• 제목/요약/키워드: Oral State

검색결과 743건 처리시간 0.025초

Fibric acid를 이용한 항고지혈증 겔 연고의 경피 흡수 특성 (Percutaneous absorption Characteristics of Anti hyperlipidemia Gel Ointment using Fibric acid)

  • 정덕채;황성규;오세영
    • 한국응용과학기술학회지
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    • 제27권4호
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    • pp.407-414
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    • 2010
  • New biological treatments were being developed at a record place, but their potential could be compromised by a significant obstacle: the delivery of these drugs into a body. Pharmaceutical delivery is now nearly as important as product. New systems are being developed, and Drug Delivery Markets Series cover these new systems. Transdermal Delivery System(TDS) is often used as a method of drug dosage into the epidermic skin. An approach used to delivery drugs through the skin for therapeutic use as an alternative to oral, intravascular, subcutaneous and transmucosal routes. Various transdermal drug delivery technologies are described including the use of suitable formulations, carriers and penetration enhancers. The most commonly used transdermal system is the skin patch using various types of technologies. Compared with other methods of dosage, it is possible to use for a long term. It is also possible to stop the drug dosage are stopped if the drug dosage lead to side effect. Polysaccharides, such as karaya gum and glucomannan, were selected as base materials of TDS. Also, these polymers were characterized in terms of enhancers, drug contents. Among these polysaccharide, the permeation rate of karaya gum matrix was fastest in fibric acid(ciprofibrate) such as lipophilic drug in vitro. We used glycerin, PEG400 and PEG800 as enhancers. Since dermis has more water content(hydration) than the stratum corneum, skin permeation rate at steady state was highly influenced when PEG400 was more effective for lipophilic drug. Proper selection of the polymeric materials which resemble and enhance properties of the delivering drug was found to be important in controlling the skin permeation rate. Especially, this result suggests a possible use of polysaccharide gel ointment matrix as a transdermal delivery system of anti-hyperlipoproteinemic agent.

기록으로 본 조선시대 울산의 로컬리티: 울산항을 중심으로 (Record-Based Locality of Ulsan during the Joseon Dynasty: Focused on Ulsan Port)

  • 김선미;송정숙
    • 한국기록관리학회지
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    • 제20권1호
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    • pp.1-25
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    • 2020
  • 본 연구에서는 조선시대 울산의 로컬리티를 살펴보기 위해 울산항과 관련된 고문헌·고문서·고지도·구술기록 등 다양한 기록물을 찾아 분석하고 주요 키워드를 추출하였다. 추출한 키워드를 시계열 순으로, 공간 순으로 구분하여 조선시대 울산항과 울산의 로컬리티를 재현하였다. 조선 전기 국방과 왜관을 통한 교역 기능을 수행한 염포, 조선 중기 임진왜란과 전란의 피해를 받은 개운포와 서생포·도산성, 조선 후기까지 국영목장과 봉수 등 국방시설을 운영했던 방어진, 내황나루와 달천철장, 포경기지의 역할을 수행한 장생포까지 각각의 특성을 살펴보고, 조선시대 울산의 궤적을 그려보고자 하였다. 조선시대 울산항의 로컬리티의 변모과정을 분석함으로써 울산의 로컬리티 이해와 재현에 도움이 될 것으로 기대한다.

폐경기 골다공증 환자에서 데노수맙 사용에 대한 비용-효과 분석 (Cost-Effectiveness of Denosumab for Post-Menopausal Osteoporosis in South Korea)

  • 배그린;권혜영
    • 한국임상약학회지
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    • 제28권2호
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    • pp.131-137
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    • 2018
  • Background: In South Korea, 22.3% of women ${\geq}50years$ of age and 37% of women ${\geq}70years$ of age visit the doctor to obtain treatment for osteoporosis. According to the analysis of the National Health Insurance Services claim data between 2008 and 2012, the number and incidence of hip and vertebral fractures increased during the same period. Denosumab, a newly marketed medicine in Korea, is the first RANK inhibitor. Methods: A cost-utility analysis was conducted from a societal perspective to prove the superiority of denosumab to alendronate. A Markov cohort model was used to investigate the cost-effectiveness of denosumab. A 6-month cycle length was used in the model, and all patients were individually followed up through the model, from their age at treatment initiation to their time of death or until 100 years of age. The model consisted of eight health states: well; hip fracture; vertebral fracture; wrist fracture; other osteoporotic fracture; post-hip fracture; post-vertebral fracture; and dead. All patients began in the well-health state. In this model, 5% discounted rate, two-year maximum offset time, and persistence were adopted. Results: The total lifetime costs for alendronate and denosumab were USD 5,587 and USD 6,534, respectively. The incremental cost-effectiveness ratio (ICER) for denosumab versus alendronate was USD 20,600/QALY. Given the ICER threshold in Korea, the results indicated that denosumab was remarkably superior to alendronate. Conclusion: Denosumab is a cost-effective alternative to the oral anti-osteoporotic treatment, alendronate, in South Korea.

측두하악관절장애 환자의 자기공명영상에서 관찰되는 악관절 삼출 (Magnetic resonance evidence of joint effusion in patients with temporomandibular joint disorders)

  • 고지영;김기덕;박창서
    • Imaging Science in Dentistry
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    • 제31권2호
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    • pp.73-84
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    • 2001
  • Purpose: The purpose of this study was to find the relationship among the joint status, pain and effusion in patients with temporomandibular joint disorders. Materials and Methods: Materials included 406 patients (812 joints) with clinical records and bilateral TMJ MRIs in TMJ clinic, Yongdong Severance Hospital. All joints were classified in 4 groups in MR images according to the disc status of joint; normal disc position, disc displacement with reduction (DDcR), early and late stage of disc displacement without reduction (DDsR), and also 2 groups according to the bony status of joint; normal bony structure and osteoarthrosis. MR evidence of joint effusion was categorized in 4 groups according to its amount. To determine the relationship between joint pain and joint effusion, 289 patients with unilateral TMJ symptoms were selected from total materials. Result: Joint effusion was found 8.0% in normal disc position, 32.6% in DDcR, and 59.2% in DDsR (83.1 % in early state and 23.1 % in late stage). Joint effusion was found 39.7% in osteoarthrosis and 35.0% in normal bony structure. Joint effusion was more found in the painful joints (49.8%) than in the painless joints (22.4% )(p<0.001). Joint effusion in the early stage of DDsR only was more found significantly in painful joints (91.9%) than in painless joints (62.1 %) (p<0.001). Conclusion : MR evidence of joint effusion might be related to disc displacement regardless of the presence of osteoarthrosis, and the early stage of DDsR was found more frequently combined with joint effusion and joint pain.

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The Effect of Dimethyl Dimethoxy Biphenyl Dicarboxylate (DDB) against Tamoxifen-induced Liver Injury in Rats: DDB Use Is Curative or Protective

  • El-Beshbishy, Hesham A.
    • BMB Reports
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    • 제38권3호
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    • pp.300-306
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    • 2005
  • Tamoxifen citrate is an anti-estrogenic drug used for the treatment of breast cancer. It showed a degree of hepatic carcinogenesis, when it used for long term as it can decrease the hexose monophosphate shunt and thereby increasing the incidence of oxidative stress in liver rat cells leading to liver injury. In this study, a model of liver injury in female rats was done by intraperitoneal injection of tamoxifen in a dose of 45 mg/kg body weight for 7 successive days. This model produced a state of oxidative stress accompanied with liver injury as noticed by significant declines in the antioxidant enzymes (glutathione-S-transferase, glutathione peroxidase and catalase) and reduced glutathione concomitant with significant elevations in TBARS (thiobarbituric acid reactive substance) and liver transaminases; sGPT (serum glutamate pyruvate transaminase) and sGOT (serum glutamate oxaloacetate transaminase) levels. The oral administration of dimethyl dimethoxy biphenyl dicarboxylate (DDB) in a dose of 200 mg/kg body weight daily for 10 successive days, resulted in alleviation of the oxidative stress status of tamoxifen-intoxicated liver injury in rats as observed by significant increments in the antioxidant enzymes (glutathione-S-transferase, glutathione peroxidase and catalase) and reduced glutathione concomitant with significant decrements in TBARS and liver transaminases; sGPT and sGOT levels. The administration of DDB before tamoxifen intoxication (as protection) is more little effective than its curative effect against tamoxifen-induced liver injury. The data obtained from this study speculated that DDB can mediate its biochemical effects through the enhancement of the antioxidant enzyme activities and reduced glutathione level as well as decreasing lipid peroxides.

흰쥐에서 라니티딘제제의 생체이용률 (Bioavailability of Ranitidine Tablets in Rats)

  • 이미숙;구영순
    • 약학회지
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    • 제39권6호
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    • pp.636-644
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    • 1995
  • Comparison of bioavailabflity (BA) of three brands of ranitidine (RT) tablets has been studied m rats. The purpose of this study was to characterize the pharniacolunetics of RT tablets in the rat and to coinpare phannacolunetic parameters of three brands of RT tablets. In addition, it was investigated whether plasma RT concentrations m humans can be predicted from pharmacokinetic parameters obtained in rats. RT was administered intravenously in dose of RT.HCI 10mg/kg and orally in dose of RT.HCI 50mg/kg as solution or crushed sample of thablets. Plasma RT concentrations were determned by HPLC. Plasma RT concentrations as a function of time were fitted to two compartment model. Plasma RT concentrations declined with a terminal half life ($t_{{1}/2{\betha}}$) of 40.9 min. The plasma RT concentration-time curve showed two peak plasma concentrations following an oral administration of solution or crushed sample in rats like humans. No significant difference among pharmacokinetic parameters was observed except $T_{max2}$ (p<0.05). The BA for crushed sample A, B and C were found to be 54.6 40.7 and 40.0%, respectively. Equivalence of $C_{max1}$ and $T_{max2}$ were guaranteed in this study. However, it was concluded that three brands of RT tablets are bioequivalent, taking the following characteristics of RT into consideration;(1) rapid onset of the effect is not required, (2) $C_{max1}$ and $T_{max2}$ do not seem to influence the effectiveness of the drug during a long-term treatment by the usual administration of twice a day. Results from this study were combined with plarmacokinetic data for RT in dogs and humans to develop a basis for interspecies scale-up of the disposition characteristics of the drug. there were similarities in the general disposition of the drug. Allometric relationships were sought between pharmacokinetic parameters nd species body weight. Significant interspecies correlations were found for total body clearance($Cl_{t}$) and steady state volume of distribution ($Bd_{ss}$). Thus, plasma RT concentrations in humans can be predicted from pharmacokinetic parameters obtained in rats.

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Removable Partial Denture Using Anterior Implant-Supported Fixed Prostheses for Edentulous Patients: A Case Report

  • Lee, You-Jin;Bae, Eun-Bin;Jeong, Chang-Mo;Lee, Jin-Ju;Kim, Ji-Young;Huh, Jung-Bo
    • Journal of Korean Dental Science
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    • 제10권2호
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    • pp.87-95
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    • 2017
  • This case study was to report the possible increase in the denture retention and psychological relief using the implant-supported fixed prostheses in a completely edentulous patient. The implants were placed in the anterior portion of the mandible in a patient who had completely edentulous state following the extraction of residual abutment teeth, and consequently a distal extension removable partial denture was fabricated. The patient's adaptation and satisfaction to the new prosthesis was monitored and confirmed in terms of masticatory function and esthetics, by restoring the oral condition similar to initial status before the residual teeth extraction. After 6 months, radiographic examination confirmed that both the abutment teeth and the implants were stable and well maintained. Considering the relatively short clinical follow-up period, however, continuous long-term monitoring was required.

상악 완전 무치악에서 $Locator^{(R)}$ attachment가 장착된 milled titanium bar를 이용한 임플란트 지지 피개의치: 증례 보고 (Implant Supported Overdenture using Milled Titanium Bar with $Locator^{(R)}$ Attachment on Fully Edentulous Maxillae : A Case Report)

  • 오상천;한지석;김민정
    • 구강회복응용과학지
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    • 제27권2호
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    • pp.223-231
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    • 2011
  • 본 증례 보고의 목적은 상악 무치악 환자에서 임플란트 지지 피개의치를 위한 $Locator^{(R)}$ attachment가 장착된 새로운 milled titanium bar를 소개하고 새로운 대안으로써의 가능성을 제시하고자 함이다. 56세 남자 환자가 상악 고정성 보철물(10-유닛 브릿지)의 동요도를 주소로 본원에 내원하였다. 악관절 및 치과 치료에 영향을 줄만한 특이한 전신병력은 없었다. 방사선 검사 및 임상 검사 결과, 상악의 경우 모든 잔존치아에서 심한 골흡수와 동요도를 보이고 있어 전악 발치를 시행한 후, 임플란트 지지 피개의치를 제작하기로 하였다. 의치의 안정성과 유지력, 저작효율, 청소의 용이성, 심미성과 발음 그리고 경제적인 측면을 고려하여 $Locator^{(R)}$ 어태치먼트를 CAD/CAM으로 제작된 milled titanium bar에 탭핑(tapping)으로 연결시키는 새로운 디자인을 고안하였으며, 1년 이상 경과 후, 기능과 심미적인 면에서 만족할 만한 성과를 얻었기에 이를 보고하는 바이다.

사상체질별 건강 평가 지표의 중요도 조사 연구 (Study on the Weight of Health Evaluation Indexes according to Sasang Constitution)

  • 장은수;황지호;김상혁;이시우;김종열
    • 동의생리병리학회지
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    • 제23권6호
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    • pp.1267-1272
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    • 2009
  • The purpose of this study is to survey the importance of items for the physiological and pathological symptoms for estimating a health condition according to Sasang constitution to establish the SHI(Sasangin Health Index) which will reflect the concept of inherent vitality. We surveyed expert opinion with questionnaires from 20 Sasang constitution specialists. The questionnaire was composed of 57 items on physiological and pathological symptoms and specialist opinions. Each item was marked from A to E according to importance in evaluating health state in each constitution, and if the mean score of an item was over 3.0, the item was regarded as important. Important indexes among physiological symptoms were diet, digestion condition, perspiration condition, frequency of defecation, heat and cold response, and temperature of drinking water in Soeumin, pathologic perspiration and defecation condition in Soyangin, repast, perspiration condition, and the amount of drinking water in Taeeumin, and urination frequency in Taeyangin. Important indexes among pathological symptoms were sighing, indigestion, and abdominal pain in Soeumin, oral condition, chest distress, brash, and amnesia in Soyangin, eye condition, palpitation, and edema in Taeeumin, and vomiting and incapacity of the lower limbs in Taeyangin. There are different health evaluating index and priority order in it according to Sasang constitution.

Comparison of light-transmittance in dental tissues and dental composite restorations using incremental layering build-up with varying enamel resin layer thickness

  • Rocha Maia, Rodrigo;Oliveira, Dayane;D'Antonio, Tracy;Qian, Fang;Skif, Frederick
    • Restorative Dentistry and Endodontics
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    • 제43권2호
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    • pp.22.1-22.9
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    • 2018
  • Objectives: To evaluate and compare light-transmittance in dental tissues and dental composite restorations using the incremental double-layer technique with varying layer thickness. Materials and Methods: B1-colored natural teeth slabs were compared to dental restoration build-ups with A2D and B1E-colored nanofilled, supra-nanofilled, microfilled, and microhybrid composites. The enamel layer varied from 0.3, 0.5, or 1.2 mm thick, and the dentin layer was varied to provide a standardized 3.7 mm overall sample thickness (n = 10). All increments were light-cured to $16J/cm^2$ with a multi-wave LED (Valo, Ultradent). Using a spectrophotometer, the samples were irradiated by an RGB laser beam. A voltmeter recorded the light output signal to calculate the light-transmittance through the specimens. The data were analyzed using 1-way analysis of variance followed by the post hoc Tukey's test (p = 0.05). Results: Mean light-transmittance observed at thicker final layers of enamel were significantly lower than those observed at thinner final layers. Within 1.2 mm final enamel resin layer (FERL) thickness, all composites were similar to the dental tissues, with exception of the nanofilled composite. However, within 0.5 mm FERL thickness, only the suprananofilled composite showed no difference from the dental tissues. Within 0.3 mm FERL thickness, none of the composites were similar to the dental tissues. Conclusions: The supra-nanofilled composite had the most similar light-transmittance pattern when compared to the natural teeth. However, for other composites, thicker FERL have a greater chance to match the light-transmittance of natural dental tissues.