• 제목/요약/키워드: Target Level of Safety

검색결과 300건 처리시간 0.027초

열다한소탕(熱多寒少湯) 관련 기존 연구 분석 (Review of Studies on Taeumin Yeoldahanso-tang since 2000)

  • 오혜원;신승원;장형진;안광석;이석근;이의주;고병희;이준희
    • 사상체질의학회지
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    • 제26권1호
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    • pp.98-109
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    • 2014
  • Objectives This paper was aimed to review experimantal and clinical articles on Yeoldahanso-tang(YDHS), figuring out the recent tendency and suggesting the future prospects of YDHS-related studies. Methods The articles published in Korean or English since 2000 were searched, screened, and classified into experimental or clinical studies. And we structured designs, methods and results of the included studies into each table for the experimental studies or the clinical studies. Especially tools to diagnose constitutions and patterns identified in clinical researches were also summarized in the tables. Results 28 articles are finally included. 14 experimental studies are mostly in vitro designs to show efficacy of YDHS. There are only 2 studies for the safety. Among 14 clinical studies, 12 case studies target disorders of central nervous system, viral infection, skin ulcer and so on. 2 studies are before and after studies on cerebral infarction and effects on liver function. Conclusions Based on the efficacy of YDHS on central nervous system, it acquires higher level of evidence such as randomized controlled trials in the future. In addition other diseases such as skin ulcer and so on, it needs to be done more specific experimental or clinical studies so that we can get statistically significant results.

제2형 당뇨병 환자에서 Dapagliflozin이 혈당과 심혈관계질환 위험인자에 미치는 영향 및 안전성 (Dapagliflozin's Effects on Glycemia and Cardiovascular Risk Factors and Incidence of Adverse Events in Patients with Type 2 Diabetes)

  • 이혜진;금민정;김재송;김수현;손은선
    • 한국임상약학회지
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    • 제27권4호
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    • pp.214-220
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    • 2017
  • Background: Dapagliflozin is an oral selective inhibitor of sodium-glucose cotransporter 2(SGLT2), the kidney transporter chiefly responsible for glucose reabsorption from the glomerular filtrate. Because this mechanism does not require the action of insulin, dapagliflozin rarely causes hypoglycemia. Dapagliflozin may affect blood glucose control as well as blood pressure and the body weight which are one of the cardiovascular disease risk factors. However, dehydration and ketoacidosis are reported as the side effects of the dapagliflozin treatment and the safety issues have been occurred. The aim of this study is to analyze the effectiveness and adverse events of dapagliflozin in Korean patients. Methods: From December 2014 to August 2015, we retrospectively reviewed the electronic medical records of type 2 diabetes patients who were prescribed dapagliflozin at Severance Hospital. Results: A total of 202 Korean patients were enrolled in this study. The effectiveness in the reduction of blood glucose was statistically significant(p<0.001). Dapagliflozin decreased 0.74% of HbA1c after 24 weeks. Significantly more participants achieved the target HbA1c level(HbA1c<7%) after 24 weeks(n=42, 35.3%) than before taking dapagliflozin(n=21, 17.6%). Blood pressure decreased 5.7 mmHg systolic blood pressure(SBP), 1.9 mmHg diastolic blood pressure(DBP) after 24 weeks. More than one quarter of participants(n=35, 29.4%) experienced weight loss. Most common adverse event was genitourinary symptoms. Conclusion: In this study, the effectiveness of dapagliflozin in improving glycemic control, blood pressure control, and weight loss was statistically significant. However, elderly and female patients, who have higher incidence of adverse events, should use dapagliflozin cautiously.

독립형 B타입 LNG 연료 탱크의 열-구조 연성해석 및 피로 해석에 관한 연구 (A Study of Thermo-structural Analysis and Fatigue Analysis for Independent Type-B LNG Fuel Tank)

  • 김태욱;김종민;김종환;이정호;박성보;이성민;이제명
    • 대한조선학회논문집
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    • 제53권5호
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    • pp.410-419
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    • 2016
  • With the aim of reducing greenhouse gas emissions by 20 percent by 2020 and by 50 percent by 2050 from their 2005 level, International Maritime Organization (IMO) regulated the emissions of SOx and NOx by setting the emission control area in 2012. Since these environmental regulations have been reinforced, demands for the LNG fuel ships are expected to increase dramatically. Accordingly, the worldwide shipbuilding companies spur the development of the LNG fueled ships. Therefore, it is essential to carry out the research on the development of LNG fuel tank, which is one of the important components of the LNG fuel supply system. In this study, the deliberate finite element analysis of type-B LNG fuel tank for 10,000 TEU containership was carried out to evaluate structural safety and provide the process for analyzing stress levels and evaluating fatigue life of target structural. In particular, thermo-structural analysis and fatigue analysis were carried out using the databases on materials and structures of LNG fuel tank.

항공방제용 농약의 혼용가능 조합 선발 및 생물효과 (Selection and Bioactivity of Tank Mix Combinations of Pesticides for Aerial Application)

  • 진용덕;이희동;심홍식;이상계;권오경
    • 농약과학회지
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    • 제12권4호
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    • pp.403-413
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    • 2008
  • 벼의 주요 병해충인 도열병, 잎집무늬마름병, 벼멸구 및 나방류를 동시에 방제할 수 있는 항공방제용 고농도 소량살포 가능 농약혼용조합 209조합에 대하여 시험한 결과, 벼는 물론 주변작물에 약해가 없고 살포액의 물리성이 양호한 tricyclazole SC + validamycin-A SL + imidacloprid SL 등 우수 혼용조합 93 조합을 최종 선발하였다. 선발된 조합의 항공살포에 의한 약효는 일반살포의 방제효과와 비슷하였다. 또한 유인헬기에 의한 항공방제는 일반 관행살포에 비해 방제비용을 1/4 수준으로 크게 줄일 수 있음을 확인하였다.

Determination of Adequate Entry Angle of Lumbar Sympathetic Ganglion Block in Korean

  • Kim, Won-Ho;Kim, Sang-Kwon;Lee, Chul-Joong;Kim, Tae-Hyeong;Sim, Woo-Seok
    • The Korean Journal of Pain
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    • 제23권1호
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    • pp.11-17
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    • 2010
  • Background: The target of lumbar sympathetic ganglion block is the anterolateral surface of the L2, 3 and 4 vertebral bodies, where the lumbar sympathetic ganglion usually lies. In most cases, a block-needle is inserted approximately 5-8 cm lateral to spinous process on the skin and directed to the anterolateral surface of vertebral body obliquely. The purpose of this study is to determine the safe entry angle and entry point in Korean by using the abdominal CT scan images. Methods: The abdominal CT images of eighty five patients were recruited to this study. The minimal angle aimed at the lumbar sympathetic ganglion that can pass through the lateral aspect of body and maximal angle that avoids puncturing the kidney, ureter or retroperitoneal space were measured. The distance from midline to skin entry point was also measured. Results: There was no significant difference in entry angle among L2, 3, and 4 level. The entry angle was similar in the right and left side, and in males and females. The entry angle of old age group was significantly smaller than that of young age group. The calculated safe entry angle was $30.5{\pm}0.4^{\circ}$ and entry point was $7.7{\pm}0.2\;cm$ and $6.7{\pm}0.1\;cm$ lateral from midline in males and females respectively. Conclusions: These measurements can be used as a reference for lumbar sympathetic ganglion block and radiofrequency lesioning. Prior to performing the lumbar sympathetic ganglion block for cancer patients, the abdominal CT scan should be reviewed to prevent complications.

A Multiplex PCR Assay for the Detection of Food-borne Pathogens in Meat Products

  • Kim, Hyoun-Wook;Kim, Ji-Hyun;Rhim, Seong-Ryul;Lee, Kyung-A;Kim, Cheon-Jei;Paik, Hyun-Dong
    • 한국축산식품학회지
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    • 제30권4호
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    • pp.590-596
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    • 2010
  • Meat and meat products are a potential source of food-borne pathogens, including Staphylococcus aureus, Salmonella spp., Escherichia coli O157:H7, and Bacillus cereus. A sensitive and specific PCR assay for the detection of these pathogens in meat and meat products was developed in this study, as part of a broader effort to reduce the potential health hazards posed by these pathogens. Initially, PCR conditions were standardized with purified DNA. Under standard conditions, the detection level for PCR was as low as 10 pg of purified bacterial DNA. After overnight growth of bacteria in a broth medium, as few as $10^2$ CFU of bacteria were detected by PCR assay. The primers employed in the PCR assay were found to be highly specific for individual organisms, and evidenced no cross-reactivity with heterologous organisms. Additionally, the multiplex PCR assays also amplified some target genes from the four pathogens, and multiplex amplification was obtained from as little as 10 pg of DNA, thus illustrating the excellent specificity and high sensitivity of the assay. In conclusion, this PCR-based technique provides a sensitive and specific method for the detection of S. aureus, Salmonella spp., E. coli O157:H7, and B. cereus in meat and meat products.

유전자 치료에서 PET의 역할 (Role of PET in Gene Therapy)

  • 이경한
    • 대한핵의학회지
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    • 제36권1호
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    • pp.74-79
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    • 2002
  • In addition to the well-established use of positron emission tomography (PET) in clinical oncology, novel roles for PET are rapidly emerging in the field of gene therapy. Methods for controlled gene delivery to living bodies, made available through advances in molecular biology, are currently being employed in animals for research purposes and in humans to treat diseases such as cancer. Although gene therapy is still in its early developmental stage, it is perceived that many serious illnesses could be treated successfully by the use of therapeutic gene delivery. A major challenge for the widespread use of human gene therapy is to achieve a controlled and effective delivery of foreign genes to target cells and subsequently, adequate levels of expression. As such, the availability of noninvasive imaging methods to accurately assess the location, duration, and level of transgene expression is critical for optimizing gene therapy strategies. Current endeavors to achieve this goal include methods that utilize magnetic resonance imaging, optical imaging, and nuclear imaging techniques. As for PET, reporter systems that utilize genes encoding enzymes that accumulate positron labeled substrates and those transcribing surface receptors that bind specific positron labeled ligands have been successfully developed. More recent advances in this area include improved reporter gene constructs and radiotracers, introduction of potential strategies to monitor endogenous gene expression, and human pilot studies evaluating the distribution and safety of reporter PET tracers. The remarkably rapid progress occurring in gene imaging technology indicates its importance and wide range of application. As such, gene imaging is likely to become a major and exciting new area for future application of PET technology.

The use of tissue fiducial markers in improving the accuracy of post-prostatectomy radiotherapy

  • Chao, Michael;Ho, Huong;Joon, Daryl Lim;Chan, Yee;Spencer, Sandra;Ng, Michael;Wasiak, Jason;Lawrentschuk, Nathan;McMillan, Kevin;Sengupta, Shomik;Tan, Alwin;Koufogiannis, George;Cokelek, Margaret;Foroudi, Farshad;Khong, Tristan-Scott;Bolton, Damien
    • Radiation Oncology Journal
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    • 제37권1호
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    • pp.43-50
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    • 2019
  • Purpose: The aim of this retrospective study was to investigate the use of a radiopaque tissue fiducial marker (TFM) in the treatment of prostate cancer patients who undergo post-prostatectomy radiotherapy (PPRT). TFM safety, its role and benefit in quantifying the set-up uncertainties in patients undergoing PPRT image-guided radiotherapy were assessed. Materials and Methods: A total of 45 consecutive PPRT patients underwent transperineal implantation of TFM at the level of vesicourethral anastomosis in the retrovesical tissue prior to intensity-modulated radiotherapy. Prostate bed motion was calculated by measuring the position of the TFM relative to the pelvic bony anatomy on daily cone-beam computed tomography. The stability and visibility of the TFM were assessed in the initial 10 patients. Results: No postoperative complications were recorded. A total of 3,500 images were analysed. The calculated prostate bed motion for bony landmark matching relative to TFM were 2.25 mm in the left-right, 5.89 mm in the superior-inferior, and 6.59 mm in the anterior-posterior directions. A significant 36% reduction in the mean volume of rectum receiving 70 Gy (rV70) was achieved for a uniform planning target volume (PTV) margin of 7 mm compared with the Australian and New Zealand Faculty of Radiation Oncology Genito-Urinary Group recommended PTV margin of 10 mm. Conclusion: The use of TFM was safe and can potentially eliminate set-up errors associated with bony landmark matching, thereby allowing for tighter PTV margins and a consequent favourable reduction in dose delivered to the bladder and rectum, with potential improvements in toxicities.

미량 및 신종유해물질의 국내 방류 환경에서의 위해성 평가: 환경부 지정 1순위 80종 대상으로 (Risk Assessment of Micro and Emerging Contaminants in Domestic Effluent Environment: Targeting on 80 First-class substances assigned by Ministry of Environment)

  • 이재엽;박새롬;김일호
    • 한국물환경학회지
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    • 제37권6호
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    • pp.501-509
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    • 2021
  • In 2018, total 263 micro and emerging contaminants were selected as target substances by the Ministry of Environment, and 80 of them were first-class substance including endocrine disruptors, residual Pharmaceuticals and Personal Care Products (PPCPs), residual organic pollutants, pesticides and heavy metals. In this study, in order to evaluate the Hazard Quotient (HQ) of the 80 types in the domestic water environment the concentration of discharged effluent and nearby water environment reported by Korean institutes since 2010 was investigated. There were 45 substances reported to be detected, and Measurement Environment Concentration (MEC) were obtained by collectively converting them into water environment concentration. For biotoxicity, half maximal Effective Dose (EC50) to Daphnia magna, a water fleas species widely adopted in Material Safety Data Sheet (MSDS) was applied. As for the biotoxicity level, the Predicted No-Effect Concentration (PNEC) was obtained by applying the Assessment Factor (AF) and the HQ was derived by dividing it from the MEC. As a result of calculating the HQ, more than 1 substances were Cabamazepine, Mefenamic acid, Acetaminophen, Ibuprofen, Nonylphenol, Nickel, Erythromycin, Acetylslic acid, etc. Meanwhile, perfluorinated compounds were identified as hazardous substances in the water env ironment, with 5 out of 14 species included in the 20 ranks of first-class substance.

WASP 모의를 이용한 하천 수계 중금속 위해성평가 방법 (Quantitative Risk Assessment Method for Metals in Water Body using WASP)

  • 신유리;윤춘경;전나정;이한필
    • 한국물환경학회지
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    • 제26권4호
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    • pp.629-636
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    • 2010
  • According to the spatial movements of the Nak-dong river watershed, the changes in heavy metal concentrations were simulated by WASP7.3. The risk assessment was performed using the predicted data of WASP7.3. The target heavy metal was manganese (Mn). In the simulated manganese data of WASP7.3, the average concentration by regions was from 0.03 mg/L to 0.07 mg/L. It is lower than drinking water standard in korea. The risk assessment was presented that it was high at the junction of Nak-dong river and Kumho river. It was influenced by the discharge of industrial complexes and large cities which were located in the junction. In comparison of drinking water standard and predicted data of WASP7.3 risk assessment, whole watershed was also low level at predicted data. However, to keep the similar risk value ($10^{-7}$) in adults and children anywhere, it requires the additional treatment of the point source discharges. It was also reflected by regions. Through this study, it was possible to evaluate heavy metal influence in unattainable monitoring regions and to estimate heavy metal addition and reduction by locations. Therefore, the outcomes of WASP7.3 can connect with the risk assessment and it can evaluate the safety of human by regions.