• Title/Summary/Keyword: Internal Dose

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A Case of Colchicine-Induced Neutropenia in Liver Cirrhosis Patient (간경변 환자에서 콜히친 사용에 의한 호중구성 백혈구감소증 1예)

  • Lee, Ho-Chan;Lee, Heon-Ju;Kim, Yong-Gil;Park, Jae-Hyun;Kim, Sung-Joon;Park, Jun-Seok
    • Journal of Yeungnam Medical Science
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    • v.26 no.2
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    • pp.125-129
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    • 2009
  • Colchicine is an alkaloid that has been used for treating acute gouty arthritis, psoriasis, scleroderma and Behcet's syndrome. Colchicine decreased liver fibrosis in rats with carbon tetrachloride induced cirrhosis and in patients with many liver diseases. Therapeutic oral doses of colchicine may cause nausea, vomiting, abdominal pain and diarrhea. The adverse effect of colchicine associated with the dose is bone marrow suppression, and especially neutopenia. Neutropenia has often been reported in patients have taken an overdose of colchicine. We describe a 64-year-old female liver cirrhosis patient with neutropenia that was induced by a therapeutic dose of colchicine.

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Inhibition of mast cell-mediated immediate-type allergic reactions by Bojungikgitanggamibang (보중익기탕가미방(補中益氣湯加味方)에 의한 비만(肥滿) 세포(細胞) 매개성(媒介性) 즉각형(卽刻型) 알레르기 반응(反應)의 억제(抑制))

  • Choi, Jeong-On;Kim, Jin-Man;Lee, Seung-Eon;Shin, Jo-Young;Lee, Si-Hyeong
    • The Journal of Internal Korean Medicine
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    • v.25 no.2
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    • pp.159-166
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    • 2004
  • Objective : Mast cells are a potent source of mediators that regulate inflammatory response in allergies and asthma. The author studied the effect of Bojungikgitanggamibang(BITB) on mast cell-mediated anaphylactic reaction. Method : When BITB was given as pre-treatment at concentrations ranging from 0.01 to 1 mg/ml, the histamine release from rat peritoneal mast cells induced by compound 48/80 was reduced in a dose-dependent manner. Result : BITB dose-dependently inhibited compound 48/80-induced systemic anaphylactic shock. BITB also inhibited passive cutaneous anaphylaxis activated by anti-dinitrophenyl IgE. In addition, BITB inhibited phorbol 12-myristate 13-acetate and A23187-induced interleukin-6 secretion from human mast cell line HMC-1 cells. Conclusion : These results indicate that BITB may be actively anti-allergic.

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An effect of time gating threshold (TGT) on a delivered dose in internal organ with movement due to respiration (호흡에 의해 내부 움직임을 갖는 장기에 전달되는 선량에서 Time Gating Threshold(TGT)의 효과)

  • Kim, Yon-Lae;Chung, Jin-Bum;Suh, Tae-Suk
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.132-135
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    • 2004
  • In this study, we investigated the effect of threshold on a delivered dose in organ with internal motion by respiration. With mathematic model for 3D dose calculation reported by Lujan et al., we had calculated the position of organ as a function of time in previous study. This result presented that the variation of organ is within 2 mm from initial exhale position to the organ position during operating 1 s. Gating threshold, in this study, is determined to the moving region of target during 1s at a primary position of exhale. This period of gating threshold is 50% of the duty cycle in a half breathing cycle which is period from the top position of exhalation to the bottom position of inhalation. Radiation fields were then delivered under three conditions; 1) existent of moving target in the region of threshold(1sec, 1.5sec), 2) existent of moving target out of the region of threshold, 3) non-moving target. The non-moving target delivery represents a dose different induced due to internal organ motion.

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Rat Single Oral Dose Toxicity Test of Armeniacae Semen (Including Endocarp) (행인(杏仁)의 랫트 단회 경구 투여 독성시험)

  • Kim, Se-Ran;Lee, Jin-Won;Lim, So-Yeon;Jung, Yu-Sun;Choi, Hae-Yun;Kim, Jong-Dae
    • The Journal of Internal Korean Medicine
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    • v.33 no.2
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    • pp.145-159
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    • 2012
  • Objectives : The object of this study was to obtain acute toxicity information (single oral dose toxicity) of Armeniacae Semen (AS), a medicinal herb used for treating constipation and various respiratory diseases, in rats. Methods : In order to observe the $LD_{50}$ (50% lethal dose), approximate lethal dosage (ALD) and target organs, AS aqueous extracts were orally administered once to female and male Sprague Dawley rats at dose levels of 2,000, 1,000, 500 and 0 (control) mg/kg (body weight). The mortality, changes in the body weight, clinical signs and gross observation were monitored for 14 days after single oral treatment of AS extracts, and the organ weights and histopathological findings of principle organs were observed after sacrifice. Results : After single oral treatment of AS 2,000 and 1,000 mg/kg, all (5/5; 100%) female and male rats died within 30 minutes after treatment, while no mortalities were observed in the female and male rats treated with 500 mg/kg of AS extract. Therefore, $LD_{50}$ in female and male rats was calculated as 741.95 mg/kg. Seizure, loss of locomotion, salivation, increases of respiration and heart-beat were observed after AS extract treatment, which were observed in all rats including the lowest dosage group, 500 mg/kg in the present study. In addition, lung congestion was visible in all mortal rats with AS 2,000 and 1,000 mg/kg, respectively. Conclusions : The results obtained in this study suggest that AS extract ranges in Class III, because the $LD_{50}$ and ALD in both female and male rats were calculated as 741.95 mg/kg and 500~1,000 mg/kg, respectively. However, AS extract should be carefully treated at clinical applications, because salivation, increase of respiration and heart-beat were also observed in the lowest dosage group, 500 mg/kg in the present study.

Administrative dose control for occupationally-exposed workers in Korean nuclear power plants

  • Kong, Tae Young;Kim, Si Young;Jung, Yoonhee;Kim, Jeong Mi;Cho, Moonhyung
    • Nuclear Engineering and Technology
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    • v.53 no.1
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    • pp.351-356
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    • 2021
  • Korean nuclear power plants (NPPs) have various radiation protection programs to attain radiation exposure as low as reasonably achievable (ALARA). In terms of ALARA, this paper provides a comprehensive overview of administrative dose control for occupationally-exposed workers in Korean NPPs. In addition to dose limits, administrative dose constraints are implemented to resolve an inequity of radiation exposure in which some individuals in NPPs receive relatively higher doses than others. Occupational dose constraints in Korean NPPs are presented in this paper with the background of how those values were determined. For pressurized water reactors, 80% and 90% of the annual average limit for an effective dose, 20 mSv/y, are set as the primary and secondary dose constraints, respectively. Pressurized heavy water reactors (PHWRs) have also established the primary and secondary dose constraints corresponding to 70% and 80% of the effective dose limit, and additional constraints for tritium concentration are provided to control internal exposure in PHWRs. Follow-up measures for exceeding these administrative dose constraints are also introduced compared to exceeding the dose limits. Finally, analysis results of dose distributions show how the implementation of administrative dose constraints impacted the occupational dose distributions in Korean NPPs during the years 2009-2018.

The Effects of Hyulbuchukotang (HCE) on the Thrombosis Related Factors (혈부축어탕(血府逐瘀湯)이 혈전생성관여인자(血栓生成關與因子)에 미치는 영향(影響))

  • Park, Jong-Hyung;Han, Yang-Hi;Jun, Chan-Yong;Kim, Dong-U;Park, Se-Gi;Lee, Chung-Jung-Hye;Go, Seung-Hi;Go, Jae-Chul;Choi, You-Kyung;Kim, Young-Sun
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.819-827
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    • 2000
  • Purpose : To investigate the inhibitory effect of HCE on platelet aggragation and erythrocyte deformiability, we performed following experiments. Methods : Concentrated Hyulbuchukotang (HCE) was fed to rats for 10days. We compare normal group with $500{\beta}{\Sigma}/{\beta}{\Sigma}$-high dose group and $100{\beta}{\Sigma}/{\beta}{\Pi}$-low dose group. Results : HCE enhanced the blood filtration rate, erythrocyte deformiability, reduced the platelet aggreablilty and inhibited granule release from collagen stimulated platelet, the prostaglandin synthesis in platelat. Conclusion : HCE should inhibit thrombos formation due to platelet hyperaggraeability and reduction of erythrocyte defonmiability.

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The Effects of Boyanghwanotang on the Thrombosis Related Factors (보양환오탕(補陽還五湯)이 혈전생성관여인자(血栓生成關與因子)에 미치는 영향(影響))

  • Park, Jong-Hyung;Han, Yang-Hi;Jun, Chan-Yong;Kim, Dong-U;Park, Se-Gi;Lee, Chung-Jung-Hye;Go, Seung-Hi;Go, Jae-Chul;Choi, You-Kyung;Park, Sun-Young
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.829-837
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    • 2000
  • Purpose : To investigate the inhibitory effect of BHE on platelet aggregation and erythrocyte deformability, we performed following experiments. Methods : Concentrated Boyanghwanotang (BHE) was fed to rats for 10days. High dose group was treated with $500{\beta}{\partial}/kg$ and low dose group with $500{\beta}{\partial}/kg$. Results : BHE enhanced the blood filtration rate, reduced the platelet aggregability, inhibited granule release from collagen-stimulated platelet, the prostaglandin syn-thesis in platelet and enhanced erythrocyte deformability. Conclusion : BHE should inhibit thrombos formation due to platlete hyperaggregabili-ty and reduction of erythrocyte deformabi-lity.

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Radiotherapy Techniques for Breast Cancer (유암의 방사선치료방법에 대한 고찰)

  • KIM Chung Man;HONG Young Rak;PARK Hung Deuk;JUNG Ho Yong
    • The Journal of Korean Society for Radiation Therapy
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    • v.1 no.1
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    • pp.79-83
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    • 1985
  • Carcinoma of the breast has been treated by surgery followed by irradiation of the chest wall and regional lymphatics treatment planning of the breast cancer is required that lung must be spared as much as possible. However megavoltage irradiation of the internal mammary chain results in high dose to underlying heart, esophagus and spinal cord. Electron beam can be used for the irradiation of the internal mammary chain instead of megavoltage beam. We studied dose distribution of single anterior electron field, compared with traditional treatment methods. 12 and 15MeV electron beam with bolus has good dose distribution to spare underlying lung tissue and other organs.

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Dosimetric Analysis on the Effect of Target Motion in the Delivery of Conventional IMRT, RapidArc and Tomotherapy

  • Song, Ju-Young
    • Progress in Medical Physics
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    • v.28 no.4
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    • pp.164-170
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    • 2017
  • One of the methods to consider the effect of respiratory motion of a tumor target in radiotherapy is to establish a treatment plan with the internal target volume (ITV) created based on an accurate analysis of the target motion displacement. When this method is applied to intensity modulated radiotherapy (IMRT), it is expected to yield a different treatment dose distribution under the motion condition according to the IMRT method. In this study, we prepared ITV-based IMRT plans with conventional IMRT using fixed gantry angle beams, RapidArc using volumetric modulated arc therapy, and tomotherapy using helical therapy. Then, the variation in dose distribution caused by the target motion was analyzed by the dose measurement in the actual motion condition. A delivery quality assurance plan was prepared for the established IMRT plan and the dose distribution in the actual motion condition was measured and analyzed using a two-dimensional diode detector placed on a moving phantom capable of simulating breathing movements. The dose measurement was performed considering only a uniform target shape and motion in the superior-inferior (SI) direction. In this condition, it was confirmed that the error of the dose distribution due to the target motion is minimum in tomotherapy. This is thought to be due to the characteristic of tomotherapy that treats the target sequentially by dividing it into several slices. When the target shape is uniform and the main target motion direction is SI, it is considered that tomotherapy for the ITV-based IMRT method has a characteristic which can reduce the dose difference compared with the plan dose under the target motion condition.