• 제목/요약/키워드: Systemic administration

검색결과 445건 처리시간 0.02초

퀴놀론과 비스테로이드소염제 투여 후 발생한 급성 간질성 신염이 동반된 DRESS 증후군 (DRESS syndrome with acute interstitial nephritis caused by quinolone and non-steroidal anti-inflammatory drugs)

  • 김수진;남영희;정지영;김은영;이수미;손영기;남희주;김기호;이수걸
    • Journal of Yeungnam Medical Science
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    • 제33권1호
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    • pp.59-63
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    • 2016
  • Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare and severe drug-induced hypersensitivity syndrome characterized by hematological abnormalities and multiorgan involvement. Liver involvement is the most common visceral manifestation. However, renal failure has been rarely described. The common culprit drugs are anticonvulsants and allopurinol. We experienced a patient with DRESS syndrome with acute interstitial nephritis caused by concomitant administration of quinolone and non-steroidal anti-inflammatory drugs (NSAIDs). A 41-year-old man presented with a diffuse erythematous rash and fever which developed after administration of quinolone and NSAIDs for a month due to prostatitis. He was diagnosed with DRESS syndrome. Skin rash, fever, eosinophilia, and elevations of liver enzymes improved with conservative treatment and discontinuation of the causative drugs. However, deterioration of his renal function occurred on day 8 of admission. The levels of blood urea nitrogen and serum creatinine increased and oliguria, proteinuria and urinary eosinophils were observed. Ultrasonography showed diffuse renal enlargement. The clinical features were compatible with acute interstitial nephritis. Despite intravenous rehydration and diuretics, renal function did not improve. After hemodialysis, his renal function recovered completely within 2 weeks without administration of systemic corticosteroid.

Factors Relating to Induced Systemic Resistance in Watermelon by Plant Growth-Promoting Pseudomonas spp.

  • Lee, Yong-Hoon;Lee, Wang-Hyu;Lee, Du-Ku;Shim, Hyeong-Kwon
    • The Plant Pathology Journal
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    • 제17권3호
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    • pp.174-179
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    • 2001
  • The plant growth-promoting Pseudomonas strains, WR8-3 (Pseudomonas fluorescens), WR9-11 (Pseudomonas sp.) and WR9-16 (P.putida), which induced resistance systematically in watermelon to gummy stem rot were investigated on their induced systemic resistance(ISR)-related characteristics. The pyoverdine production was repressed in the standard succinate medium by increasing the concentration of $\textrm{FeCL}_3$. But the iron-binding ability on chrome azurol S agar media (CAS) was observed only in the strains, WR8-3 and WR9-16. When the two strains were mutated, the resulting iron-binding siderophore-negative mutants, WR8-3m and WR 9-16m, failed to promote the growth of watermelon and to induce resistance. The strains, WR8-3 and WR 9-16, slightly inhibited the growth of Didymella bryoniae at a low concentration of $\textrm{FeCL}_3$ on Kong's medium B, but not to exert control dffect. The strain WR9-11 showed antagonism in the concentration of $\textrm{FeCL}_3$ from 0 to $1,000\mu\textrm{M}$. When the crude lipoplysaccharide of each strain was treated in the rhizosphere of watermelon, mean lesion area was similar to that of the untreated control. The strains, WR9-11 and WR9-16 produced some level of hydrogen cyanide (HCN). Salicylic acid production was not detected in all of the strains.

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Control of Powdery and Downy Mildews of Cucumber by Using Cooking Oils and Yolk Mixture

  • Jee, Hyeong-Jin;Shim, Chang-Ki;Ryu, Kyung-Yul;Park, Jong-Ho;Lee, Byung-Mo;Choi, Du-Hoe;Ryu, Gab-Hee
    • The Plant Pathology Journal
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    • 제25권3호
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    • pp.280-285
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    • 2009
  • Powdery and downy mildews caused by Sphaerotheca fusca and Pseudoperonospora cubensis are the most common and serious diseases of cucumber worldwide. In spite of the introduction of highly effective systemic fungicides, control of these diseases remains elusive. Hence, this study aimed to develop an alternative method to chemicals in controlling the diseases by using different types of cooking oil. Egg yolk, which contains a natural emulsifier, lecithin, was selected as a surfactant to emulsify the oils. Among the different cooking oils used, soybean, canola (rape seed), safflower, sunflower, olive, and corn oils showed over 95% control values against powdery mildew of cucumber in a greenhouse test. In particular, 0.3% canola oil emulsified with 0.08% yolk (1 yolk and 60 ml canola in 20 l spray) was found to be the most effective. The treatment resulted in 98.9% and 96.3% control efficacies on powdery and downy mildews, respectively, of cucumber in the field. Canola oil exhibited direct and systemic effect, wherein powdery mildew of cucumber was suppressed only on treated leaves but not on non-treated leaves in a plant, while mycelia and conidia of the pathogen were severely distorted or destroyed by the treatment. The prospect of using the canola oil and yolk mixture as a natural fungicide is highly promising because of its effectiveness, availability, low cost, simple preparation, and safety to humans and the environment. The use of the canola oil and yolk mixture is expected to be an effective fungicide for use in organic farming and home gardening.

감자 '추백' 에 발생한 Tobacco mosaic virus 의 특성 (Characterization of Tobacco mosaic virus Isolated fromSolanum tuberosum ‘Chubak’ in Korea)

  • 김정수;김재현;최국선;채수영;김현란;정봉남;최용문
    • 식물병연구
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    • 제9권2호
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    • pp.89-93
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    • 2003
  • 남해지역의 원원종 종서 생산 포장에서 '추백' 품종에 나타난 엽맥투명 및 매우 약한 모자이크 증상을 나타내는 감자 잎에서 담배 모자이크 바이러스(TMV)를 분리하였다. 이 바이러스((TMV-St))는 생물학적, 혈청학적 유연관계 및 외피단백질의 염기서열 등을 통해 기존에 보고된 다른 tobamovires와 비교하였다. TMV-St는 5개의 지표식물 반응에서 토마토, 고추, 가지 등과 같은 가지과 작물에 경제적 피해를 주고 있는 TMV-U1, Pepper mild mottle virus(PMMoV) 및 Tomato mosaic virus(ToMV)와는 다른 기주 반응을 보였다. 특히 즙액접종에 의한 기주의 반응은 C.murale 접종엽과 상엽 모두에서 퇴록반점을 보였으며, C. murale, G. globosa, N.rustica 그리고 N. tabacum ce. Samsun nn 등 4가지 지표식물로 이들 바이러스 계통을 구분할 수 있었다. 혈청학적 검정에서 TMV-St는 TMV-U1, PMMoV 그리고 ToMV와의 반응에서 도두 뚜렷한 침강선을 형성하였다. TMV-St의 외피단백질은 477개의 염기서열로 되어 있으며, 이는 TMV-U1의 염기서열과 매우 유사하였다.

방풍갈근탕(防風葛根湯)의 항알레르기효과에 관한 연구 (Study on Anti-allergic Effect and Safety of Bangpung-galgeun-tang)

  • 이주은;박성하;강경화;이용태
    • 동의생리병리학회지
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    • 제21권5호
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    • pp.1118-1126
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    • 2007
  • The purpose of this study was to examine the anti allergic effect in vivo and in vitro, and to observe single and four weeks repeated toxicity in mice of Bangpung-galgeun-tang (BGT). We investigated anti DNP IgE-mediated passive cutaneous anaphylaxis in rodents and compound 48/80-induced active systemic anaphylatic shock in mice after oral administration with BGT of 0.4 g/kg and 0.8 g/kg for 8 days, and also examined MTT assay, ${\beta}-hexosaminidase$ activity, IL-4 and $TNF-{\alpha}$ from RBL-2H3 and $TNF-{\alpha}$ from Raw264.7 after pre-treatment with BGT of 0.25 mg/ml, 0.5 mg/ml, 1 mg/ml and 2 mg/ml. To ascertain safety and toxicity of BGT, we divided into single and four weeks repeated administration test. In single test, three groups were administrated different dosages and routes (2 g/kg/i.p., 4 g/kg/i.p. and 15 g/kg /p.o.) of BGT, and in four weeks repeated test, 0.8 g/kg BGT was administrated. Control groups were administrated with only saline according to on Korean Food and Drug Administration, respectively. We observed attentively motality, abnormal clinical sign, body weight change, organ weight, AST and ALT of mice after BGT administration. BGT inhibited passive cutaneous anaphylaxis and active systemic anaphylatic shock by oral administration. All the concentrations of BGT from 0.25 to 2 mg/ml didn't have an effect on cell viability and cytotoxicity. In RBL-2H3, ${\beta}-hexosaminidase$ release, IL-4 and $TNF-{\alpha}$, and in Raw264.7, $TNF-{\alpha}$ were significantly reduced by treated all concentrations of BGT. During toxicity experiment period, there was no difference in body weight change, organ weight, AST and ALT among different dose groups. Death were found 3 mice from day 2 to day 3 in single test i.p. group. (2 g/kg, 4 g/kg). Several individuals of single test i.p. group were observed that decreased locomotor activity, exophthalmos, bloodshot eyes, loss of eyesight and so on in early period after administration. But there was no difference in clinical signs among p.o. group. These results indicate that BGT have inhibition effects on allergy and suggest that no observable effect level of the test orally administration was considered to be more than 2 g/kg in mice under the conditions employed in this study.

$Henoch-Sch\ddot{o}nlein$ 자반증에서 스테로이드 사용이 신장 침범에 미치는 영향 (The Effect of Steroid on Renal Involvement in $Henoch-Sch\ddot{o}nlein$ Purpura)

  • 홍은정;하태선
    • Childhood Kidney Diseases
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    • 제11권2호
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    • pp.185-194
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    • 2007
  • 목 적 : HSP는 주로 소혈관을 침범하는 혈관염으로 대개 자연적으로 치유되지만 장기적 예후는 신장 침범의 정도에 달려 있으므로 신장 침범의 위험인자를 예측하고 예방하는 것이 중요하다. 이에 본 연구는 증상을 완화하기 위해 사용한 스테로이드가 HSP에서 신장 침범을 줄일 수 있는지를 알아보고자 하였다. 방 법 : 1993년 1월부터 2006년 12월까지 충북대학교병원 소아과에서 HSP로 진단 받은 환아를 대상으로 하여 스테로이드 사용 유무와 사용 기간, 지속성 자반의 유무에 따른 신장 침범의 유무와 정도를 분석하였다. 결 과 : 스테로이드 사용 유무와 사용 기간에 따른 신장 침범 빈도와 신장 침범 기간에는 유의한 차이가 없었다. 스테로이드의 사용 여부에 따른 신장 침범 양상을 보았을 때, 스테로이드를 사용한 경우에는 혈뇨가 많이 나타나고 사용하지 않은 경우에는 단백뇨가 많이 나타나는 경향을 보였으나 통계적으로는 유의한 차이가 없었다. 스테로이드의 사용과 자반의 지속성과는 유의한 관계가 없었다. 반면에 10일 이상의 지속성 자반이 있는 경우에 신장 침범이 유의하게 많은 것으로 나타났으며, 신장 침범의 기간도 지속성 자반이 있는 경우에 증가하는 것으로 나타났다. 결 론 : HSP로 진단받은 환아들에게 복통이나 관절통 등으로 스테로이드를 사용한 후 신장 침범의 유무를 비교해 본 결과, 스테로이드의 사용 여부와 사용 기간과는 유의한 결과를 보이지 않으므로 신장 침범에 대한 스테로이드의 예방효과는 없는 것으로 생각된다. 또한, 스테로이드 치료의 적응증이 아닌 자반의 지속성이 오히려 신장 침범의 유무와 기간과 관계있다는 사실은, 스테로이드가 신장 침범의 예방효과가 없음을 뒷받침해 주고 있다.

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폐경기 질 위축에 대한 한약제제 질 내 투여의 효과 : 체계적 문헌 고찰 (Intravaginal Administration of Oriental Medicine on Vaginal Atrophy in Menopause : A Systemic Review)

  • 이수형;정현태;김송백
    • 대한한방부인과학회지
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    • 제34권2호
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    • pp.62-81
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    • 2021
  • Objectives: The purpose of this study is to review clinical studies and evaluate effectiveness of intravaginal administration of oriental medicine on vaginal atrophy in menopausal women. Methods: 'postmenopause', 'menopause', 'vaginal atrophy', 'atrophic vaginitis', 'vaginal cream', 'vaginal gel', 'pessary', 'suppository' were searched on 3 online databases (Pubmed, Cochrane Library, OASIS). The risk of bias was assessed by using Cochrane risk of bias (RoB) 2.0 tool. Results: 9 randominized controlled trials (RCTs) were selected among 489 articles. The types of intervention were intravaginal administration of oriental medicine. 6 studies showed that treatment group was better than placebo control group or both treatment group and western medicine control group improved similarly. 2 studies were not significant effective in some results and 1 study was not statistically significant. Conclusions: Intravaginal administration of oriental medicine can be an effective option in treating menopausal women with vaginal atrophy. but considering the small number and low quality of studies, further well-designed studies are needed to confirm the effectiveness of this treatment.

골관절염 치료제 히알우론산 임상연구결과의 Systemic Review (Systemic Review of Hyaluronate for the Treatment of Osteoarthritis)

  • 방준석
    • 한국임상약학회지
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    • 제17권1호
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    • pp.38-45
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    • 2007
  • Background: The multitude of the therapeutic usefulness of intra-articular injection of hyaluronate on oateoarthritis of the knee is still in question. The objective of this systemic review was to elucidate both the therapeutic efficacy and the safety of intra-articular administration of hyaluronic acid for degenerative osteoarthritis of the knee joints. Methods: I searched MEDLINE and Korea Medical Database (KMbase) from January 1990 to April 2007 using a combination search terms for knee osteoarthritis and hyaluronic acid and a filter for randomized controlled trials. I extracted data on pain at rest, and during or just after movement, on joint function, and on adverse events. Results: Ten trials that reported usable quantitative information on any of the predefined end points were identified and included in the systemic review. Intra-articular injection of hyaluronic acid can decrease symptoms of osteoarthritis of the knee. The study revealed significant improvements in pain and functional outcomes with few adverse effects. However, there was significant between-study heterogeneity in the estimates of the efficacy of hyaluronic acid. Sub-group analysis showed that lower methodological quality such as a single-blind or single-center design resulted in higher estimates hyaluronic acid efficacy, and that patients older than sixty years of age and those with the most advanced radiographic stage of osteoarthritis were less likely to benefit from intra-articular injection of hyaluronic acid. Conclusion: According to the currently available evidence, intra-articular hyaluronic acid has been proven clinically effective for the patients bearing the knee osteoarthritis with NSAID-induced GI troubles or inapplicable to any surgery, and may be associated with lower risk of adverse events.

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Isolation and Characterization of Oligotrophic Bacteria Possessing Induced Systemic Disease Resistance against Plant Pathogens

  • Han, Song-Hee;Kang, Beom-Ryong;Lee, Jang-Hoon;Kim, Hyun-Jung;Park, Ju-Yeon;Kim, Jeong-Jun;Kim, Young-Cheol
    • The Plant Pathology Journal
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    • 제28권1호
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    • pp.68-74
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    • 2012
  • Biocontrol microbes have mainly been screened among large collections of microorganisms $via.$ nutrient-rich $in$ $vitro$ assays to identify novel and effective isolates. However, thus far, isolates from only a few genera, mainly spore-forming bacilli, have been commercially developed. In order to isolate field-effective biocontrol microbes, we screened for more than 200 oligotrophic bacterial strains, isolated from rhizospheres of various soil samples in Korea, which induced systemic resistance against the soft-rot disease caused by $Pectobacterium$ $carotovorum$ SCC1; we subsequently conducted in $planta$ bioassay screening. Two oligotrophic bacterial strains were selected for induced systemic disease resistance against the $Tobacco$ $Mosaic$ $Virus$ and the gray mold disease caused by $Botrytis$ $cinerea$. The oligotrophic bacterial strains were identified as $Pseudomonas$ $manteilii$ B001 and $Bacillus$ $cereus$ C003 by biochemical analysis and the phylogenetic analysis of the 16S rRNA sequence. These bacterial strains did not exhibit any antifungal activities against plant pathogenic fungi but evidenced several other beneficial biocontrol traits, including phosphate solubilization and gelatin utilization. Collectively, our results indicate that the isolated oligotrophic bacterial strains possessing induced systemic disease resistance could provide useful tools as effective biopesticides and might be successfully used as cost-effective and preventive biocontrol agents in the field.

국내 의약품 첨가제 정보체계 연구 (Survey and Classification of Pharmaceutical Excipients)

  • 박인숙;박상애;김은정;박효민;홍정희;정주연;김호정;이지현;한의식;강신정;이선희
    • Journal of Pharmaceutical Investigation
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    • 제36권4호
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    • pp.239-243
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    • 2006
  • Due to the development of new dosage forms and the improvement or pharmaceutics, the pharmaceutical excipients have become more specified and diverse, and the reclassification on them became necessary. Also with the increasing interests on the kinds and usage amount, related provisions, and evaluation of the pharmaceutical excipients, the systemic and effective control of them was in its demand. Therefore, in this research, we provided the following information on excipients: the type, amount and specification. In order to provide the information, we investigated, analysed and summarized the excipients that are approved by KFDA and published $\ulcorner$Handbook of Pharmaceutical Excipients$\lrcorner$). This handbook is expected to be used as a reference in the development of the pharmaceutics and evaluation in them. As the importance of excipients in pharmaceutics are increasing, IPEC which consist of IPEC-America, IPEC-Europe and JPEC, PDG and ICH have tried to make an international harmonization on excipient. This current status was not an exception to Korea, therefore, the result of this research is expected to make a progress in the evaluation on the excipients to an advanced level.