• Title/Summary/Keyword: Negative Side-Effects

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Prognostic Value of Osteopontin in Patients Treated with Primary Radiotherapy for Head and Neck Cancer

  • Etiz, Durmus;Ataizi, Fulya Colak;Bayman, Evrim;Akcay, Melek;Acikalin, Mustafa Fuat;Colak, Ertugrul;Ciftci, Evrim
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5175-5178
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    • 2013
  • Background: The prognostic value of tumor osteopontin (OPN) in patients with squamous-cell head and neck cancer (SCHNC) was investigated. Materials and Methods: OPN expression was assessed by immunohistochemical methods in 50 patients, who were treated with primary radiotherapy (RT) for locally advanced SCHNC. The effects of OPN on clinical parameters, local-regional control after RT and metastasis-free survival, was assessed. Results: The rate of OPN expression in tumor tissue was 76%. OPN positive cases had lower Hb levels (p=0.088). Mean time to local recurrence was 53.8 months (SE 3.9) in OPN-negative cases and 39.1 months (SE 4.7) in OPN-positive cases (p=0.047). OPN increased the risk of local recurrence 5.9 times (p=0.085). It had no effect on metastasis-free (p=0.116) or overall survival (p=0.123). OPN was positive in 12 of 19 cases that developed grade 3-4 acute radiation dermatitis (p=0.096). Conclusions: OPN expression is associated with an increase in local recurrence in patients who were treated with primary RT for locally advanced SCHNC.

A Study on the Contact Allergic Skin Sensitization of 0.3% DA-5018 Cream, a Non-narcotic Analgesic Agent, with Guinea Pig Maximization Test (Guinea Pig Maximization Test를 이용한 0.3% DA-5018 cream의 접촉성 앨러지에 대한 연구)

  • 강경구;김동환;백남기;김원배;양중익
    • Biomolecules & Therapeutics
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    • v.4 no.4
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    • pp.391-397
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    • 1996
  • The aim of this study was to assess the allergenic potential of 0.3% DA-5018 cream, a non-narcotic analgesic agent, using a guinea pig maximization test. Five male and female guinea pigs in the experimental group were sensitized in two steps. First, ,0.3% DA-5018 cream was injected intradermally, and 7 days later, the material was applied topically. After another 2 weeks test material was applied, the skin response was evaluated by visual observation. Five male and female guinea pigs served as cream base group, negative(ultreated) group or positive (2,4-dinitrochlorobenzene, DNCB) group, respectively. 0.3% DA-5018 cream provoked slight erythema in 1 out of 5 cases in male and female guinea pigs sensitized with 0.3% DA-5018 cream or cream base. The animals challenged with cream base also showed slight erythema in 1/5 female guinea pig sensitized with 0.3% 3A-5018 cream or 2/5 male guinea pjgs sensitized with cream base, respectively. Histologically, however, no indication of skin sensitization was observed in all of these cases. The positive control group was sensitized with 0.1% DNCB suspended in olive oil and challenged with 0.01% and 0.1% DNCB ointment, all the animal showed remarkable skin reactions and obvious skin sensitization reactions in a dose dependent manner. From the challenge test it was evident that 0.3% DA-5018 cream did not elicit positive skin reaction interpreted as delayed hypersensitivity reactions, compared with cream base or untreated control group. These findings indicate that allergenic side effects by 0.3% DA-5018 cream is not likely in the clinical use.

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Radionuclide Penogram in Diagnosis of Vasculogenic Impotence (혈관성 발기부전의 진단을 위한 방사성핵종 음경촬영술)

  • Lee, Jae-Tae;Kim, Kwang-Won;Ha, Sung-Woo;Lee, Kyu-Bo;Whang, Kee-Suk;Yoon, Yeo-Deuk;Park, Yoo-Kyu
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.2
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    • pp.209-214
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    • 1989
  • Yasculogenic impotence is produced by abnormalities of vascular blood supply or drainage, and is the most common cause of various organic impotences. An increasing awareness of vascular causes of impotence has resulted from development of various diagnostic tests, but precise measurement of penile blood flow is difficult. Radionuclide penogram has been introduced recently to diagnose vasculogenic impotence. Forty-one impotent patients and 12 normal men were studied with radionuclide erection penogram using Tc-99m pertechnetate and an intracavernous injection of papaverine. We defined arteriogenic impotence as arterial index less than 0.66, and venogenic impotence as venous index greater than 0.09. By this criteria, the false positive ratio in normal men was 17%, and the false negative ratio in radically cystectomized patients was 0%. Side effects were small purpura of the penile shaft and dull pain during injection of papaverine. The radionuclide erection penogram was noninvasive and gave a dynamic evaluation of the arterial supply, venous drainage, and blood flow in the corporeal bodies. This method should be considered as a valuable adjunct to evaluate patients with vasculogenic impotence.

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Study on tPA-mediated MMP Regulation in Rat Neuronal Cells. (뇌신경세포에서 tPA에 의한 MMP의 발현 조절에 관한 연구)

  • Ko, Woon-Chul;Lee, Sun-Ryung
    • Journal of Life Science
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    • v.19 no.6
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    • pp.836-838
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    • 2009
  • Tissue plasminogen activator (tPA) is very useful for dissolving the clots of blood, however, the use of tPA is limited to only 3-5% of ischemic stroke patients because of the narrow therapeutic time windows and negative side effects. Previous evidences suggest that limitation of tPA in thrombolytic therapy may be related to the upregulation of MMPs. However, little is known about the regulatory mechanism. In this study, we examined the role of tPA on MMP upregulation in rat neuronal cells. tPA (5 ${\mu}g$/ml) increased MMP-9 levels of neuronal cells in a time dependent manner. Hypoxia/reoxygenation amplified tPA-induced MMP-9 levels significantly. Pretreatment with JNK inhibitor SP600125 reduced the MMP-9 response. These results suggest that tPA can upregulate MMPs in neuronal cells and that JNK kinase may be involved.

Clinical Evaluation of $Doxycycline(Vibramycin^{\circledR})$ in Respiratory Tract Infection ($Doxycycline(Vibramycin^{\circledR})$의 호흡기감염증(呼吸器感染症)에 대(對)한 임상적(臨床的) 효과(效果))

  • Lim, J.K.;Kim, M.S.;Shin, S.G.;Yoon, H.I.;Hong, S.A.
    • The Korean Journal of Pharmacology
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    • v.11 no.2
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    • pp.47-53
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    • 1975
  • Pan-Korean multi-center trial of doxycycline in the treatment of upper and lower respiratory infection was carried out in the summer(from May to October) of 1975. A total of 204 patients between the ages of 3 and 75 was treated by 37 physicians including the internal medicine, pediatrics and ENT specialist in 17 general hospitals and 2 private clinics all-over the country. The dosage recommended was 200 mg on the first day of therapy followed by 100 mg daily thereafter. The pediatric dosage was 4 mg/kg on the first day and then 2mg/kg on each successive day. The subjective and objective signs of respiratory infection such as temperature, cough, sputum, pain and associated inflammatory symptoms were assessed using the carefully designed protocols and it showed rapid improvement by the fifth day (80%) of therapy. Only minor side-effects were reported and these were mild and mainly limited to gastrointestinal tract. The overall evaluation of the trial showed that 170 patients(83.3%) had a very good or good result, 13 patients (6.4%) a moderate and another 13 patients (6.4%) a negative result.

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False-Positive Mycobacterium tuberculosis Detection: Ways to Prevent Cross-Contamination

  • Asgharzadeh, Mohammad;Ozma, Mahdi Asghari;Rashedi, Jalil;Poor, Behroz Mahdavi;Agharzadeh, Vahid;Vegari, Ali;Shokouhi, Behrooz;Ganbarov, Khudaverdi;Ghalehlou, Nima Najafi;Leylabadlo, Hamed Ebrahmzadeh;Kafil, Hossein Samadi
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.3
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    • pp.211-217
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    • 2020
  • The gold standard method for diagnosis of tuberculosis is the isolation of Mycobacterium tuberculosis through culture, but there is a probability of cross-contamination in simultaneous cultures of samples causing false-positives. This can result in delayed treatment of the underlying disease and drug side effects. In this paper, we reviewed studies on false-positive cultures of M. tuberculosis. Rate of occurrence, effective factors, and extent of false-positives were analyzed. Ways to identify and reduce the false-positives and management of them are critical for all laboratories. In most cases, false-positive is occurring in cases with only one positive culture but negative direct smear. The three most crucial factors in this regard are inappropriate technician function, contamination of reagents, and aerosol production. Thus, to reduce false-positives, good laboratory practice, as well as use of whole-genome sequencing or genotyping of all positive culture samples with a robust, extra pure method and rapid response, are essential for minimizing the rate of false-positives. Indeed, molecular approaches and epidemiological surveillance can provide a valuable tool besides culture to identify possible false positives.

Factors that Affect Self-esteem among Vietnam War Veterans (베트남전 참전용사의 자아존중감에 영향을 미치는 요인)

  • 이인수
    • Journal of Families and Better Life
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    • v.22 no.1
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    • pp.11-25
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    • 2004
  • This study was conducted to explore the impacts of involvement in the Vietnam War on the self-esteem of the veterans in their later lives. In this study, 14 Korean male Vietnam War veterans from 55 to 63 years old were asked about the impacts of their war experiences on their self-esteem. From the analysis of the in-depth interviews the following conclusions were drawn: First, the veterans perceived that their self-esteem improved with both internal and external impacts of their activities in Vietnam. The internal aspects that improved the veterans' self-esteem were recalling their positive memories of Vietnam War, such as being on duty at a war front for the sake of our country, doing volunteer work for the villagers, and becoming a masculine heroic figure in the family legend. The external aspects were positive attitudes and responses toward their war activities from their family, friends, and neighbors. Second, they also felt persistently frustrated with their recurring memories of involvement in killing human beings, experiences of negative family and social responses, and the side effects of herbicidal cyanide they suffer. In this article, the following suggestions were made. First, standardized images and good-will episodes of the Vietnam War need to be provided by the government, in order to improve public images on the veterans. Second, intensive adjustment programs for the families of older veterans in special needs should be developed in collaboration with various veterans' societies and family counseling institutions, so that the spouses and children can be relieved from tension-laden contacts with the veterans and prevent violent incidents.

Analysis of Geomorphological Changes using RS and GIS techniques in Shinduri coastal dunefield (원격탐사와 GIS 기법을 이용한 신두리 해안사구지대의 지형변화 분석)

  • Seo, Jong-Cheol
    • Journal of the Korean association of regional geographers
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    • v.8 no.1
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    • pp.98-109
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    • 2002
  • The long term land-cover changes and the pattern of morphological changes in foredune ridges and unvegetated dunes were investigated for about 30 years through analysing aerial photographs in Shinduri coastal dunefield, Korea. As a result, forested dune area increased while unvegetated dune area decreased continuously since 1967. Foredune ridges retreated landward about 80m away from the former coast-line in the middle part while they advanced seaward after construction of dike in the northern part during last 3 decades. Unvegetated dunes in the middle part of the dunefield were eroded at seaward side and moved landward away. These facts mean not only coastal dune area has been affected by man-made effects such as afforestation and coastal developments but also shinduri coastal dune area has been stabilized by plants and has been negative sediment budget.

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Intake Pattern and Needs Assessment for the Development of Web-Contents on Health Functional Foods according to Age of Adults (성인의 연령에 따른 건강기능식품 섭취실태와 정보 요구도 분석)

  • Ohn, Jeong;Kim, Jung-Hee
    • Korean Journal of Community Nutrition
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    • v.17 no.1
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    • pp.26-37
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    • 2012
  • This study was done to analyze the consumption patterns of health functional food (HFF) as well as to perform needs assessment for the development of web-contents on HFF according to age of adults. The subjects were 238 male and female adults, divided into 4 groups by their age. This study collected all information by self-administrated questionnaires. The awareness on HFF was high in the older adults. The younger adults showed more negative responses to reliability and safety on HFF. The main reason for the consumption of HFF was to supplement nutrients and to prevent diseases. The main types of HFF consumed by adults were nutritional supplementary food, red ginseng products, and glucosamine products. There was higher consumption of nutritional supplementary food in the younger adults and glucosamine products in the older adults. Internet users had low level of satisfaction, with tendency to complain poor contents, reliability, difficulties in searching as problems of the pre-existing HFF websites. As useful methods for provision of information on HFF, most adults wanted general information, articles written by experts and videos. They also wanted to know the safety and side effects of HFF. Requirement of contents composition were various in-depth information, clear indication of citation, fresh updated data while that of display composition was easily-findable, uncomplicated, allowing mutual exchange of communication through bulletin board. These results can be used as basic data that reflect the consumer's needs for developing HFF web-contents according to age of adults.

Clinical Study of Augmentin (Augmentin 의 임상효과)

  • Kim, Hyeong-Muk;Im, Chang-Yeong
    • Journal of Chest Surgery
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    • v.19 no.1
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    • pp.174-179
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    • 1986
  • Augmentin is a formulation of amoxycillin trihydrate and potassium clavulanate, a fused beta-lactam molecule produced by the fermentation of Streptomyces clavuligerus. Most clinically important resistance is due to the production by bacteria of antibiotic destroying enzymes. In the case of penicillins and cephalosporins these enzymes are termed beta-lactamase as they destroy the beta-lectern ring of these antibiotics, completely inactivating them. The presence of clavulanic acid extends the spectrum of amoxycillin to include bet On clinical study of the intravenous Augmentin in the field of thoracic and cardiovascular surgical cases, we selected randomly 30 patients, 21 male and 9 female, age from 13 to 72, in the period from April to December 1985. Among the total 30 patients, 22 were preoperatively infected [11 thoracic empyema, 5 lobar pneumonia, 2 lung abscess, 2 bronchiectasis, one acute pyelonephritis with ureter stone and one rheumatic carditis], and 8 were not infected preoperatively [Table 1, 2]. Of the preoperatively infected group, 11 cases [50%] were culture positive [4 staphylococcus, 3 pseudomonas, 2 Serratia group, and one E. coli], and preoperatively non-infected group [8 cases] revealed expectedly negative findings on bacterial culture. All of the culture positive bacteria were sensitive to Augmentin on disc culture sensitivity test except one case of E. coli. Daily doses of intravenous Augmentin were 2.-1-6.0gm divided in 2-5 injections. Every injection administered [1.2gm at Augmentin dissolved in 20ml distilled water] slowly for more than 20 minutes. Duration of injection was variable according to the clinical conditions from minimum 5 to maximum 31 days. The results of antibiotic treatment with Augmentin and some other antibiotic combinations pre- and postoperatively were subgrouped as EXCELLENT, EFFECTIVE, and FAILURE. Clinical criteria of the therapeutic result were symptomatic, objective and laboratory improvement. 8 cases were excellent, 13 effective, and one failure among the preoperatively infected group, and all 8 cases of the preoperatively non-infected group were effective as pro;hylactive antibiotic therapy. Overall effective ratio was 97% in both subgroup. There was no side effect clinically and laboratory study including liver and kidney function test during and after the I.V. administration of Augmentin. Oral swallow tablets which were administered after discharge from hospital also revealed good effects with some degree of gastrointestinal trouble.

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