• Title/Summary/Keyword: Negative Side-Effects

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Korean Treatment Guideline on Pharmacotherapy of Co-existing Symptoms and Antipsychotics-related Side Effects in Patients with Schizophrenia ('2019 한국형 조현병 약물치료 지침서'에 따른 조현병에서 동반증상 및 부작용의 치료)

  • Yun, Je-Yeon;Lee, Jung Suk;Kang, Shi Hyun;Nam, Beomwoo;Lee, Seung Jae;Lee, Seung-Hwan;Choi, Joonho;Kim, Chan-Hyung;Chung, Young-Chul
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.21-33
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    • 2019
  • Objectives: The current study covers a secondary revision of the guidelines for the pharmacotherapy of schizophrenia issued by the Korean Medication Algorithm for Schizophrenia (KMAP-SCZ) 2001, specifically for co-existing symptoms and antipsychotics-related side-effects in schizophrenia patients. Methods: An expert consensus regarding the strategies of pharmacotherapy for positive symptoms of schizophrenia, co-existing symptoms of schizophrenia, and side-effect of antipsychotics in patients with schizophrenia was retrieved by responses obtained using a 30-item questionnaire. Results: For the co-existing symptoms, agitation could be treated with oral or intramuscular injection of benzodiazepine or antipsychotics; depressive symptoms with atypical antipsychotics and adjunctive use of antidepressant; obsessive-compulsive symptoms with selective serotonin reuptake inhibitors and antipsychotics other than clozapine and olanzapine; negative symptoms with atypical antipsychotics or antidepressants; higher risk of suicide with clozapine; comorbid substance abuse with use of naltrexone or bupropion/varenicline, respectively. For the antipsychotics-related side effects, anticholinergics (extrapyramidal symptom), propranolol and benzodiazepine (akathisia), topiramate or metformin (weight gain), change of antipsychotics to aripiprazole (hyperprolactinemia and prolonged QTc) or clozapine (tardive dyskinesia) could be used. Conclusion: Updated pharmacotherapy strategies for co-existing symptoms and antipsychotics-related side effects in schizophrenia patients as presented in KMAP-SCZ 2019 could help effective clinical decision making of psychiatrists as a preferable option.

Effects of Omnichannel on Pleasure, Resistance, and Repurchase Intention

  • JUNG, Eun-A;KIM, Jung-Hee
    • Journal of Distribution Science
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    • v.20 no.3
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    • pp.95-106
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    • 2022
  • Purpose: This study aims to verify the effects of omnichannel characteristics on pleasure, resistance and repurchase intention in the omnichannel situation in order to provide the innovative commercial business. Research design, data and methodology: The study examined relations between research concepts centered on previous studies, set hypotheses, developed a research model, and verified the model through a questionnaire survey. A total of 297 questionnaires were used for the final analysis, excluding the questionnaires showing insincere or outliers. Results: First, Omnichannel showed multi-dimensional characteristics consisting of consistency, innovation, economy, and integration. Second, innovation and economic feasibility had a positive effect on pleasure. Third, only economic feasibility had a negative effect on user resistance. Fourth, consumers' shopping pleasure had a negative effect on user resistance. Fifth, repurchase intention of consumers was positively affected by innovation. Conclusions: This research contributed to extend academic framework of distribution research by examining causal relationship through adoption of economic and innovation factors as new characteristics from the integrated perspective beyond the research frame of the existing omnichannel distribution environment. Companies should provide meaningful experiences by resolving concerns about side effects caused by human-computer interaction and providing smart information that matches the products most suitable for consumer needs.

Novel Effect of Hyaluronan and Proteoglycan Link Protein 1 (HAPLN1) on Hair Follicle Cells Proliferation and Hair Growth

  • Hae Chan Ha;Dan Zhou;Zhicheng Fu;Moon Jung Back;Ji Min Jang;In Chul Shin;Dae Kyong Kim
    • Biomolecules & Therapeutics
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    • v.31 no.5
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    • pp.550-558
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    • 2023
  • Hair loss is a common condition that can have a negative impact on an individual's quality of life. The severe side effects and the low efficacy of current hair loss medications create unmet needs in the field of hair loss treatment. Hyaluronan and Proteoglycan Link Protein 1 (HAPLN1), one of the components of the extracellular matrix, has been shown to play a role in maintaining its integrity. HAPLN1 was examined for its ability to impact hair growth with less side effects than existing hair loss treatments. HAPLN1 was predominantly expressed in the anagen phase in three stages of the hair growth cycle in mice and promotes the proliferation of human hair matrix cells. Also, recombinant human HAPLN1 (rhHAPLN1) was shown to selectively increase the levels of transforming growth factor-β receptor II in human hair matrix cells. Furthermore, we observed concomitant activation of the ERK1/2 signaling pathway following treatment with rhHAPLN1. Our results indicate that rhHAPLN1 elicits its cell proliferation effect via the TGF-β2-induced ERK1/2 pathway. The prompt entering of the hair follicles into the anagen phase was observed in the rhHAPLN1-treated group, compared to the vehicle-treated group. Insights into the mechanism underlying such hair growth effects of HAPLN1 will provide a novel potential strategy for treating hair loss with much lower side effects than the current treatments.

Clinical Effects of Prothinoamide, Cycloserine, Para-Aminosalicylic Acid, Ofloxasine in Retreatment of Pulmonary Tuberculosis (폐결핵 재치료 환자에서 Prothionamide, Cycloserine, Paraminosalicylic acid, Ofloxasine을 이용한 경구 4제 요법의 임상 효과)

  • Hong, Jae-Rak;Yoo, Min-Kyu;Jeong, Jae-Man;Kim, Young-Jun;Son, Mal-Hyeon
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.5
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    • pp.693-700
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    • 1996
  • Background : Antituberculous therapy is set a short-term therpy used isoniazid(INH), rifampin(RFP), ethambutol(EMB), pyrazinamide(PZA) from 1970s' and treatment rate has been very improved. But drug interruption or irregular medication due to side effects and resistance of drug are serious problem to retreatment cases, specially. Ofloxasine(OFX), developed from Quinolone at 1980's is effective not only other respiratory infectious disease but also pulmonary tube rculosis. And this is useful drug instead of injection agents for retreatment patients who have side effects to other drugs, lived far distance from medical clinics. So, we will evaluate theffectiveness as four oral drugs involving OFX. Method : A retrospective study was made through the regular follow up of smear positive cases,who treated by four drug, namely, prothionamide (PTA) cycloserine(CS), OFX, paraminosalicylic acid(pAS). Results: 1) Out of 66case with positive sputum AFB smear, 42(64%)cases achieved the negative conversion. 2) Considering the negative conversion in all group, 34 case (52%) of sputum conversion occured within first 6 months, on the extent of diease was minimal, moderate, far advanced pulmonary tuberculosis, sputum AFB smear negative response to treatment was 100%, 78%, 46% respectively. 3) The roentgenological improvement occured in 38(58%), extent of diease was minimal, moderately, far advanced pulmonary tuberculosis, Roentgenological improvement to retreatment was 75%, 64%, 46%. 4) When the drnation of patients illness was less than 1 year, 1 to 3 years, 3 10 5 years and more than 5 years, sputum AFB smear negative response to retreatment was 100%, 88%, 80%, 52 %. 5) On side effects, major problems are gastrointestinal troubles, mild liver function abnormality, psychotic problemes, and skin problem(urticaria, itching sensation). Conclusion : The duration & extents of patients illness was shorter & minimal, sputum AFB smear negative response rate was better. Radiologic response is better as shorter duration and minimal extent of diease. But, as diease is longer duration & far advanced, sputum negative conversion & Roentgenological improvement is poor and limited. The adverse reaction was mainly observed gastrointestinal troubles(indigestion, abdominal pain, nausea, vomiting, diarrhea) and are well controled by symptomatic management in most patients, as regard to tolerance to the secondary drugs.

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Cognitive map analysis of President Lee on the Policy of Green Growth (녹색성장에 관한 이명박 대통령의 인지지도 분석)

  • Kim, Dong-Hwan;Ahn, Ji-Young
    • Korean System Dynamics Review
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    • v.10 no.4
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    • pp.39-51
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    • 2009
  • In this paper, we constructed a cognitive map of President Lee of Korea on the policy vision of green growth. This cognitive map is characterized by a scarcity of feedback loops and a strong emphasis on the positive loops. These characteristics can be understood by the fact that the green growth policy is to overcome the limits to growth coming from negative feedback loops. As a conclusion, we proposed a negative feedback loop approach to the green growth policy vision, which might minimize the side effects of positive loops.

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Agreement in self-other ratings of leader effectiveness: The role of dark side personality (팀 리더의 수행에 대한 자기-타인 평정간 비교 : 어두운 성격을 중심으로)

  • Kim, Myoung So;Han, Young Seok;Cho, Inchul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5497-5507
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    • 2013
  • The purpose of this study was to investigate the effects of dark side personality traits on self-other rating agreement in leader effectiveness. Data were collected from 80 team leaders and their peers in college. Peers who conducted a team project were asked to assess performance of their team leaders on leader effectiveness, task performance, and contextual performance. The leaders were also asked to self-rate their performance on the same measures. Results indicated that there was disagreement of perceptions about personality traits between leader's self-ratings and the rating of others. First, leaders considered their own Bold, Diligent behaviors as positive influence on their leadership-related criteria, whereas peers of these leaders provided negative ratings. Also, leaders viewed Leisurely and Cautious characteristics as unrelated or negative to performance, whereas peers perceiveed these personality traits as positive to performance. Suggestions for future research were provided based on the findings.

Effects of Several Natural Medicines on Alkaline Phosphatase Synthesis in MC3T3-E1 Cells (수 종의 생약제제가 MC3T3-E1 세포의 염기성 인산분해효소 합성에 미치는 영향)

  • Kim, Dae-Kyum;Kim, Tak;Pi, Sung-Hee;Kim, Hyun-A;Choi, Kwang-Soo;You, Hyung-Keun;Shin, Hyung-Shik
    • Journal of Periodontal and Implant Science
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    • v.29 no.4
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    • pp.751-765
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    • 1999
  • Several growth factors and polypeptidesare not commonly yet used for regenerators of bone tissue or alveolar bone because of the insufficiency of studies on their side effects, genetic engineering for mass production and stability for clinical application. Recently, many natural medicines, which have advantage of less side effects and possibility of long-term use, have been studied for their capacity and effects of anti-bacterial, anti-inflammatory and regenerative potential of periodontal tissues. Olibanum, Myrrha, Phlomis Radix, and Cimicifugae Rhizoma have been traditionally used as a drug for treatment of bone disease in oriental medicine. The objective of this study was to examine the ability of alkaline phosphatase(ALP) synthesis of rat calvarial osteoblast(MC3T3-E1) when several natural medicines were supplemented. MC3T3-E1 cells were cultured with ${\alpha}$-MEM(negative control), dexamethasone(positive control), and each natural medicines for 3 and 5 days. And then ALP synthesis was measured by spectrophotometer for enzyme activity and by naphthol AS-BI staining for morphometry. All of the natural medicines induced higher activity of ALP synthesis than the negative controls. Especially Olibanumind uced the higher activity than the positive controls (p<0.05). In the aspects of culturing time, except Cimicifugae Rhizoma, the natural medicines induced higher activity of ALP synthesis at 5 days than at 3 days (p<0.05). In morphometry, all of the natural medicines showed statistical significance compared to the negative control (p<0.05). Myrrha a n d Phlomis Radix showed larger positively stained area at 5days than at 3 days, whereas the others did not showed the difference between at 5 and at 3 days(p<0.05). These results indicate that several natural medicines have an inducing ability of ALP synthesis in MC3T3-E1 cells.

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The Effects of Muscle Balance in Lower Limb on Anaerobic Pedaling Capacity among Elite Cyclists (사이클 선수의 하지근력균형이 무산소성 페달링 기능에 미치는 영향)

  • Park, Hyun-Ju;Kim, Jung-Hoon
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.389-399
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    • 2019
  • The purpose of this study was to investigate the effects of muscle asymmetry of knee joint among elite cyclists on anaerobic pedaling power related capacity. In another word, based on isokinetic strength of Non-Dominant, ND and Dominant, D, side, high, moderate and low ratio of ND to D were classified as High Symmetry Group, Moderate Symmetry Group and Asymmetry Group, respectively. Analysis of muscle asymmetry of extensor's ND and D side might not lead to any difference between the three groups. Based on muscle strength analysis of the flexor's ND and D, there was statistical difference between the groups in ND flexor and in the muscle balance index of the flexor muscle. This result also leads to significant difference in pedaling power functionality, but this effects might not lead to any negative pedaling power. Therefore, among even cyclists who may show almost the same recruitment pattern of ND and D side during pedaling stroke muscle asymmetry could exist but this phenomena might not negatively contribute to the pedaling capacity.

Factors Affecting Smartphone Dependency and Digital Dementia

  • Ahn, Joong-Seok;Jun, Hyo-Jung;Kim, Tae-Sung
    • Journal of Information Technology Applications and Management
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    • v.22 no.3
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    • pp.35-54
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    • 2015
  • Smartphone is affecting not only our everyday life but also our business, directly causing diverse side-effects. But up until now, many researches that have been conducted on smartphone were focused on continuance intention for smartphone use and user satisfaction. Thus, the objective of this research is to investigate the effects that smartphone dependency has on digital dementia which is one of negative effects of smartphone. For the purpose, we have reviewed studies that are related to perceived characteristics of existing smartphones. As perceived characteristics variables, we have adopted perceived ease of use and perceived usefulness. And to present our research model, we have adopted smartphone dependency as psychological attitude variable and digital dementia as consequence variable. To implement an empirical analysis of our research model, we have conducted a survey with college student groups as research target who use smartphone most.

Treatment of Drug Susceptible Pulmonary Tuberculosis

  • Shin, Hong-Joon;Kwon, Yong-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.161-167
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    • 2015
  • Tuberculosis (TB) remains a major global health problem, and the incidence of TB cases has not significantly decreased over the past decade in Korea. The standard short course regimen is highly effective against TB, but requires multiple TB-specific drugs and a long treatment duration. Recent studies using late-generation fluoroquinolones and/or high-dose rifapentine-containing regimens to shorten the duration of TB treatment showed negative results. Extending the treatment duration may be considered in patients with cavitation on the initial chest radiograph and positivity in sputum culture at 2 months of treatment for preventing TB relapse. Current evidence does not support the use of fixed-dose combinations compared to separate drugs for the purpose of improving treatment outcomes. All patients receiving TB treatment should be monitored regularly for response to therapy, facilitation of treatment completion, and management of adverse drug reactions. Mild adverse effects can be managed with symptomatic therapy and changing the timing of the drug administration, but severe adverse effects require a discontinuation of the offending drugs.