• 제목/요약/키워드: Stimulants

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주의력결핍 과잉행동장애 한국형 치료 권고안(III) - 약물치료 - (The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(III) - Pharmacologic Treatment -)

  • 유희정;양수진;신동원;강화연;김붕년;김지훈;안동현;유한익;천근아;홍현주
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제18권1호
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    • pp.16-25
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    • 2007
  • The objective of this review is to propose the Korean practice guideline for pharmacological treatment of attention-deficit hyperactivity disorder (ADHD). For making the guideline, the authors used the evidence-base approaches derived from a detailed review of literature including wide range of controlled clinical trials, studies of side effects of drugs, toxicological reports, and meta-analyses published in United States and Europe, as well as inside Korea. The review committee composed of experts in ADHD inkoreahasreviewedtheparameter. The practice parameter for pharmacological treatment describes the use of stimulants, atomoxetine, modafinil, bupropion, tricyclic antidepressants, and alpha-adrenergic agonists and their side effects. The recommendations of pharmacological treatment are proposed at the end of the article.

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주시빈도를 적용한 패션숍 파사드 이미지 분석 (Analysis of the Fashion Shops' Images Applying Gaze Frequency)

  • 여미;오선애
    • 한국실내디자인학회논문집
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    • 제22권6호
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    • pp.212-219
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    • 2013
  • This study uses a fashion shop facade design to track human gaze, find gaze frequency for gaze time for the gaze points along the path of sight, and expose the importance of facade design and figure out the value through theoretical systematization. Thus, this study employed the measurement method in physiological psychology which is sight-tracking device with eye-tracking to perform effective data evaluation. To find gaze frequency and study the contents to reflect on the facade, precedent study review, and case study of facade design to collect stimulants to be used in eye-tracking experiment were executed. And the eye-tracking experiment which traces the movement of eye[pupil] was performed. As the result of analyzing gaze frequency, The characteristics of such gaze path formation made the characteristics for gaze frequency even clearer. What was characteristic in the analysis result according to 'average value for gaze time' was that only 8 out of 2000 areas showed over 1 second of frequency and, and all other shoed less than 1 second of gaze time. This indicates that human sight endlessly jumps around, and that it 'Stay' where it has interest. This study found the average of the frequency of this 'Stay' in facade design. This study well presents the major points to add value to the design of the space of facade based on scientific measurement/analysis data obtained through visual understanding. Through such, this study is thought to be able to have a positive interaction with marketing by forming a theoretical background bringing utility to purchase environment and assisting in sales increase.

주의력결핍 과잉운동장애 아동의 중추신경흥분제 치료에 대한 임상적 연구 (A CLINICAL STUDY OF THE EFFECTS OF STIMULANT DRUGS IN ATTENTION-DEFICIT HYPERACTIVE CHILDREN)

  • 김행숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제1권1호
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    • pp.89-93
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    • 1990
  • 주의력결핍 과잉운동장애로 진단, 치료를 받은 소아 및 청소년 환자 60명에 대해 methylphenidate, pemoline등 중추신경흥분제 치료의 효과 및 부작용에 관해 조사, 다음과 같은 결과를 얻었다. 조사대상 60명중 약물치료의 효과가 뚜렷하게 나타난 경우가 34명으로 절반을 넘었고, 효과가 드러나지 않은 경우는 8명에 지나지 않았다. 약물치료로 뚜렷한 호전을 보인 증상은 과잉운동, 주의산만 및 충동성 등이었고 이러한 행동상의 향상과 함께 학교성적의 향상도 보였다. 이러한 약물효과는 학령전기 어린이 및 청소년에 비해 학령기 어린이에게서 더 크게 나타났다. 60명중 25명은 부작용을 보이지 않았고 6명만이 심한 부작용을 보였는데 흔히 볼 수 있었던 부작용은 식욕감퇴, 불면 또는 안절부절못함 등이었다. 조사결과 이들 약물의 치료적 유용성이 단기치료를 통해서는 충분히 밝혀졌는데 이러한 결과는 장기적으로도 적용될 수 있으리라 생각된다.

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주의력결핍 과잉행동장애 한국형 치료 권고안 개정안(III) - 약물치료 - (The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (III) - Pharmacological Treatment -)

  • 김효원;김은주;김지훈;박장호;반건호;이연정;정경운;신동원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권2호
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    • pp.70-83
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    • 2017
  • The objective of this review is the revision of the Korean practice parameters for the pharmacological treatment of attention-deficit hyperactivity disorder (ADHD) based on the change in the diagnostic system from DSM-IV-TR to DSM-5 and psychopharmacological developments. For the evidence-based approach, the authors conducted a review of the literature, including controlled clinical trials, studies of the side effects of drugs, toxicology and meta-analyses from the United States and Europe, as well as recent research conducted in Korea. The review committee composed of Korean experts on ADHD reviewed the revised parameters. This revised version reveals how to use central nervous system psychostimulants, non-stimulants such as atomoxetine and alpha2 agonists, and other medication for ADHD, and how to manage the adverse effects of such medication. At the end of this revised version, the authors propose recommendations for the pharmacotherapy of ADHD.

Roles of Gonadal Steroids on Exocrine Secretion of Isolated Perfused Rat Pancreas

  • Park, Hyung-Seo;Kim, Se-Hoon;Park, Hyoung-Jin;Lee, Mee-Young;Han, Young-Hee
    • The Korean Journal of Physiology and Pharmacology
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    • 제7권4호
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    • pp.217-221
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    • 2003
  • To clarify the roles of gonadal steroids on pancreatic exocrine secretion, effects of progesterone and estradiol-$17{\beta}$ on spontaneous and secretagogue-induced exocrine response of isolated perfused rat pancreas were investigated. Intra-arterial infusion of progesterone resulted in significant increase of the spontaneous pancreatic fluid and amylase secretion dose-dependently. However, estradiol-$17{\beta}$ did not exert any influence on spontaneous pancreatic exocrine secretion. Exogenous secretin, cholecystokinin (CCK), and acetylcholine markedly stimulated pancreatic fluid and amylase secretion. Progesterone initially enhanced secretin-induced amylase secretion, but this stimulatory response declined thereafter to basal value. Moreover, secretin-induced fluid secretion was not affected by infusion of progesterone. Therefore, initial increase of secretion-induced amylase secretion by progesterone seems to be a non-specific action by washout effect of secretin. Estradiol-$17{\beta}$ failed to change the secretin-induced fluid and amylase secretion. Both progesterone and estradiol-$17{\beta}$ did not exert any influence on CCK-induced fluid and amylase secretion. Acetylcholine-induced exocrine secretion of isolated perfused pancreas also was not affected by intra-arterial infusion of progesterone or estradiol-$17{\beta}$. It is concluded from the above results that progesterone could enhance the spontaneous pancreatic fluid and amylase secretion of isolated perfused rat pancreas through non-genomic shortterm action, and that these effects could be masked by more potent stimulants such as secretin, CCK, and acetylcholine.

Study on the Action by PAF on IL-1 Modulation in Alveolar Macrophages: Involvement of Endogenous Arachidonate Metabolites and Intracellular $Ca^{++}$ Mobilization

  • Lee, Ji-Hee;Kim, Won-Ki;Hah, Jong-Sik
    • The Korean Journal of Physiology and Pharmacology
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    • 제2권2호
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    • pp.241-249
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    • 1998
  • Platelet-activating factor(PAF) enhanced interleukin-1(IL-1) activity by the interaction with a specific receptor in rat alveolar macrophages. In this study, we investigated the role of endogenous arachidonate metabolites and intracellular calcium mobilization in the PAF-induced IL-1 activity. Alveolar macrophages were preincubated with 5-lipoxygenase and cyclooxygenase inhibitors 30 min before the addition of PAF and lipopolysaccharide(LPS). After 24h culture, IL-1 activity was measured in the supernate of sample using the thymocyte proliferation assay. Inhibition of 5-lipoxygenase by nordihydroguaiaretic acid and AA-861 completely blocked the PAF-induced enhancement of IL-1 activity with $IC_{50}\;of\;2\;{\mu}M\;and\;5\;{\mu}M$, respectively. In contrast, the inhibition of cyclooxygenase pathway by indomethacin and ibuprofen resulted in the potentiation in PAF-induced IL-1 activity with maximal effect at $1\;{\mu}M\;and\;5\;{\mu}M$, respectively. In addition, leukotriene $B_4$ and prostaglandin $E_2$ production were observed in PAF-stimulated alveolar macrophage culture. As could be expected, 5-lipoxygenase and cyclooxygenase inhibitors abolished PAF- stimulated leukotriene $B_4$ and prostaglandin $E_2$ production, respectively. The effects of PAF on intracellular calcium mobilization in alveolar macrophages were evaluated using the calcium-sensitive dye fura-2 at the single cell level. PAF at any dose between $10^{-16}\;and\;10^{-8}$ M did not increase intracellular calcium. Furthermore, there was no effective change of intracellular calcium level when PAF was added to alveolar macrophages in the presence of LPS or LPS+LTB4, and 4, 24 and 48h after treatment of these stimulants. Together, the results indicate that IL-1 activity induced by PAF is differently regulated through subsequent induction of endogenous 5-lipoxygenase and cyclooxygenase pathways, but not dependent on calcium signalling pathway.

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Comparison of the Growth Inhibition by Alpha-Difluoromethylornithin and Hydroxytamoxifen in MCF-7 Human Breast Cancer Cells

  • Kim, Byeong-Gee;Seok, Sorah;Lee, Kyeong-Hee;Lee, Ji-Young;Park, Won-Hyuck
    • Journal of Life Science
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    • 제11권1호
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    • pp.22-26
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    • 2001
  • In estrogen-dependent MCF-7 human breast cancer cells, $E_2$ at 10 nM stimulated cell proliferation to over 200% compared to the untreated control. EGF and TGF${\alpha}$, which are known as the autocrine/paracrine growth factors induced by $E_2$, also directly stimulated the cell growth in almost as the same extent as $E_2$. DFMO which is the specific inhibitor of ODC could inhibit cell growth even at as low as 0.5 mM. In the treatment with 1 mM DFMO for 4 days, the cell growth was inhibited to 38% of the control. HO-TAM at 1 ${\mu}$M could inhibit the proliferation of MCF-7 cells to 19% of the control. Those inhibitory effects were also found in the cells stimulated with $E_2$, EGF, and TGF${\alpha}$. The inhibitory effects were found even in 2 days of treatment. However, $E_2$, EGF, and TGF${\alpha}$ did not give any effect in the protein synthesis. Neither DFMO or HO-TAM gave any effect on the total protein synthesis. But the pattern of protein secretion was noticeably influenced by the growth stimulants or inhibitors. Proteins of 160, 52, 42, 36, and 32 kDa belonged to the major secretory proteins. Especially, 42 and 36 kDa proteins were most significantly influenced by the treatment of $E_2$, EGF, or TGF$\alpha$. DFMO and HO-TAM inhibited the secretion of these major proteins.

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세균독소와 Mycoplasma 항원으로 자극시킨 사람 섬유아세포의 Interleukin-6와 Interleukin-8 생성의 변화 (Production of IL-6 and IL-8 in Human Fibroblasts Stimulated with Mycoplasma Lysates and Bacterial Toxins)

  • 김광혁;장명웅
    • 대한미생물학회지
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    • 제34권6호
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    • pp.573-582
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    • 1999
  • Cytokines are hormone-like proteins which mediate and regulate inflammatory and immune responses. The purpose of this study was to investigate the effect of lipopolysaccharide (LPS), Staphylococcus enterotoxin B (SEB), and Mycoplasma lysates on regulation of IL-6 and IL-8 production by human nasal fibroblasts. Primary cultured cells were incubated with LPS ($1.0\;{\mu}g/ml$) from E.coli, SEB ($1.0\;{\mu}g/ml$) from S.aureus, or Mycoplasma lysates (M.pneumoniae, Mp; M. fermentans, Mf; M. hominis, Mh, each $1.0\;{\mu}g/ml$). The culture supernatants were collected at 2, 6, and 24 hr and assessed for IL-6 and IL-8 production by enzyme-linked immunosorbent assay. The production of IL-6 in the culture supernatant was downregulated by LPS, SEB, or Mycoplasma lysates. But IL-6 was upregulated by mixed exposure with Mp+LPS (2 hr), Mp+LPS+SEB (24 hr), Mf+LPS (24 hr), Mf+LPS+SEB (2 hr), Mh+LPS (24 hr), Mh+SEB (24 hr), or Mh+LPS+SEB (24 hr). The production of IL-8 in the culture supernatant was similar to that of IL-6 by same stimulants. But IL-8 was upregulated by mixed exposure with Mf+LPS+SEB (2 hr), Mh+LPS (24 hr), Mh+ SEB (24 hr), or Mh+LPS+SEB (24 hr). These studies show that costimulation of LPS or SEB with Mycoplasma whole cell lysates upregulates the production of IL-6 and IL-8.

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유흥업소 종사자들의 약물남용과 비행경험 실태 (Drug Abuse and Delinquency among Employees of Public House)

  • 주왕기;이현우;용혜경;주진형;김형춘
    • 한국임상약학회지
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    • 제2권1호
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    • pp.29-39
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    • 1992
  • In a survey of drug abuse of fourteen types of drugs by employees of public house, the results are follows. $87.4\%$ of male and $82.1\%$ of female ever smoked in his/her life time. $82.2\%$ of male and $75.2\%$ of female smoked in the past month. $90.4\%$ of male and $93.9\%$ of female ever drank in his/her life time. $82.2\%$ of male and $81.6\%$ of female in the past month. $57.8\%$ of male and $54.9\%$ of female smoked daily and $27.4\%$ of male and $53.6\%$ of female drank daily. $3.9\%$ of the employees of public house ever used marijuana in his/her life time: $1.7\%$, stimulants : $5.6\%$ inhalants : $10.0\%$ tranquilizers: $14.6\%$, hypnotics : $32.9\%$ analgesics: $3.7\%$, antitussives: and $1.4\%$, antihistamines; $1.5\%$, cocaine; $0.0\%$ amphetamines; $0.6\%$ narcotics: and $4.71\%$, hallucinogens. Drug use and delinquency showed a dosed relationship: drug users committed higher degree of delinquent behaviors and delinquents used drugs more frequently.

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백화점 여성 의류브랜드의 비주얼 머천다이징 지각요인에 관한 연구 (A Study on Visual Merchandising Perceptional Factors of Women's Fashion Brand in Department Stores)

  • 김흥규;이지수
    • 한국의류학회지
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    • 제34권1호
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    • pp.27-39
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    • 2010
  • In addition, an intense competition depending on the diversity of consumer demands women's clothing brands show changes in market organization such as diversification of the circulation market and general market depression in this rapidly changing fashion environment. Companies tend to use fashion VMD (a marketing-strategic approach) as a differentiation method to create a fashion brand shop image as brand differentiation becomes difficult due to generalization of techniques. This study analyzes forms and types of VMD recognized by consumers within this marketing communication environment and Q methodology was adapted to analyze the subjective internal order of individuals. First, a set of stimuli that presented the brand name and another without it were prepared (two sets in total) to examine the effects in the presentation of the brand name. Stimulants with the brand name were presented to the subjects by the same method after an experiment through stimuli without the brand name presented. As a result, VMD recognition factors were classified into 4 Q factors in cases of stimuli without brand names and 2 factors in cases of stimuli with brand names. This indicates that among brand functions, the role of simplifying information management and grasping the thoughts of consumers was applied. This study has a practical value of presenting VMD directions of each brand image based on the factors discovered.