the present study was substantially high indicating the need of extra vigilant during the antimicrobial therapy of septicemia.

A Primer on Magnetic Resonance-Guided Laser Interstitial Thermal Therapy for Medically Refractory Epilepsy

  • Lee, Eun Jung;Kalia, Suneil K.;Hong, Seok Ho
    • Journal of Korean Neurosurgical Society
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    • 제62권3호
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    • pp.353-360
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    • 2019
  • Epilepsy surgery that eliminates the epileptogenic focus or disconnects the epileptic network has the potential to significantly improve seizure control in patients with medically intractable epilepsy. Magnetic resonance-guided laser interstitial thermal therapy (MRgLITT) has been an established option for epilepsy surgery since the US Food and Drug Administration cleared the use of MRgLITT in neurosurgery in 2007. MRgLITT is an ablative stereotactic procedure utilizing heat that is converted from laser energy, and the temperature of the tissue is monitored in real-time by MR thermography. Real-time quantitative thermal monitoring enables titration of laser energy for cellular injury, and it also estimates the extent of tissue damage. MRgLITT is applicable for lesion ablation in cases that the epileptogenic foci are localized and/or deep-seated such as in the mesial temporal lobe epilepsy and hypothalamic hamartoma. Seizure-free outcomes after MRgLITT are comparable to those of open surgery in well-selected patients such as those with mesial temporal sclerosis. Particularly in patients with hypothalamic hamartoma. In addition, MRgLITT can also be applied to ablate multiple discrete lesions of focal cortical dysplasia and tuberous sclerosis complex without the need for multiple craniotomies, as well as disconnection surgery such as corpus callosotomy. Careful planning of the target, the optimal trajectory of the laser probe, and the appropriate parameters for energy delivery are paramount to improve the seizure outcome and to reduce the complication caused by the thermal damage to the surrounding critical structures.

분자영상의 적용분야 및 전망 (Application and Prospects of Molecular Imaging)

  • 최규락;이상복
    • 한국방사선학회논문지
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    • 제8권3호
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    • pp.123-136
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    • 2014
  • 본 논문에서는 분자영상을 분류하고 적용 분야와 미래를 예측해 보고자 하였다. 분자영상은 생체 내에서 분자수준과 세포수준에서 일어나는 변화를 영상화하는 것으로써 분자세포생물학과 첨단영상기술이 발전하여 접목된 새로운 분야이다. 분자영상은 형광, 생물발광, SPECT, PET, MRI, Ultrasound 등의 영상 기법들을 이용하여 유전자 치료 모니터링, 세포추적, 세포 치료 모니터링, 항체영상, 약제 개발, 분자 상호작용 영상, 근적외선 형광 물질을 이용한 암 형광 영상, Bacteria 를 이용한 종양 표적 영상, 치료효과 조기 평가, 치료 효과 예측 등에 적용되고 있다. 분자 영상의 미래는 분자세포 생물학, 유전학, 화학, 약학, 물리학, 전산학, 의공학, 핵의학, 영상의학, 임상의학 등 여러 학문 분야가 융합되어 상호협조와 공동연구를 통하여 발전해 나갈 것이다. 분자영상의 태동으로 미래의 의료의 모습은 질병의 조기진단과 개인 맞춤형 치료가 가능하게 될 것이다.

유통한약 품질규격 모니터링 연구 (Quality monitoring of Oriental medicines)

  • 김호경;천진미;이아영;이혜원;최지현;장설;고병섭
    • 한국한의학연구원논문집
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    • 제11권2호
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    • pp.155-165
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    • 2005
  • This study was investigated to determine the quality control of Oriental medicine from stores dealing in Oriental medicine around Seoul and Daegu. We tested total 120 samples that widely used 15 species in herbal medicine (Lycii Fructus, Platycodi Radix, Angelicae Gigantis Radix and 12 others) being collected from Oriental medicine clinic, pharmacy, Oriental pharmacy, Oriental medical hospital and Oriental drug store. We have estimated Oriental medicine by K.P. (Korean Pharmacopoeia), K.H.P(Korean Herbal Pharmacopoeia) and announcement of KFDA. The items of examination were identification, purity, loss on drying, ash, acid insoluble ash, extract content, essential oil content, assay, heavy metal limit, and pesticides residue(BHC, DDT, Aldrin, Endrin, Dieldrin). As a result, 20 samples in total 120 samples were not satisfied with the standard and 7 species in total 15 species were not satisfied with the standard. Identification test, extract content test and pesticides residue(BHC, DDT, Aldrin, Endrin, Dieldrin) were satisfied with the standard. The result will be the basic data for the quality control of Oriental medicine.

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위치기반서비스를 활용한 효율적인 수액 모니터링 단말기 디자인에 관한 연구 (Studies on Effective Fluid Monitoring Terminal design with the Use of location-based service)

  • 이효승;오재철
    • 한국전자통신학회논문지
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    • 제11권4호
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    • pp.421-426
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    • 2016
  • 수액은 일반적으로 환자에게 특정 주사를 일정 시간동안 주입하기위해 사용되어진다. 환자나 보호자는 수액의 투입종료 시점을 예상하여 의료진을 호출하여야 하는 경우가 많고, 취침시간 등 특정 시간에 수액투여가 종료될 경우 환자나 보호자에게 더 많은 피로를 줄 수 있다. 또한 의료진은 수액의 투입종료시점을 확인하기 위하여 몇 번이고 현장에 찾아가 수액의 양을 모니터링 해야 하는 수고로움으로 업무의 비효율성을 가져올 수 있을 것이다. 본 논문에서는 이러한 문제를 해결하기 위해서 수액의 수위를 감시하는 최소한의 장비와 능동형 RFID를 결합한 형태의 위치기반 서비스 시스템을 제안하고, 환자별 수액의 양과 환자의 위치를 실시간 파악하여 환자나 보호자 또는 의료인(간호사)에게 정확한 정보를 제공하여 수액 투여가 마무리될 시점에 의료진이 환자의 위치로 찾아가는 서비스로 의료서비스의 질을 향상시킬 수 있을 것으로 기대한다.

HPLC를 이용한 어류 중의 Spiramycin 분석 (Analysis of Spiramycin in Fish Using High Performance Liquid Chromatography)

  • 이태식;이희정;조미라;변한석;손광태;박미정;이영호
    • 한국수산과학회지
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    • 제39권2호
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    • pp.78-84
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    • 2006
  • A high performance liquid chromatography assay method for spiramycin in fish muscle was developed. The developed method was evaluated and validated by monitoring spiramycin in olive flounder (Paralichthys olivaceus), black rock fish (Sebastes schlegeli) and in live conger eel (Anguilla japonica) in fish farms and distribution centers. Using the developed method, the recovery rate was up to 82.4-88.8%, which was higher than that of conventional methods (77.6-87.1%). In particular, the proposed sample treatment protocol was suitable for use with fish samples to remove low molecular weight materials and pigments that could interfere an accurate analysis. The prepared stock solution was very stable, and it remained chemically stable for 5 weeks at $4^{\circ}C$. The performance limit of the developed method for spiramycin acid in fish muscle was 0.05 ppm. One hundred thirty-four fish samples including olive flounder, black rock fish and live conger eel were analyzed to evaluate the overall efficiency of the modified method and to monitor the actual condition of spiramycin usage in fish farms. Olive flounder and black rock fish were collected from fish farms in coastal areas of Korea, and live conger eels were purchased from a fish market in the Busan area from September 2001 to March 2002. According to the overall performance of the developed method, it was considered suitable for the monitoring of spiramycin in fish muscle. The suggested method of analysis for spiramycin in fish muscle is registered in the Korean Official Methods of Food Analysis and is currently tieing utilized for fishery products inspection by the Korea Food and Drug Administration and the National Fisheries Products Quality Inspection Service.

HPLC를 이용한 어류 중의 Oxolinic Acid 분석 (Analysis of Oxolinic Acid in Fish Products Using HPLC)

  • 이희정;이태식;손광태;김풍호;조미라;박미정;이영호
    • 한국수산과학회지
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    • 제38권6호
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    • pp.379-384
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    • 2005
  • A high-performance liquid chromatography assay method for oxolinic acid in fish products was developed, evaluated and validated through the monitoring of oxolinic acid based on farming and distribution. The recovery rate of the developed method was $102.3-106.7\%$ as compared to conventional methods. The stock solution was stable for 3 weeks under refrigerated condition at $4^{\circ}C$ The performance limit was evaluated as 0.01ppm of oxolinic acid in fish muscle. 478 fish samples such as olive flounder, genuine porgy, common sea bass and black rock fish collected from fish farms in the coastal area from September 2001 to October 2004 were analyzed to evaluate overall efficiency of the modified method and to monitor the actual condition of oxolinic acid usage in fish farm. According to the monitoring results, the modified method was suitable for analysis of oxolinic acid in fish muscle and oxolinic acid might be used in a small portion of fish farms. The suggested analysis method of oxolinic acid was registered in the Korean Official Methods of Food Analysis and is being utilized for fishery products by the Korea Food and Drug Adminstration and the National Fisheries Products Quality Inspection Service.

Clozapine-related Sudden Pericarditis in a Patient Taking Long Acting Aripiprazole and Valproate: A Case Report

  • De Berardis, Domenico;Fornaro, Michele;Orsolini, Laura;Olivieri, Luigi;Nappi, Francesco;Rapini, Gabriella;Vellante, Federica;Napoletano, Cosimo;Serroni, Nicola;Di Giannantonio, Massimo
    • Clinical Psychopharmacology and Neuroscience
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    • 제16권4호
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    • pp.505-507
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    • 2018
  • Clozapine may be associated with cardiovascular adverse effects including QTc prolongation and, more rarely, with myocarditis and pericarditis. Although rare, these latter cardiovascular adverse effects may be life-threatening and must be immediately recognized and treated. Several cases of clozapine related-pericarditis have been described and often it has a subtle and insidious onset with symptoms that may be often misdiagnosed with psychiatric manifestations (e.g. anxiety, panic or somatization) leading to a delayed correct diagnosis with potential fatal consequences. In the present report we describe the case of a 27-year-old girl with schizoaffective disorder taking long acting aripiprazole and valproate who developed a sudden onset clozapine-related pericarditis during titration phase that resolved with immediate clozapine discontinuation and indomethacin administration. We underline the importance of an early diagnosis of clozapine-related pericarditis and the need to have monitoring protocols to prevent this potentially fatal adverse effect especially when polypharmacy is administered to patients taking clozapine.