• Title/Summary/Keyword: Safety Indicators

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Management of Weight Gain and Obesity Associated With Antipsychotics (항정신병약물 사용과 연관된 체중 증가와 비만의 관리)

  • Lee, Na-Hyun;Lee, Jae-Chang
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.86-94
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    • 2021
  • Objectives : The risk of weight gain is high when using antipsychotic drugs, and the prevalence of obesity in people with mental illness is high. Obesity management in psychiatric patients is important because obesity causes various complications and lowers treatment adherence and quality of life. Methods : In this review, we summarized the management strategies for obesity that can occur when using antipsychotic drugs through a web search. Results : Evaluate obesity-related risk factors and related indicators from the beginning of treatment, and conduct regular monitoring. If an antipsychotic drug is used and obesity is induced, a change to a drug with a low metabolic risk may be attempted. Sufficient interventions are also needed on the need to manage obesity, a healthy diet, and exercises in patients and their families. If weight loss is not achieved and obesity-related complications are associated, the use of anti-obesity drugs may be considered. Pharmacological treatment approaches should be carefully considered. Conclusions : Non-pharmacological and pharmacological therapies can be applied to manage weight gain and obesity caused by the use of antipsychotic drugs. When using anti-obesity drugs, the characteristics of mental disorders, drug safety, and drug interactions should be considered.

Systematic Review on Presbycusis Treated by Herbal Medicine Focusing on Kidney Deficiency (노인성 난청의 한약 치료에 대한 체계적 문헌고찰: 신허(腎虛)을 중점으로)

  • Lim, Hui-yeong;Jin, Han-Sol;Ko, Woo-Shin;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.4
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    • pp.49-70
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    • 2021
  • Objectives : This study was conducted to approve the effectiveness and safety of herbal medicine on presbycusis with kidney deficiency. Methods : We searched randomized controlled trials(RCTs) on presbycusis patients diagnosed with kidney deficiency through 10 electronic databases from the start to Sep 7, 2021. Study collection and data extraction, and evaluation of risk of bias were conducted by two independent collaborator. The evaluation of the risk of bias in included RCTs was carried out by using Cochrane risk-of-bias tool. And the data synthesis was conducted by using Review Manager(RevMan, ver.5.4). Results : 1. The treatment group which used herbal medicine(HM) alone was more effective than the control group which used only western medicine(WM) on effective rate of hearing loss. 2. In 3 studies comparing the HM-WM combination treatment group with the control groups using the same WM treatment, the effective rate was statistically significantly higher in the HM-WM combination treatment group. 3. Of the 5 studies that reported adverse reactions, one study reported mild nausea and dizziness, but the difference between the HM treatment group and the WM control group was not statistically significant, and no side effects occurred in other 3 studies. 4. In studies comparing HM and WM, the HM treatment group improved hearing loss, whole blood viscosity, serum TNF-𝛼, IL-1𝛽, IL-6, and oxidative stress indicators better than the WM control group, and there was no significant difference. 5. In studies comparing the HM-WM treatment group with the WM control group, the severity of tinnitus, quality of life, and feelings of anxiety and depression were better in the treatment group than the control group. Conclusions : This study shows that the herbal medicine can improve symptoms of presbycusis with kidney deficiency.

Development of integrated disaster mapping method (II) : disaster mapping with risk analysis (통합 재해지도 작성 기법 개발(II) : 리스크 분석을 적용한 재해지도 작성)

  • Park, Jun Hyung;Kim, Byunghyun
    • Journal of Korea Water Resources Association
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    • v.55 no.1
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    • pp.85-97
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    • 2022
  • In this study, a method for an integrated flood risk mapping was proposed that simultaneously considers the flood inundation map indicating the degree of risk and the disaster vulnerability index. This method creates a new disaster map that can be used in actual situations by providing various and specific information on a single map. In order to consider the human, social and economic factors in the disaster map, the study area was divided into exposure, vulnerability, responsiveness, and recovery factors. Then, 7 indicators for each factor were extracted using the GIS tool. The data extracted by each indicator was classified into grades 1 to 5, and the data was selected as a disaster vulnerability index and used for integrated risk mapping by factor. The risk map for each factor, which overlaps the flood inundatoin map and the disaster vulnerability index factor, was used to establish an evacuation plan by considering regional conditions including population, assets, and buildings. In addition, an integrated risk analysis method that considers risks while converting to a single vulnerability through standardization of the disaster vulnerability index was proposed. This is expected to contribute to the establishment of preparedness, response and recovery plans for providing detailed and diverse information that simultaneously considers the flood risk including social, humanistic, and economic factors.

Effects of Sunbanghwalmyung-Eum Gamibang on MIA-Induced Osteoarthritis in Rats (흰쥐에서 MIA로 유발된 골관절염에 선방활명음 가미방이 미치는 영향)

  • You Bin, Shin;Han Byeol, Park;Jae Su, Kim;Hyun Jong, Lee;Sung Chul, Lim;Yun Kyu, Lee
    • Korean Journal of Acupuncture
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    • v.39 no.4
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    • pp.152-171
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    • 2022
  • Objectives : This study was designed to investigate the effects of Sunbanghwalmyung-eum gamibang on Monosodium iodoacetate-induced osteoarthritis rats. Methods : Forty Sprague-Dawley (SD) rats were divided into 5 groups of 8 rats each. Osteoarthritis (OA) was induced by injecting MIA (2 mg/50 µl) into the joint cavity of the left knee of SD rats belonging to the experimental group, and normal saline was injected into the joint cavity of the left knee instead of MIA in the normal group. To the normal group and the controlled group (OA group), 2 ml of distilled water was orally administered. To the positive control group (Indomethacin group), indomethacin 2 ml at a concentration of 2 mg/kg, to the low concentration group of SHG (Low group), 2 ml of SHG at a concentration of 2 mg/kg, and to the high concentration group of SHG (High group), 2 ml of SHG at a concentration of 4 mg/kg ml was orally administered. The drug was administered for a total of 4 weeks, and histological changes were analyzed by Hematoxylin-Eosin staining and Safranin-O staining. In addition, inflammatory cytokines such as TNF-α, IL-1β, and IL-6, and MMP-13, TIMP-1, and GAGs were immunohistochemically analyzed. Finally, hematological examination, blood biochemical examination, and liver and kidney biopsy were performed. Results : SHG groups (Low and High) inhibited the matrix destruction and damage of the knee joint cartilage in SD rat model, and significantly prevented the reduction in cartilage thickness. In SHG groups, the expressions of TNF-α, IL-1β, IL-6 and MMP-13 were significantly decreased, and the expressions of TIMP-1, GAGs were significantly increased compared with OA group. The safety indicators had no significant differences among five groups. Conclusions : These results show that SHG has cartilage protection capacity, anti-inflammatory effect.

Leading, Coincident, Lagging INdicators to Analyze the Predictability of the Composite Regional Index Based on TCS Data (지역 경기종합지수 예측 가능성 검토를 위한 TCS 데이터 선행·동행·후행성 분석 연구)

  • Kang, Youjeong;Hong, Jungyeol;Na, Jieun;Kim, Dongho;Cheon, Seunghun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.21 no.1
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    • pp.209-220
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    • 2022
  • With the worldwide spread of African swine fever, interest in livestock epidemics has increased. Livestock transport vehicles are the main cause of the spread of livestock epidemics, but there are no empirical quarantine procedures and standards related to the mobility of livestock transport vehicles in South Korea. This study extracted the trajectory of livestock-related vehicles using the facility-visit history data from the Korea Animal Health Integrated System and the DTG (Digital Tachograph) data from the Korea Transportation Safety Authority. The results are presented as exposure indices aggregating the link-time occupancy of each vehicle. As a result, 274,519 livestock-related vehicle trajectories were extracted, and the exposure values by link and zone were derived quantitatively. This study highlights the need for prior monitoring of livestock transport vehicles and the establishment of post-disaster prevention policies.

A Study on Robust Optimal Sensor Placement for Real-time Monitoring of Containment Buildings in Nuclear Power Plants (원전 격납 건물의 실시간 모니터링을 위한 강건한 최적 센서배치 연구)

  • Chanwoo Lee;Youjin Kim;Hyung-jo Jung
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.36 no.3
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    • pp.155-163
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    • 2023
  • Real-time monitoring technology is critical for ensuring the safety and reliability of nuclear power plant structures. However, the current seismic monitoring system has limited system identification capabilities such as modal parameter estimation. To obtain global behavior data and dynamic characteristics, multiple sensors must be optimally placed. Although several studies on optimal sensor placement have been conducted, they have primarily focused on civil and mechanical structures. Nuclear power plant structures require robust signals, even at low signal-to-noise ratios, and the robustness of each mode must be assessed separately. This is because the mode contributions of nuclear power plant containment buildings are concentrated in low-order modes. Therefore, this study proposes an optimal sensor placement methodology that can evaluate robustness against noise and the effects of each mode. Indicators, such as auto modal assurance criterion (MAC), cross MAC, and mode shape distribution by node were analyzed, and the suitability of the methodology was verified through numerical analysis.

A retrospective study on the efficacy of Roxadustat in peritoneal dialysis patients with erythropoietin hyporesponsiveness

  • Jie Liu;Shuang Li;Fan Yang;Tianyu Li;Rui Li;Yousuf Waheed;Chen Meng;Shulin Li;Kun Liu;Yanshan Tong;Haisheng Xu;Chuankuo Tian;Xinglei Zhou
    • The Korean journal of internal medicine
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    • v.39 no.3
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    • pp.488-500
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    • 2024
  • Background/Aims: Roxadustat, an oral medication for treating renal anemia, is a hypoxia-inducible factor prolyl hydroxylase inhibitor used for regulating iron metabolism and promoting erythropoiesis. To investigate the efficacy and safety of roxadustat in patients undergoing peritoneal dialysis (PD) with erythropoietin hyporesponsiveness. Methods: Single-center, retrospective study, 81 PD patients (with erythropoietin hyporesponsiveness) were divided into the roxadustat group (n = 61) and erythropoiesis-stimulating agents (ESAs) group (n = 20). Hemoglobin (Hb), total cholesterol, intact parathyroid hormone (iPTH), brain natriuretic peptide (BNP), related indicators of cardiac function and high-sensitivity C-reactive protein (hs-CRP) were collected. Additionally, adverse events were also recorded. The follow-up period was 16 weeks. Results: The two groups exhibited similar baseline demographic and clinical characteristics. At baseline, the roxadustat group had a mean Hb level of 89.8 ± 18.9 g/L, while the ESAs group had a mean Hb level of 95.2 ± 16.0 g/L. By week 16, the Hb levels had increased to 118 ± 19.8 g/L (p < 0.05) in the roxadustat group and 101 ± 19.3 g/L (p > 0.05) in the ESAs group. The efficacy of roxadustat in improving anemia was not influenced by baseline levels of hs-CRP and iPTH. Cholesterol was decreased in the roxadustat group without statin use. An increase in left ventricular ejection fraction and stabilization of BNP were observed in the roxadustat group. Conclusions: For PD patients with erythropoietin hyporesponsiveness, roxadustat can significantly improve renal anemia. The efficacy of roxadustat in improving renal anemia was not affected by baseline levels of hs-CRP0 and iPTH.

The Variability of CDOM Along the Salinity Gradients of the Seomjin River Estuary During Dry and Wet Seasons (우기와 건기 중 섬진강 하구역에서 염분경사에 따른 유색용존유기물의 변동성)

  • Lee, Jae Hwan;Park, Mi Ok
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.4
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    • pp.362-371
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    • 2016
  • The distribution patterns of Chromophoric Dissolved Organic Matter (CDOM) and the chemical characteristics of CDOM in the Seomjin river estuary were investigated in March, June and July 2012 in order to determine the spatial and temporal variability of CDOM along the salinity gradient considering the effects of mixing, nutrients and Chl a. The average CDOM values were $1.0{\pm}0.3m^{-1}$, $1.3{\pm}0.4m^{-1}$, and $1.4{\pm}0.3m^{-1}$ in March, June and July, respectively. A high concentration of CDOM (greater than $1.5m^{-1}$) was found at the head of the river which decreased towards the river mouth to as low as less than $0.5m^{-1}$. The average concentrations of CDOM increased from the dry season (March and June) to the wet season (July), and the average slope values ($S_{300-500}$), which were used as indicators of CDOM characteristics and sources, were in the range of $0.013-0.018m^{-1}$. The CDOM and $S_{300-50}$ values showed that not only the concentration of CDOM but also the chemical properties of DOM clearly changed between upstream and downstream in the Seomjin river. CDOM and FDOM showed a negative correlation with salinity ($R^2$ > 0.8), and CDOM was positively correlated with FDOM. Furthermore, the mixing pattern of CDOM was confirmed as conservative for all seasons. The main environmental factors influencing the concentration of CDOM was confirmed as conservative for all seasons. The main environmental factors influencing the concentration of CDOM were salinity (mixing) and water temperature, which meant the dilution of low CDOM seawater, was the controlling factor for the spatial distribution of CDOM. Increases in water temperature seemed to induce the production of CDOM during summer (June and July) through the biological degradation of DOM either by microbial activity or photo-degradation.

Methodology of Selecting Criteria for Pedestrian only Street (차없는 거리 선정기준 수립을 위한 방법론 정립 연구)

  • Kim, Yoomi;Park, Jejin;Lee, Junyoung;Ha, Taejun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.5
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    • pp.867-879
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    • 2016
  • Since the 1970s, the region of its own pedestrian center and environmental pollution caused by exhaust gases have been reduced gradually in a continuous increase of the vehicle, school route the central business district, around the school, the sidewalk where the vehicle do not pass, facilities of minimum for the safety of pedestrians and systematic management of an area where an unspecified number and alleys impassable is insufficient. Recently, in response to the "Law for convenience enhancing safety and walking" is enforced in Korea, research on Pedestrian only Street has been actively about the government, the standard for calculating the weights of evaluation associated with it. it is a actuality, however, there are insufficient, evaluation for business promotion is being conducted evaluation polite manner by using, for example, scale residence time and purpose of the passengers as there is no car that has been carried out on a voluntary basis through the municipality have. In this study, by suggesting a method for the selection of the street without a car, make a survey by placing a purpose in the selection method presentation of the street with no car to be construction future, was researching. F.G.I (Focus Group Interview) survey, professors, staff in urban, traffic field of experts in order to present the weights for the evaluation of the Pedestrian only Street by using the evaluation index by type of Pedestrian only Street, was interviewed about the evaluation index for the conducted for professionals engaged in the engineering company, and randomly selected 200 peoples, weighted evaluation of the street with Pedestrian only Street was proposed. By classifying the items purpose and goals of the evaluation type by this by applying the weight, and present the weight of the detailed indicators each corresponding to each item, and scored on the basis of the result, in this paper it can be so that one methodology for the selection standard for the construction as Pedestrian only Street, and the weight of the evaluation of the type that has been derived, the selection and evaluation methods and then added to these criteria to settle careful study of the reference should be performed further.

Protective Effect of Functional Perilla frutescens Hot-water Extract Against tert-butyl hydroperoxide-Induced Liver Oxidative Damage in Rats (랫드에서의 t-BHP 유발 산화스트레스에 대한 기능성 들깻잎 열수 추출물의 간 보호 효과)

  • Yang, Sung-Yong;Kang, Jeong-Han;Lee, Kwang-Won
    • Journal of Food Hygiene and Safety
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    • v.28 no.2
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    • pp.146-151
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    • 2013
  • Perilla frutescens usually dieted in East Asian country such as Korea and Japan. Antioxidant, antiinflammatory and anticancer activities of perilla leaves have been founded. In previous study, we confirmed that caffeic acid, major compound of perilla, was accumulation by sucrose aqueous solution and thus antioxidant effect of perilla was enhanced. In this study, we investigated the protective effect of functional perilla leaves extract (PLE) against tert-butyl hydroperoxide(t-BHP) induced-oxidative hepatotoxicity. The pretreatment with PLE (250, 500 and 1000 mg/kg b.w.) for 5 days before a single dose of t-BHP (i.p.; 0.5 mmol/kg) significantly lowered the serum levels of aspartate aminotransferase, alanine aminotransferase and lactate dehydrogenase dose-dependently. And we confirmed that the indicators of oxidative stress were remarkably reduced in the liver, such as the glutathione contents and malondialdehyde, marker of lipid peroxidation. Pathological histology of the rat livers tissues showed that PLE reduced the hepatocyte degeneration and neutrophilic infiltration of liver induced by t-BHP. These results suggest that functional perilla frutescens has the protective effect of liver against t-BHP-induced oxidative hepatic stress in rats.